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NCLEX-PN Exam Questions - Part 74
1. One day postoperative, the client complains of dyspnea, and his respiratory rate (RR) is 35, slightly labored, and there are no breath sounds in the lower-right base. The nurse should suspect:
A) cor pulmonale.
B) atelectasis.
C) pulmonary embolus.
D) cardiac tamponade.
2. Which of the following needs immediate medical attention and emergency intervention? The client who:
A) complains of sharp pain upon taking a deep breath and excessive coughing.
B) exhibits yellow, productive sputum, lowgrade fever, and crackles.
C) has a shift of the trachea to the left, with no breath sounds on the right.
D) has asthma and complains of an inability to catch her breath after exercise.
3. Which of the following symptoms is most characteristic of a client with cancer of the lungs?
A) exertional dyspnea
B) persistent changing cough
C) air hunger; dyspnea
D) cough with night sweats
4. A neighbor telephones the nurse to tell her that her child has erythema infectiosum and asks for information. The nurse knows that another name for the disorder is:
A) Kawasaki disease.
B) rheumatic disease.
C) lupus erythematosus.
D) fifth disease.
5. The nurse teaching a client about hepatitis and its transmission should explain that one type of hepatitis does not produce a carrier state after its acute phase.Which type is it?
A) hepatitis A
B) hepatitis B
C) hepatitis C
D) hepatitis D
A) cor pulmonale.
B) atelectasis.
C) pulmonary embolus.
D) cardiac tamponade.
2. Which of the following needs immediate medical attention and emergency intervention? The client who:
A) complains of sharp pain upon taking a deep breath and excessive coughing.
B) exhibits yellow, productive sputum, lowgrade fever, and crackles.
C) has a shift of the trachea to the left, with no breath sounds on the right.
D) has asthma and complains of an inability to catch her breath after exercise.
3. Which of the following symptoms is most characteristic of a client with cancer of the lungs?
A) exertional dyspnea
B) persistent changing cough
C) air hunger; dyspnea
D) cough with night sweats
4. A neighbor telephones the nurse to tell her that her child has erythema infectiosum and asks for information. The nurse knows that another name for the disorder is:
A) Kawasaki disease.
B) rheumatic disease.
C) lupus erythematosus.
D) fifth disease.
5. The nurse teaching a client about hepatitis and its transmission should explain that one type of hepatitis does not produce a carrier state after its acute phase.Which type is it?
A) hepatitis A
B) hepatitis B
C) hepatitis C
D) hepatitis D
1. Right Answer: B
Explanation: The first three symptoms could be indicative of any of the conditions. The distinguishing symptom is the lack of breath sounds in the lower-right base, which is assessed when a portion of the lung has collapsed. Physiological Adaptation
2. Right Answer: C
Explanation: Choice 3 is indicative of a tension pneumothorax, which is considered a medical emergency. The respiratory system is severely compromised and venous return to the heart is affected. The mediastinal shift is to the unaffected side. Choice 1 contains symptoms of pleurisy, and Choice 2 lists symptoms of bronchitis. Neither are emergencies. The client in Choice 4 should expect difficulty breathing after exercise when asthma is an existing condition and might need immediate attention if his rescue inhaler is ineffective. Physiological Adaptation
3. Right Answer: B
Explanation: The most common sign of cancer of the lung is a persistent cough that changes. Other signs are dyspnea, bloody sputum, and long-term pulmonary infection.Choice 1 is common with chronic obstructive pulmonary disease (COPD). Choice 3 is common with asthma. Choice 4 is common with tuberculosis. PhysiologicalAdaptation
4. Right Answer: D
Explanation: The child has Fifth disease, a parvovirus flulike illness that is self-limiting but is contagious for twothree weeks. Safety and Infection Control
5. Right Answer: A
Explanation: Hepatitis A does not produce a carrier state. It is transmitted via contaminated water or food via the oral-fecal route and is not blood borne. Safety and InfectionControl
Explanation: The first three symptoms could be indicative of any of the conditions. The distinguishing symptom is the lack of breath sounds in the lower-right base, which is assessed when a portion of the lung has collapsed. Physiological Adaptation
2. Right Answer: C
Explanation: Choice 3 is indicative of a tension pneumothorax, which is considered a medical emergency. The respiratory system is severely compromised and venous return to the heart is affected. The mediastinal shift is to the unaffected side. Choice 1 contains symptoms of pleurisy, and Choice 2 lists symptoms of bronchitis. Neither are emergencies. The client in Choice 4 should expect difficulty breathing after exercise when asthma is an existing condition and might need immediate attention if his rescue inhaler is ineffective. Physiological Adaptation
3. Right Answer: B
Explanation: The most common sign of cancer of the lung is a persistent cough that changes. Other signs are dyspnea, bloody sputum, and long-term pulmonary infection.Choice 1 is common with chronic obstructive pulmonary disease (COPD). Choice 3 is common with asthma. Choice 4 is common with tuberculosis. PhysiologicalAdaptation
4. Right Answer: D
Explanation: The child has Fifth disease, a parvovirus flulike illness that is self-limiting but is contagious for twothree weeks. Safety and Infection Control
5. Right Answer: A
Explanation: Hepatitis A does not produce a carrier state. It is transmitted via contaminated water or food via the oral-fecal route and is not blood borne. Safety and InfectionControl
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