NCLEX Questions Respiratory | Nurselytic

Questions 94

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NCLEX Questions Respiratory Questions

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Question 1 of 5

Which statement is correct regarding mycobacterium tuberculosis?

Correct Answer: C

Rationale: Mycobacterium tuberculosis is an aerobic bacterium. It is acid-fast and stains red (not green) during an acid-fast smear due to its mycolic acid-rich cell wall. It is not anaerobic or alkali.

Question 2 of 5

Your patient, who is receiving Pyrazinamide, report stiffness and extreme pain in the right big toe. The site is extremely red, swollen, and warm. You notify the physician and as the nurse you anticipated the doctor will order?

Correct Answer: C

Rationale: Pyrazinamide can cause hyperuricemia, leading to gout symptoms (pain, redness, swelling in joints like the big toe). The physician will likely order a uric acid level to confirm this side effect.

Question 3 of 5

A patient receiving medical treatment for an active tuberculosis infection asks when she can starting going out in public again. You respond that she is no longer contagious when:

Correct Answer: A,B,E

Rationale: These are all criteria for when a patient with active TB can return to public life (school, work, running errands). Until then they are still contagious and must stay home in isolation.

Question 4 of 5

A 48-year old homeless man, who is living in a local homeless shelter and is an IV drug user, has arrived to the clinic to have his PPD skin test assessed. What is considered a positive result?

Correct Answer: A

Rationale: For high-risk individuals (e.g., homeless, IV drug users), a PPD induration of ≥5 mm is considered positive due to their increased risk of TB exposure and progression.

Question 5 of 5

Which diagnostic test should the nurse anticipate the health-care provider ordering to rule out the diagnosis of asthma in clients diagnosed with chronic obstructive pulmonary disease (COPD)?

Correct Answer: D

Rationale: A bronchodilator reversibility test differentiates asthma from COPD by assessing whether airway obstruction is reversible. In asthma, lung function (e.g., FEV1) improves significantly post-bronchodilator, while COPD shows minimal improvement. Bronchoscopy (
A) is invasive and not specific for this differentiation. Immunoglobulin E (
B) is relevant for allergies, not distinguishing asthma from COPD. Arterial blood gases (
C) assess oxygenation but do not differentiate these conditions.

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