Pneumonia NCLEX practice questions Med Surg I

Pneumonia NCLEX practice questions Med Surg I ScienceMedicineNursing Daniel_Griffiths2 Save Pneumonia NCLEX Questions 20 terms mary_g_mcdaniel Preview NUR 150 TB NCLEX Questions 23 terms klh2774Preview COPD NCLEX Chronic.32 terms MilohmylovePreview NCLEX 20 terms ma A nurse is caring for an 89-year-old client admitted with pneumonia. He has an IV of normal saline running at 100 mL/hr and antibiotics that were initiated in the emergency department 3 hours ago. He has oxygen at 2 liters/nasal cannula. What assessment finding by the nurse indicates that goals for a priority diagnosis have been met for this client?

• The client is alert and oriented to person, place, and time.
• Blood pressure is within normal limits and client's baseline.
• Skin behind the ears demonstrates no redness or irritation.
• Urine output has been >30 mL/hr per Foley catheter
• The client is alert and oriented to person, place, and time.

A client with pneumonia caused by aspiration after alcohol intoxication has just been admitted. The client is febrile and agitated. Which health care provider order should the nurse implement first?

• Administer levofloxacin (Levaquin) 500 mg IV.
• Draw aerobic and anaerobic blood cultures.
• Give lorazepam (Ativan) as needed for agitation.
• Refer to social worker for alcohol counseling.
• Draw aerobic and anaerobic blood cultures.

An older adult resident in a long-term-care facility becomes confused and agitated, telling the nurse, "Get out of here! You're going to kill me!" Which action will the nurse take first?

• Check the resident's oxygen saturation.
• Do a complete neurologic assessment.
• Give the prescribed PRN lorazepam (Ativan).
• Notify the resident's primary care provider.
• Check the resident's oxygen saturation.

An older client presents to the emergency department with a 2-day history of cough, pain on inspiration, shortness of breath, and dyspnea. The client never had a pneumococcal vaccine. The client's chest x-ray shows density in both bases. The client has wheezing upon auscultation of both lungs. Would a bronchodilator be beneficial for this client?

• It would not be beneficial for this client.
• It would help decrease the bronchospasm.
• It would clear up the density in the bases of the client's lungs.
• It would decrease the client's pain on inspiration.
• It would help decrease the bronchospasm.

pneumonia may present differently in the older adult than in the younger adult?

• Crackles on auscultation
• Fever
• Headache
• Wheezing
• Fever

Which pt is at higher risk for developing pneumonia?

• any hospitalized pt between 19 - 64 y.o.
• 36 y.o. trauma pt on mechanical ventilator
• disabled 51 y.o. with abdominal pain, d/c home
• Any pt who has not received the pneumonia vaccine

B 36 y.o. trauma pt on mechanical ventilator Which statement best describes pneumonia?

• an infection of just the windpipe because the lungs are clear of any problems
• a serious inflammation, caused by various things, of the bronchioles
• only an infection of the lungs with mild to severe effects on breathing
• an inflammation resulting from damage to the lungs due to long-term smoking

B a serious inflammation, caused by various things, of the bronchioles A pt is seen in the HCP office and dx with community-acquired pneumonia. The nurse knows the most common symptoms that this pt may have is

• dyspnea
• abdominal pain
• back pain
• hypoxemia
• chest discomfort
• a smoker

A, D, E

dyspnea hypoxemia chest discomfort

A pt is suspected on having community-acquired pneumonia. The nurse anticipates which of the following tests to be done to dx pt

• sputum gram stain
• Pulmonary function test
• fluorescein bronchoscopy
• peak flow meter measurement
• chest x-ay

A, E sputum gram stain CXR The nurse is reviewing a pneumonia pts lab results. What does she expect to see

• decreased Hgb
• increased RBCs
• decreased neutrophils
• increased WBCs

D incr WBCs A nurse is auscultating the lower lung fields of a pneumonia pt. She hears coarse crackles and ids the problem as impaired oxygenation. She knows the underlying physiologic condition associated with pt condition is

• hypoxemia
• hyperemia
• hypocapnia
• hypercapnia

A hypoxemia The nurse identifies the priority nursing dx for a pneumonia pt to be ineffective airway clearance related to fatigue, CP, excessive secretions and muscle weakness. To correct the problem the nurse will implement which intervention

• administer oxygen to prevent hypoxemia and atelectasis
• push fluids to greater than 3000 mL/day to ensure adequate hydration
• administer bronchodilator therapy in a timely manner to decrease bronchospasms
• maintain semi-fowlers position to facilitate breathing and prevent further fatigue

C bronchodilator The nurse is reviewing the lab results for an older adult pneumonia pt. The lab value frequently seen in pneumonia pts that may not be seen in this pt is

A. RBC 4.0 - 5.0

• Hgb 12 - 16
• Hct 36 - 48

D. WBC 12 - 18

D WBC

A critical concern for a post op pt returning to the floor is r/t impaired oxygenation caused by inadequate ventilation. The ABG and assessment finding that alerts the nurse to use oxygen and the ICS is

• PaO2 is 90mm Hg with crackles
• PaO2 is 45mm Hg with atelectasis
• PaO2 is 90mm Hg with wheezing
• PaO2 is 38mm Hg with clear lung sounds

A PaO2 is 90mm Hg with crackles The pt with pneumonia has a priority problem of ineffective airway clearance with bronchospasms. Pt has no previous chronic resp disorders.The nurse will obtain an order for which intervention?

• increased liters of humidified oxygen via facemask
• scheduled and prn aerosol nebulizer bronchodilator treatments
• handheld bronchodilator inhaler prn
• corticosteroid via inhaler or IV to reduce inflammation

B scheduled and prn aerosol nebulizer bronchodilator treatments Which pneumonia complication does the nurse recognize as creating pain that increases on inspiration because of inflammation of the parietal pleura?

• pleuritic CP
• meningitis

C. COPD

• Pulmonary emboli

A Pleuritic CP Which conditions does the nurse recognize as a risk for developing aspiration pneumonia?Select All That Apply

• continuous tube feed
• bronchoscopy procedure

C. MRI

• decreased LOC
• stroke
• chest tube

A, B. D. E

continuous tube feed bronchoscopy procedure decreased LOC stroke