Respiratory NCLEX Questions

Extract:

Question 1 of 5

Which priority intervention should the nurse implement for the client diagnosed with coal workers' pneumoconiosis?

Correct Answer: B

Rationale: Black-streaked sputum (
B) is a hallmark of coal workers' pneumoconiosis due to coal dust deposition, making its assessment a priority to confirm disease impact. Intake/output (
A) is non-specific. Daily WBC counts (
C) are unnecessary unless infection is suspected. Activity level (
D) is secondary to symptom assessment.

Question 2 of 5

The client diagnosed with lung cancer is in an investigational program and receiving a vaccine to treat the cancer. Which information regarding investigational regimens should the nurse teach?

A. Investigational regimens provide a better chance of survival for the client. B. Investigational treatments have not been proven to be helpful to clients. C. Clients will be paid to participate in an investigational program. D. Only clients who are dying qualify for investigational treatments.

Correct Answer: B

Rationale: Investigational treatments (
B) lack proven efficacy, requiring informed consent. Better survival (
A), payment (
C), and terminal status (
D) are incorrect.

Question 3 of 5

The term 'blue bloaters' is used to describe patients with?

A. Pulmonary hypertension B. Left-sided heart failure C. Chronic Bronchitis D. Emphysema

Correct Answer: C

Rationale: Blue bloaters' describes chronic bronchitis patients, who present with cyanosis ('blue') and edema ('bloating') due to hypoxemia and right heart failure. Emphysema patients are often called 'pink puffers.'

Question 4 of 5

A farmer who has had a cough for several months has noticed a lack of energy lately. He is being tested for histoplasmosis. Which factor reported by the client would be most related to the diagnosis of histoplasmosis?

A. He drinks raw milk. B. He cleans chicken houses. C. He handles fertilizer frequently. D. He stepped on a rusty nail recently.

Correct Answer: B

Rationale: Cleaning chicken houses exposes the client to bird droppings, a common source of Histoplasma capsulatum, the fungus causing histoplasmosis.

Question 5 of 5

If the client identifies that lunches often include the following foods, which meal is the most nutritious?

A. Tossed salad, rice, and iced tea B. Apple sandwich on whole wheat bread and coffee C. Meatless chili with beans, corn bread, and milk D. Chicken soup, gelatin, and sweetened lemonade

Correct Answer: C

Rationale: Meatless chili with beans, corn bread, and milk provides protein, carbohydrates, and calcium, making it the most balanced and nutritious option.

Respiratory NCLEX Questions | Nurselytic

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