NCLEX Questions Respiratory

Extract:

Question 1 of 5

Which statement made by the client indicates the nurse's discharge teaching is effective for the client diagnosed with COPD?

Correct Answer: A

Rationale: Annual flu vaccines (
A) reduce COPD exacerbation risk, even in shortages. Pneumonia vaccines (
B) are not yearly, smoking reduction (
C) is insufficient, and fluid restriction (
D) is incorrect.

Question 2 of 5

Which datum requires immediate intervention by the nurse for the client diagnosed with asbestosis?

A. The client develops an S3 heart sound. B. The client has clubbing of the fingers. C. The client is fatigued in the afternoon. D. The client has basilar crackles in all lobes.

Correct Answer: A

Rationale: An S3 heart sound (
A) indicates heart failure, a serious complication in asbestosis due to pulmonary hypertension, requiring immediate intervention. Clubbing (
B) is a chronic finding, not acute. Fatigue (
C) is common but not urgent. Basilar crackles (
D) are expected in asbestosis and less critical than cardiac issues.

Question 3 of 5

Which instruction regarding the prescribed medication is most appropriate to tell this client?

A. Do not take the drug more frequently than prescribed. B. Avoid taking the medication before going to sleep. C. Drink more fluid throughout the day. D. Warm the cough syrup to make it more palatable.

Correct Answer: C

Rationale: Drinking more fluids enhances the expectorant effect of guaifenesin, helping to thin and expel mucus.

Question 4 of 5

A patient is taking Streptomycin. Which finding below requires the nurse to notify the physician?

A. Patient reports a change in vision. B. Patient reports a metallic taste in the mouth. C. The patient has ringing in their ears. D. The patient has a persistent dry cough.

Correct Answer: C

Rationale: Streptomycin can cause ototoxicity, leading to symptoms like ringing in the ears (tinnitus). This requires immediate physician notification to prevent further hearing damage.

Question 5 of 5

When suctioning a client with a tracheostomy, when is the best time to occlude the vent on the suction catheter?

A. Before inserting the catheter B. When inside the inner cannula C. While withdrawing the catheter D. When the client begins coughing

Correct Answer: C

Rationale: Occluding the vent while withdrawing the catheter applies suction to remove secretions effectively.

NCLEX Questions Respiratory | Nurselytic

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NCLEX-PN

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