NCLEX-PN
NCLEX Respiratory Questions Questions
Extract:
Question 1 of 5
You note your patient's sweat and urine is orange. You reassure the patient and educate him that which medication below is causing this finding?
Correct Answer: D
Rationale: Rifampin commonly causes orange discoloration of body fluids (sweat, urine, tears) as a harmless side effect, and patients should be educated to expect this.
Question 2 of 5
The client diagnosed with ARDS is in respiratory distress and the ventilator is malfunctioning. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Manual ventilation (
B) ensures oxygenation during ventilator failure, a priority. Notification (
A), ABGs (
C), and auscultation (
D) follow.
Question 3 of 5
The client has been diagnosed with chronic sinusitis. Which sign/symptom alerts the nurse to a potentially life-threatening complication?
Correct Answer: C
Rationale: Nuchal rigidity (
C) suggests meningitis, a life-threatening sinusitis complication. Muscle weakness (
A) and loss of control (
D) are unrelated, and purulent sputum (
B) is more typical of respiratory infections.
Question 4 of 5
When suctioning the airway of a client with a tracheostomy, the nurse applies suction for no longer than how many seconds?
Correct Answer: B
Rationale: Suctioning for 10 to 12 seconds minimizes the risk of hypoxia and mucosal trauma.
Question 5 of 5
The physician orders an acid-fast bacilli sputum culture smear on a patient with possible tuberculosis. How will you collect this?
Correct Answer: C
Rationale: For acid-fast bacilli sputum culture, standard protocol requires collecting three sputum specimens on three consecutive days, typically in the morning, to maximize detection of Mycobacterium tuberculosis.