NCLEX-PN
Respiratory System NCLEX Questions Questions
Extract:
Question 1 of 5
Which statement indicates the client with a total laryngectomy requires more teaching concerning the care of the tracheostomy?
Correct Answer: D
Rationale: Using an electric larynx (
D) is related to speech, not tracheostomy care, indicating a misunderstanding of tracheostomy management. Avoiding hair spray/powders (
A), showering (
B), and daily stoma cleaning (
C) are correct tracheostomy care practices.
Question 2 of 5
The nursing staff on an oncology unit is interviewing applicants for the unit manager position. Which type of organizational structure does this represent?
Correct Answer: C
Rationale: Staff interviewing for a manager (
C) reflects shared governance, empowering nurses in decisions. Centralized (
A), decentralized (
B), and pyramid (
D) involve top-down structures.
Question 3 of 5
A patient is prescribed Warfarin (Coumadin) for the treatment of a blood clot. What is the therapeutic INR range for this medication?
Correct Answer: A
Rationale: The therapeutic INR range is 2-3. It may be slightly higher if a patient is at a high risk for clot formation (ex: up to 4.5)
Question 4 of 5
The employee health nurse is administering tuberculin skin testing to employees who have possibly been exposed to a client with active tuberculosis (Tb). Which statement indicates the need for radiological evaluation instead of skin testing?
Correct Answer: C
Rationale: A prior positive TB skin test (
C) indicates exposure, requiring CXR to assess active disease, not repeat skin testing. Purple area (
A) is normal, 4 mm (
B) is negative, and no reaction (
D) warrants testing.
Question 5 of 5
Which side effect can the nurse expect when the client receives aminophylline (Truphylline)?
Correct Answer: D
Rationale: Aminophylline, a xanthine derivative, commonly causes tachycardia as a side effect due to its stimulatory effects.