NCLEX-PN
Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
Which statement indicates to the nurse the client diagnosed with asthma understands the teaching regarding mast cell stabilizer medications?
Correct Answer: D
Rationale: Mast cell stabilizers (
D) prevent asthma by stabilizing mast cells, not treating acute attacks. Puffs during attack (
A), tapering (
B), and bedtime use (
C) are incorrect.
Question 2 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?
Correct Answer: B
Rationale: Cleaning chicken houses exposes the client to bird droppings, a common source of Histoplasma capsulatum, the fungus causing histoplasmosis.
Question 3 of 5
While withdrawing the suction catheter from a client's tracheostomy tube, which nursing technique is correct?
Correct Answer: A
Rationale: Removing the catheter slowly while applying intermittent suction ensures effective secretion removal without causing trauma.
Question 4 of 5
The HCP has recommended a total laryngectomy for a male client diagnosed with cancer of the larynx but the client refuses. Which intervention by the nurse illustrates the ethical principle of nonmalfeasance?
Correct Answer: A
Rationale: Listening to the client’s reasons (
A) respects autonomy and avoids harm (nonmalfeasance). Insisting (
B), counseling (
C), and survivor talks (
D) may pressure or influence unduly.
Question 5 of 5
A patient's D-dimer result is <500 ng/mL (FEU). The nurse knows that the D-dimer assesses and this result means?
Correct Answer: D
Rationale: A d-dimer test assess fibrin degradation fragment. This test doesn't tell us where the clot may be (so it not specific) so it will need to be further investigated by the MD and a positive result doesn't necessarily mean the patient has a clot because some disease processes can cause a false positive. Also, a normal d-dimer is <500 ng/mL (FEU). However, it depends on how the lab reports the assay cut-off value for the d-dimer. Some labs have a cutoff <250 ng/mL (D-DU). However, <500 ng/mL (FEU) is equivalent to <250 ng/mL (D-DU).