NCLEX-PN
NCLEX Respiratory Questions Questions
Extract:
Question 1 of 5
Which statement indicates the client diagnosed with asthma needs more teaching concerning the medication regimen?
Correct Answer: C
Rationale: Daily oral glucocorticoids (
C) are not typically used for asthma maintenance due to significant side effects; they are reserved for severe exacerbations or specific cases. Inhaled corticosteroids or leukotriene modifiers (like Singulair,
A) are preferred for long-term control. Using cromolyn before exercise (
B) is correct to prevent exercise-induced bronchospasm. Albuterol for acute attacks (
D) is appropriate as a rescue inhaler.
Question 2 of 5
The client diagnosed with respiratory distress has arterial blood gases of pH 7.45, Paco2 54, Hco3 25, Pao2 52. Which should the nurse implement? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: PaO2 52 and PaCO2 54 indicate severe hypoxia; apply nonrebreather (
A), call RRT (
B), elevate HOB (
C), stay with client (
D), and notify HCP (E) are all critical.
Question 3 of 5
The physician orders the patient to start taking Omalizumab. How will you administer this medication as the nurse?
Correct Answer: D
Rationale: Omalizumab is administered subcutaneously for asthma treatment.
Question 4 of 5
Which statement by the client diagnosed with a pulmonary embolus indicates the discharge teaching is effective?
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 5 of 5
When teaching the client about topical nasal decongestant sprays, the nurse should warn that overuse of such medication is likely to result in which adverse effect?
Correct Answer: B
Rationale: Overuse of topical nasal decongestants can lead to rebound congestion, where nasal passages become more congested after the medication wears off, due to dependency on the decongestant.