NCLEX-PN
Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
Which intervention should the emergency department nurse implement first for the client admitted for an acute asthma attack?
Correct Answer: B
Rationale: In an acute asthma attack, the priority is to address hypoxia. Administering oxygen (
B) ensures adequate oxygenation, which is critical in respiratory distress. IV glucocorticoids (
A) reduce inflammation but act slowly and are not the first intervention. Establishing a saline lock (
C) is preparatory but not immediate. Assessing breath sounds (
D) is important but secondary to ensuring oxygenation.
Question 2 of 5
What information does the nurse need to know first before recommending further action?
Correct Answer: B
Rationale: Determining if the victim can cough assesses whether the airway is partially or completely obstructed, guiding the next steps.
Question 3 of 5
What is the significance of a positive tuberculin skin test?
Correct Answer: B
Rationale: A positive tuberculin skin test indicates the presence of antibodies to tuberculosis, suggesting exposure or latent infection, not necessarily active disease.
Question 4 of 5
A patient received a nebulizer of Albuterol. What is a side effect of this medication?
Correct Answer: B
Rationale: Albuterol, a beta-agonist, commonly causes tachycardia as a side effect due to its stimulatory effects.
Question 5 of 5
A 52-year old female patient is receiving medical treatment for a possible tuberculosis infection. The patient is a U.S. resident but grew-up in a foreign country. She reports that as a child she received the BCG vaccine (bacille Calmette-Guerin vaccine). Which physician's order below would require the nurse to ask the doctor for an order clarification?
Correct Answer: A
Rationale: Patients who have received the BCG vaccine will have a false positive on a PPD (Mantoux test), which is the tuberculin skin test. The BCG vaccine is a vaccine to prevent TB. It is given in foreign countries to children to prevent TB.
Therefore, the person has already been exposed to the bacteria via vaccine and will have a false positive. A QuantiFERON-TB Gold test is a better option for this patient. It is a blood test.