Registered Nurse RN NCLEX questions

Registered Nurse RN NCLEX questions

A patient is presenting with mild symptoms of pneumonia. The doctor diagnoses the patient with "walking pneumonia". From your nursing knowledge, you know this type of pneumonia is caused by what type of infectious agent?

• Fungi

• Streptococcus pneumoniae

• Mycoplasma pneumoniae

• Influenza - THE CORRECT ASNWER IS C. Mycoplasma pneumoniae

A patient was admitted to the intensive care unit 48 hours ago for treatment of a gunshot wound. The patient has recently developed a productive cough and a fever of 104.3 'F. The patient is breathing on their own and doesn't require mechanical ventilation. On assessment, you note coarse crackles in the right lower lobe. A chest x- ray shows infiltrates with consolidation in the right lower lobe. Based on this specific patient scenario, this is known as what type of pneumonia?

• Aspiration pneumonia

• Ventilator acquired pneumonia

• Hospital-acquired pneumonia

• Community-acquired pneumonia - THE CORRECT ASNWER IS C. Hospital

acquired pneumonia

Which of the following patients are MOST at risk for developing pneumonia? Select-all-

that-apply:

• A 53 year old female recovering from abdominal surgery.

• A 69 year old patient who recently received the pneumococcal conjugate vaccine.

• A 42 year old male with COPD and is on continuous oxygen via nasal cannula.

• A 8 month old with RSV (respiratory syncytial virus) infection. - THE CORRECT

ASNWER IS A,C,D

You're caring for a patient with pneumonia. The patient has just started treatment for pneumonia and is still experiencing hypoxemia. You know that respiratory acidosis is

very common with patients with pneumonia. Which arterial blood gases below represent respiratory acidosis that is NOT compensated?

• pH 7.29, PaCO2 55, HCO3 23, PO2 85

• pH 7.48, PaCO2 35, HCO3 22, PO2 85

• pH 7.20, PaCO2 20, HCO3 28, PO2 85

• pH 7.55, PaCO 63, HCO3 19, PO2 85 - THE CORRECT ASNWER IS A

Which of the following are typical signs and symptoms of pneumonia? Select-all-that-

apply:

• Stridor

• Coarse crackles

• Oxygen saturation less than 90%

• Non-productive, nagging cough

• Elevated white blood cells

• Low PCO2 of less than 35

• Tachypnea - THE CORRECT ASNWER IS B, C, E, G

You're educating a patient with pneumonia how to deep breathe by using an incentive spirometer. Which of the following is the correct way to use this device?

• Encourage the patient to use it twice a day.

• The patient exhales into the device rapidly and then coughs.

• The patient inhales slowly from the device until no longer able, and then holds breath

for 6 seconds and exhales.

• The patient rapidly inhales 10 times from the device and then exhales for 6 seconds.

- THE CORRECT ASNWER IS C

A 72 year-old male patient who is diagnosed with bilateral lower lobe pneumonia is admitted to your unit. The patient has a history of systolic heart failure and arthritis. On assessment, you note the patient has a respiratory rate of 21, oxygen saturation 93% on 2L nasal cannula, is alert & oriented, and has a productive cough with green/yellowish sputum. Which of the following nursing interventions will you provide to

this patient based on your assessment findings and the patient's diagnosis? Select-all-

that-apply:

• Keep head-of-the-bed less than 30 degrees at all times.

• Collect sputum cultures.

• Encourage 3L of fluids a day to keep secretions thin.

• Encourage incentive spirometer usage

• Provide education about receiving the Pneumovax vaccine annually. - THE

CORRECT ASNWER IS B, D, E

You're providing discharge teaching to a patient who was admitted for pneumonia. You are discussing measures the patient can take to prevent pneumonia. Which of the following statements by the patient indicates they did NOT understand your education material?

• "I'll use hand sanitizer regularly while I'm out in public."

• "It is important I don't receive the Pneumovax vaccine since I'm already immune to

pneumonia."

• "I will try to avoid large crowds of people during the peak of flu season."

• "It is important I try to quit smoking." - THE CORRECT ASNWER IS B

A patient is admitted with pneumonia. Sputum cultures show that the patient is infected with a gram positive bacterium. The patient is allergic to Penicillin. Which medication would the patient most likely be prescribed?

• Macrolide

• Cephalosporins

• Pencillin G

• Tamiflu - THE CORRECT ASNWER IS A

A 25 year-old female patient with pneumonia is prescribed Doxycycline. What question is important to ask the patient prior to administration of this medication?

• "Do you take birth control pills?"

• "Are you allergic to Penicillin?"

• "Are you allergic to eggs?"

• "Do you have a history of diabetes?" - THE CORRECT ASNWER IS A

Select all the medications used to treat pneumonia that are narrow-spectrum?

• Macrolides

• Tamiflu

• Fluroquinolones

• Penicillins - THE CORRECT ASNWER IS A, D

A patient is admitted with rupture of the Achilles tendon. The patient was recently treated with antibiotics for pneumonia. Which of the following medications below can cause this adverse effect?

• Penicillin

• Fluroquinolones

• Tetracyclines

• Macrolides - THE CORRECT ASNWER IS B

A patient is being discharged home on Doxycyline for treatment of pneumonia. Which statement by the patient indicates they understood your education material?

• "I will wear sunscreen when outdoors."

• "I will avoid green leafy vegetables while taking this medication."

• "I will monitor my blood glucose regularly due to the side effects of hypoglycemia."

• "I will take this medication with a full glass of milk - THE CORRECT ASNWER IS A

You are about to hang a bag of intravenous Vancomycin for a patient who has severe pneumonia. Which statement by the patient causes you to hold the bag of Vancomycin and notify the doctor immediately?

• "I'm seeing yellow halos around the light."

• "My mouth tastes like metal."