NCLEX : Symptoms and Tests for Respiratory Conditions

Study concepts, example questions & explanations for NCLEX

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Example Questions

Example Question #17 : Respiratory Conditions

Which of the following best describes a diagnosis of uncomplicated or simple silicosis?
Possible Answers:
Normal pulmonary function but shortness of breath
Mild ventilation restriction and fibrosis on chest x-ray
Massive pulmonary fibrosis visible on chest x-ray, but no extrapulmonary symptoms
Silica in the bloodstream but no clinical symptoms
Correct answer: Mild ventilation restriction and fibrosis on chest x-ray
Explanation: Simple silicosis results in mild ventilation restriction and fibrosis on chest x-ray. Simple silicosis often results from long-term exposure to relatively low concentrations of silica dust, where symptoms usually appear 10-30 years after exposure.

Example Question #1 : Symptoms And Tests For Respiratory Conditions

A 63 year old female client is newly admitted to the hospital for pneumococcal pneumonia. The nurse recognizes that this patient will most likely exhibit certain symptoms associated with this condition. 

Which clinical findings are most commonly consistent with pneumococcal pneumonia?

Possible Answers:

Dry cough with fatigue, nausea and vomiting.

Slow onset of cough, nasal congestion, sore throat, and fever. 

Fever, chills, and a non-productive cough.

Sudden onset of fever, chills, with a productive cough with rust colored sputum.

Headache, muscle aches, and a cough with frothy pink sputum. 

Correct answer:

Sudden onset of fever, chills, with a productive cough with rust colored sputum.

Explanation:

Pneumococcal (bacterial) pneumonia typically presents with an abrupt onset of fever, shaking chills, and a productive cough (usually rust in color). Usually viral pneumonias will present with a dry non productive cough and associated with other viral infections. 

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