NCLEX-PN
NCLEX Questions Respiratory 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: C,D,E,F
Rationale: Remember from our lecture we discussed the risk factors for developing TB and to remember them I said remember the mnemonic "TB Risk". It stands for tight living quarters (LTC resident, prison, homeless shelter etc.), below or at the poverty line (homeless), refugee (especially in high risk countries), immune system issue such as HIV, substance abusers (IV drugs or alcohol), Kids less than the age of 5....all these are risk factors.
Question 2 of 5
The nurse is preparing to administer influenza vaccines to a group of elderly clients in a long-term care facility. Which client should the nurse question receiving the vaccine?
Correct Answer: B
Rationale: Influenza vaccines are often grown in eggs, making egg allergy (
B) a contraindication due to anaphylaxis risk. Congestive heart failure (
A), penicillin allergy (
C), and elevated vitals (
D) are not contraindications for the flu vaccine.
Question 3 of 5
An adult is to have a thoracentesis performed. What should the nurse do while preparing the client for this procedure?
Correct Answer: C
Rationale: Explaining the procedure reduces anxiety and ensures the client understands what to expect during thoracentesis.
Question 4 of 5
The nurse is assessing the client diagnosed with COPD. Which data require immediate intervention by the nurse?
Correct Answer: B
Rationale: High oxygen (8 LPM,
B) risks CO2 retention in COPD, requiring immediate adjustment (2–4 LPM). Sputum (
A), accessory muscles (
C), and barrel chest (
D) are expected but less urgent.
Question 5 of 5
The client diagnosed with chronic obstructive pulmonary disease (COPD) is admitted to the medical unit. The client has thin extremities, truncal obesity, and multiple ecchymotic areas on the arms. Based on the assessment data, which question should the nurse ask the client?
Correct Answer: A
Rationale: Thin limbs, truncal obesity, and ecchymosis (
A) suggest corticosteroid use (e.g., prednisone) in COPD. Abuse (
B), pressure ulcers (
C), and HOB elevation (
D) are less likely.