NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 of 5
Which information should the nurse teach the client diagnosed with acute sinusitis?
Correct Answer: A
Rationale: Completing antibiotics (
A) ensures treatment of bacterial sinusitis, preventing resistance. Irrigation (
B) is supportive, nose-blowing (
C) is routine, and narcotics (
D) are excessive for sinus headaches.
Question 2 of 5
The nurse in a long-term care facility is planning the care for a client with a percutaneous endoscopic gastrostomy (PEG) feeding tube used for bolus feedings. Which intervention should the nurse include in the plan of care?
Correct Answer: B
Rationale: Elevating HOB post-feeding (
B) prevents aspiration in PEG clients. Naris inspection (
A) applies to NG tubes, Sims position (
C) is not standard, and dressings (
D) are changed PRN.
Question 3 of 5
An alarm beeps notifying you that one of your patient's oxygen saturation is reading $89 \%$. You arrive to the patient's room, and see the patient comfortably resting in bed watching television. The patient is already on $2 \mathrm{~L}$ of oxygen via nasal cannula. The patient is admitted for COPD exacerbation. Your next nursing action would be:
Correct Answer: A
Rationale: In COPD, oxygen saturation of 88-92% is acceptable to avoid suppressing the hypoxic drive. Since the patient is comfortable, continue monitoring . Increasing oxygen or notifying the doctor is unnecessary unless symptoms worsen.
Question 4 of 5
Which instruction regarding the prescribed medication is most appropriate to tell this client?
Correct Answer: C
Rationale: Drinking more fluids enhances the expectorant effect of guaifenesin, helping to thin and expel mucus.
Question 5 of 5
Your patient, who is receiving Pyrazinamide, report stiffness and extreme pain in the right big toe. The site is extremely red, swollen, and warm. You notify the physician and as the nurse you anticipated the doctor will order?
Correct Answer: C
Rationale: Pyrazinamide can cause hyperuricemia, leading to gout symptoms (pain, redness, swelling in joints like the big toe). The physician will likely order a uric acid level to confirm this side effect.