NCLEX-PN
NCLEX Questions Respiratory Questions
Extract:
Question 1 of 5
Which of the following patients are MOST at risk for developing pneumonia? Select-all-that-apply:
Correct Answer: A,C,D
Rationale: Patients recovering from surgery are at risk due to immobility and impaired cough reflex, those with COPD have chronic lung disease increasing susceptibility, and infants with RSV are prone to secondary bacterial pneumonia. The vaccinated patient has reduced risk due to immunity.
Question 2 of 5
When the client asks the nurse why skin testing is beneficial, which explanation is best?
Correct Answer: A
Rationale: Skin testing identifies specific allergens causing symptoms, which is crucial when symptoms may be triggered by multiple substances.
Question 3 of 5
Which medication should the nurse anticipate the health-care provider ordering for the client diagnosed with ARDS?
Correct Answer: B
Rationale: Synthetic surfactant (
B) improves lung compliance in ARDS. Antibiotics (
A), potassium (
C), and NSAIDs (
D) are not standard treatments.
Question 4 of 5
Before discharging a client with fractured ribs from the emergency department, which instruction is most important for the nurse to give the client?
Correct Answer: B
Rationale: Taking deep breaths periodically prevents atelectasis and pneumonia, which are risks with fractured ribs due to shallow breathing.
Question 5 of 5
Before recommending the use of a nonprescription decongestant to a client with a cold, which aspect of the medical history should be assessed? Select all that apply.
Correct Answer: C, E, F
Rationale: Decongestants can exacerbate hypertension, glaucoma, and arrhythmias due to their vasoconstrictive effects. Asthma is also a concern as decongestants may worsen respiratory symptoms in some cases.