NCLEX-PN
Respiratory NCLEX Questions Questions
Extract:
Question 1 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 2 of 5
What information does the nurse need to know first before recommending further action?
Correct Answer: B
Rationale: Determining if the victim can cough assesses whether the airway is partially or completely obstructed, guiding the next steps.
Question 3 of 5
A patient is presenting with mild symptoms of pneumonia. The doctor diagnoses the patient with 'walking pneumonia'. From your nursing knowledge, you know this type of pneumonia is caused by what type of infectious agent?
Correct Answer: C
Rationale: Walking pneumonia is commonly caused by Mycoplasma pneumoniae, a bacterium that leads to mild, community-acquired pneumonia. Fungi cause fungal pneumonia, Streptococcus pneumoniae causes typical bacterial pneumonia, and Influenza is a viral infection.
Question 4 of 5
Which of the following are typical signs and symptoms of pneumonia? Select-all-that-apply:
Correct Answer: B,C,E,G
Rationale: Pneumonia typically presents with coarse crackles due to fluid in alveoli, low oxygen saturation from impaired gas exchange, elevated WBCs indicating infection, and tachypnea (G) as a compensatory mechanism. Stridor is associated with upper airway obstruction, non-productive cough is less common, and low PCO2 suggests hyperventilation, not typical.
Question 5 of 5
A patient is admitted with pneumonia. Sputum cultures show that the patient is infected with a gram positive bacterium. The patient is allergic to Penicillin. Which medication would the patient most likely be prescribed?
Correct Answer: A
Rationale: For gram-positive bacterial pneumonia in a penicillin-allergic patient, macrolides like azithromycin are commonly prescribed due to their efficacy and safety. Cephalosporins may cross-react with penicillin allergies, Penicillin G is contraindicated, and Tamiflu is for viral infections.