NCLEX Respiratory Questions

Extract:

Question 1 of 5

Which statement best suggests that the client understands the nurse's instruction on how to handle the sputum specimen container?

Correct Answer: B

Rationale: Not touching the inside of the container prevents contamination, ensuring an accurate sputum sample.

Question 2 of 5

A client is admitted with a diagnosis of cancer of the larynx. Which statement made by the client is most likely related to the cause of his illness?

A. I have always enjoyed hot Mexican-style food.' B. I have smoked three packs of cigarettes a day for the last 40 years.' C. I used to work in a factory that burned coal.' D. I sang in the church choir every Sunday until my voice got hoarse last year.'

Correct Answer: B

Rationale: Cigarette smoking is the greatest risk factor for laryngeal cancer due to chronic exposure to carcinogens.

Question 3 of 5

Which statement by the client diagnosed with a pulmonary embolus indicates the discharge teaching is effective?

A. I am going to use a regular-bristle toothbrush. B. I will take antibiotics prior to having my teeth cleaned. C. I can take enteric-coated aspirin for my headache. D. I will wear a Medic Alert band at all times.

Correct Answer: D

Rationale: A Medic Alert band (
D) ensures emergency awareness of PE/anticoagulation. Multiple
Choice toothbrushes (
A) risk bleeding, antibiotics (
B) are for endocarditis, and aspirin (
C) increases bleeding.

Question 4 of 5

The nurse is caring for the client diagnosed with COPD. Which outcome requires a revision in the plan of care?

A. The client has no signs of respiratory distress. B. The client shows an improved respiratory pattern. C. The client demonstrates intolerance to activity. D. The client participates in establishing goals.

Correct Answer: C

Rationale: Activity intolerance (
C) indicates poor COPD control, requiring plan revision. No distress (
A), improved breathing (
B), and goal participation (
D) are positive outcomes.

Question 5 of 5

The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. Which intervention should the nurse implement?

A. Discuss implementing an advance directive. B. Explain the use of chemotherapy for brain involvement. C. Teach the client to discontinue driving. D. Have the significant other make decisions for the client.

Correct Answer: C

Rationale: Brain metastasis impairs cognition, making driving unsafe (
C). Advance directives (
A), chemotherapy (
B), and proxy decisions (
D) are secondary or inappropriate.

NCLEX Respiratory Questions | Nurselytic

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