Pneumonia Practice NCLEX Questions

Pneumonia Practice NCLEX Questions Leave the first rating Students also studied Terms in this set (40) Science MedicineNursing Save Pneumonia NCLEX practice questio...34 terms Daniel_Griffiths2 Preview Diabetes Mellitus NCLEX Style Ques...Teacher 36 terms ssandholmPreview NUR 150 TB NCLEX Questions 23 terms klh2774Preview NCLEX 20 terms mar

• Which of the following clients should the nurse most

encourage to receive the pneumoccocal and influenza vaccination?

• A 30 year old pregnant women
• A 75 year old with diabetes
• A 5 year old entering school
• A 60 year old man with benign prostatic hypertrophy
• A 75 year old with diabetes
• Which of the following would be most important to

teach a client older than 65 years to prevent recurrence of bacterial pneumonia?

• Change current diet habits
• Seek prompt antibiotic therapy for viral infections
• Receive prophylactic antibiotic therapy
• Obtain influenza and pneumonia vaccines
• Obtain influenza and pneumonia vaccines
• A client with bacterial pneumonia is coughing up

tenacious, purulent sputum. Which of the following measures would most likely help liquefy these viscous secretions?

• Performing postural drainage
• Breathing humidified air
• Clapping and percussing over the affected lung
• Performing coughing and deep breathing exercises
• Breathing humidified air

• A nurse notes that a client with kyphosis and

generalized muscle atrophy. Which of the following problems is a priority when the nurse develops a nursing care plan?

• Infection
• Confusion
• Ineffective coughing and deep breathing
• Difficulty chewing solid foods
• Ineffective coughing and deep breathing
• A client with a deep vein thrombosis suddenly

develops dyspnea, tachypnea, and chest discomfort.What should the nurse do first?

• Elevate the head of the bed 30 to 45 degrees
• Encourage the client to cough and deep breathe
• Auscultate the lungs to detect abnormal breath

sounds

• Contact the physician
• Elevate the head of the bed 30 to 45 degrees
• A 79 year old female client is admitted to the hospital

with a diagnosis of bacterial pneumonia. While obtaining the client's health history, the nurse learns that the client has osteoarthritis, a vegetarian diet, and is very concerned about cleanliness. Which of the following would most likely be a predisposing factor for the diagnosis of pneumonia?

• Age
• Osteoarthritis
• Vegetarian diet
• Daily bathing
• Age
• Which of the following would be a priority assessment

data to gather from a client who has been diagnosed with pneumonia? Select all that apply.

• Auscultation of breath sounds
• Auscultation of bowel sounds
• Presence of chest pain
• Presence of peripheral edema
• Color of nail beds

a,c,e

• A client with bacterial pneumonia is to be started on IV

antibiotics. Which of the following diagnostic tests must be completed before antibiotic therapy begins?

• Urinalysis
• Sputum culture
• Chest radiograph
• Red blood cell count
• Sputum culture

• When caring for a client who is receiving an

aminoglycoside antibiotic, the nurse monitors which of the following laboratory values?

• Serum sodium
• Serum potassium
• Serum creatinine
• Serum calcium
• Serum creatinine
• A client with pneumonia has a temperature of 102.6, is

diaphoretic, and has a productive cough. The nurse should include which of the following measures in the plan of care?

• Position changes every 4 hours
• Nasotracheal suctioning to clear secretions
• Frequent linen changes
• Frequent offering of the bedpan
• Frequent linen changes
• Bed rest is prescribed for a client with pneumonia

during the acute phase of the illness. Bed rest serves which of the following purposes?

• It reduces cellular demand for oxygen
• It decreases the episodes of coughing
• It promotes safety
• It promotes clearance of secretions
• It reduces cellular demand for oxygen
• The cyanosis that accompanies bacterial pneumonia is

primarily caused by which of the following?

• Decreased cardiac output
• Pleural effusion
• Inadequate peripheral circulation
• Decreased oxygenation of the blood
• Decreased oxygenation of the blood
• A client with pneumonia is experiencing pleuritic chest

pain. Which of the following describes pleuritic chest pain?

• A mild but constant aching in the chest
• Severe midsternal chest pain
• Moderate pain that worsens on inspiration
• Muscle spasm pain that accompanies coughing
• Moderate pain that worsens on inspiration
• Which of the following measures would most likely be

successful in reducing pleuritic chest pain in a client with pneumonia?

• Encourage the client to breathe shallowly
• Have the client practice abdominal breathing
• Offer the client incentive spirometry
• Teach the client to splint the rib cage when coughing
• Teach the client to splint the rib cage when coughing

• Aspirin is administered to clients with pneumonia

because if its antipyretic and:

• Analgesic effects
• Anticoagulant effects
• Adrenergic effects
• Antihistamine effects
• Analgesic effects
• Which of the following mental status changes may

occur when a client with pneumonia is first experiencing hypoxia?

• Coma
• Apathy
• Irritability
• Depression
• Irritability
• The client with pneumonia develops mild constipation,

and the nurse administers docusate sodium (Colace) as

ordered. The drug works by:

• Softening the stool
• Lubricating the stool
• Increasing stool bulk
• Stimulating peristalsis
• Softening the stool
• A client with pneumonia has a temperature ranging

between 101 and 102 and periods of diaphoresis. Based on the information, which of the following nursing interventions would be a priority?

• Maintain complete bed rest
• Administer oxygen therapy
• Provide frequent linen changes
• Provide fluid intake of 3 liters per day
• Provide fluid intake of 3 liters per day
• Which of the following would be an appropriate

expected outcome for an elderly client recovering from bacterial pneumonia?

• A respiratory rate of 25 to 30 breaths/minute
• The ability to perform activities of daily living
• A maximum loss of 5 to 10 lbs of body weight
• Chest pain that is minimized by splinting the rib cage
• The ability to perform activities of daily living