Respiratory NCLEX Questions

Extract:

Question 1 of 5

Which of the following are typical signs and symptoms of pneumonia? Select-all-that-apply:

Correct Answer: B,C,E,G

Rationale: Pneumonia typically presents with coarse crackles due to fluid in alveoli, low oxygen saturation from impaired gas exchange, elevated WBCs indicating infection, and tachypnea (G) as a compensatory mechanism. Stridor is associated with upper airway obstruction, non-productive cough is less common, and low PCO2 suggests hyperventilation, not typical.

Question 2 of 5

A patient is taking Streptomycin. Which finding below requires the nurse to notify the physician?

A. Patient reports a change in vision. B. Patient reports a metallic taste in the mouth. C. The patient has ringing in their ears. D. The patient has a persistent dry cough.

Correct Answer: C

Rationale: This medication can be very toxic to the ears (cranial nerve 8).
Therefore, it is alarming if the patient reports ringing in their ears, which could represent ototoxicity.

Question 3 of 5

Which statement indicates to the nurse the client diagnosed with asthma understands the teaching regarding mast cell stabilizer medications?

A. I should take two (2) puffs when I begin to have an asthma attack. B. I must taper off the medications and not stop taking them abruptly. C. These drugs will be most effective if taken at bedtime. D. These drugs are not good at the time of an attack.

Correct Answer: D

Rationale: Mast cell stabilizers (
D) prevent asthma by stabilizing mast cells, not treating acute attacks. Puffs during attack (
A), tapering (
B), and bedtime use (
C) are incorrect.

Question 4 of 5

The client diagnosed with tonsillitis is scheduled to have surgery in the morning. Which assessment data should the nurse notify the health-care provider about prior to surgery?

A. The client has a hemoglobin of 12.2 g/dL and hematocrit of 36.5%. B. The client has an oral temperature of 100.2°F and a dry cough. C. There are one (1) to two (2) white blood cells (WBCs) in the urinalysis. D. The client's current international normalized ratio (INR) is 1.

Correct Answer: B

Rationale: Fever (100.2°F) and cough (
B) suggest infection, a surgical risk requiring HCP notification. Hb/Hct (
A) are near normal, WBCs in urine (
C) are insignificant, and INR 1 (
D) is normal.

Question 5 of 5

Which assessment data indicate to the nurse the client diagnosed with Legionnaires' disease is experiencing a complication?

A. The client has an elevated body temperature. B. The client has less than 30 mL urine output an hour. C. The client has a decrease in body aches. D. The client has an elevated white blood cell count.

Correct Answer: B

Rationale: Oliguria (<30 mL/hr,
B) indicates renal failure, a serious complication of Legionnaires' disease due to systemic infection or shock. Fever (
A) and elevated WBC (
D) are expected in active infection, not complications. Decreased body aches (
C) suggests improvement, not a complication.

Respiratory NCLEX Questions | Nurselytic

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