NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 of 5
Which is the correct volume needed for the nurse to administer the prescribed dose of 0.1 mg of epinephrine to the client?
Correct Answer: B
Rationale: For a 1:1,000 epinephrine solution (1 mg/mL), a 0.1 mg dose equals 0.1 mL, calculated as 0.1 mg ÷ 1 mg/mL = 0.1 mL.
Question 2 of 5
The post-anesthesia care nurse is caring for the client diagnosed with lung cancer who had a thoracotomy and is experiencing frequent premature ventricular contractions (PVCs). Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Frequent PVCs post-thoracotomy may stem from hypoxia, electrolyte imbalances, or pain. Assessing for causes (
C) is the first step to identify and address the underlying issue. ABGs (
A) or ECG (
D) may follow based on findings. Lidocaine (
B) is premature without identifying the cause.
Question 3 of 5
The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. Which information provided by the UAP warrants immediate intervention by the nurse?
Correct Answer: C
Rationale: Hypertension (198/102) with Procrit (
C) suggests a serious side effect, requiring immediate intervention. Hemoptysis (
A), tripod position (
B), and stomach upset (
D) are expected or less urgent.
Question 4 of 5
If the client develops a severe allergic reaction, which drug should the nurse have available?
Correct Answer: D
Rationale: Epinephrine is the first-line treatment for severe allergic reactions (anaphylaxis) as it reverses airway constriction and stabilizes blood pressure.
Question 5 of 5
When the nurse is teaching a client to self-administer nose drops, which head position is appropriate?
Correct Answer: C
Rationale: Tilting the head backward allows nose drops to reach the nasal passages effectively by gravity, ensuring proper distribution of the medication.