NCLEX-PN
Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
You are assessing your newly admitted patients who are all presenting with atypical signs and symptoms of a possible lung infection. The physician suspects tuberculosis. So, therefore, the patients are being monitored and tested for the disease. Select all the risk factors below that increases a patient's risk for developing tuberculosis:
Correct Answer: A,C,D,E,F
Rationale: Risk factors for tuberculosis include conditions or environments that weaken the immune system or increase exposure: diabetes , long-term care residency , incarceration , IV drug use , and HIV . Liver failure is not a direct risk factor, and being a U.S. resident is not specific enough.
Question 2 of 5
After collecting the sputum specimen from the client, which nursing action is most appropriate?
Correct Answer: B
Rationale: Providing mouth care after sputum collection improves client comfort and removes residual sputum from the mouth.
Question 3 of 5
Which arterial blood gas (ABG) results support the diagnosis of acute respiratory distress syndrome (ARDS) after the client has received O2 at 10 LPM?
Correct Answer: C
Rationale: ARDS is characterized by severe hypoxemia despite high oxygen delivery. Pao2 59 (
C) despite 10 LPM oxygen indicates refractory hypoxia, a hallmark of ARDS. Normal Pao2 (94 in A and
D) contradicts ARDS. Pao2 82 (
B) is low but not as severe as 59, making C the best indicator of ARDS.
Question 4 of 5
Which nursing action is essential before suctioning the client with a tracheostomy tube?
Correct Answer: A
Rationale: Preoxygenating the client prevents hypoxia during suctioning, which can temporarily reduce oxygen intake.
Question 5 of 5
To prevent the client with a head cold from developing a secondary ear infection, which recommendation is most appropriate?
Correct Answer: B
Rationale: Blowing the nose gently prevents excessive pressure in the Eustachian tubes, which can lead to fluid buildup and secondary ear infections.