The cyanosis that accompanies bacterial pneumonia is primarily caused by which of the following? If the hemoglobin level is low, the amount of oxygen-carrying capacity is also low. 1. Adhere to a low cholesterol diet Answer: 3. 42. If you need more clarifications, please direct them to the comments section. 1” to 3” 20G to 25G needle. Nasotracheal suctioning is not indicated with the client’s productive cough. Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse – helping them achieve success in their careers! Answer: 4. Pneumonia NCLEX practice questions Med Surg I. The nurse determines that the client requires which of the following treatments first? Also explore over 5 similar quizzes in this category. He reports that it started suddenly. Coma is a late clinical manifestation of hypoxia. Give a tuberculin test and tell him to come back in 48 hours and have it read. I hope this information was helpful for you and if you use this knowledge wisely, I know it will be. 2. Ineffective airway clearance related to retained secretions. He’s a “seroconverter”, meaning the TB has gotten to his bloodstream. Rheumatic fever. A client with primary TB infection can expect to develop which of the following conditions? 3. A client who is HIV+ has had a PPD skin test. This is an NCLEX review for pneumonia. Atelectasis and bronchiectasis indicate a collapse of a portion of the airway that doesn’t occur in pneumonia. If they’re negative, he would be considered non-contagious and may be sent home, although he’ll continue to take the antitubercular drugs for 9 to 12 months. Which of the following organisms most commonly causes community-acquired pneumonia in adults? Auscultation of breath sounds An expected outcome for a client recovering from pneumonia would be the ability to perform ADL’s without experiencing dyspnea. 1. Continuous positive airway pressure (CPAP) can be provided through an oxygen mask to improve oxygenation in hypoxic patients by which of the following methods? © 2021 Nurseslabs | Ut in Omnibus Glorificetur Deus! The complete MCQs is prepared by the experts considering all the previous questions and answers in mind . 1. Which of the following symptoms is common in clients with TB? Prescribe isoniazid and tell him to go home and rest Answer: 3. 3. Be sure to read them. 30. Grains and broccoli 2. 4. 3. An asthma attack would show wheezing breath sounds, and bronchitis would have rhonchi. Which of the following is a normal physiologic change related to aging? Intermittent suction should be applied during catheter withdrawal. Fungi. He should be admitted to the hospital, placed in respiratory isolation, and three sputum cultures should be obtained to confirm the diagnosis. Heart disease 27. A pulse oximetry gives what type of information about the client? Acute pain related to lung expansion secondary to lung infection, Risk for imbalanced fluid volume related to increased insensible fluid losses secondary to fever, Anxiety related to dyspnea and chest pain, Ineffective airway clearance related to retained secretions. Which of the following is a normal physiologic change related to aging? The client will need nutritional support, but while dyspneic, he may be unable to spare the energy needed to eat and at the same time maintain adequate oxygenation. Other normal physiologic changes include decreased elastic recoil of the lungs, fewer functional capillaries in the alveoli, and an increase is residual volume. 21. Frequent linen changes are appropriate for this client because of diaphoresis. The remaining two answers offer interventions that may be ... Study 30 Terms | NCLEX Questions:... Flashcards | …. 3. Provide frequent linen changes. Pneumonia leads to impaired gas exchange which can require mechanical ventilation if severe enough. 3. Clients with chronic illnesses are more likely to get pneumonia when which of the following situations is present? 59. Pneumonia NCLEX Questions. Chronic Obstructive Pulmonary Disease(COPD) 4. Created by. Answer: 1. The mask provides pressurized oxygen so the client can breathe more easily. 55. Increased elastic recoil of the lungs Gravity. Inflammation. Visiting the client, changing the prescription, or threatening the client will not ensure compliance if the client will not or cannot follow the prescribed treatment. A chest x-ray should a client’s lungs to be clear. You are given 1 minute per question, a total of 60 minutes for this exam. One of the first pulmonary symptoms includes a slight cough with the expectoration of mucoid sputum. 29. 1. A client was infected with TB 10 years ago but never developed the disease. Primary infection Pneumonia 3. Eggs and spinach Agglutination testing 5. Active TB within 1 month 2. Altered mental status and dehydration. Risk for imbalanced fluid volume related to increased insensible fluid losses secondary to fever. H. influenzae is the most common cause of infection in children. Have the client use an incentive spirometer, Stick a needle in the area of decreased breath sounds. A client is diagnosed with active TB and started on triple antibiotic therapy. Admit him to the hospital in respiratory isolation, Prescribe isoniazid and tell him to go home and rest, Give a tuberculin test and tell him to come back in 48 hours and have it read, Give a prescription for isoniazid, 300 mg daily for 2 weeks, and send him home. The nurse notes a 7-mm area of induration at the site of the skin test. Which nursing diagnosis should take priority? The client with TB usually experiences cough (non-productive or productive), fatigue, anorexia, weight loss, dyspnea, hemoptysis, chest discomfort or pain, chills and sweats (which may occur at night), and a low-grade fever. The treatment plan for aspiration pneumonia. Learn vocabulary, terms, and more with flashcards, games, and other study tools. This test would be classed as negative. Administer oxygen therapy The NCLEX Exam: Pneumonia and Tuberculosis includes 60 multiple choice questions in 2 sections. Pneumonia develops when the lower respiratory system is infected with a bacteria, virus, or fungus. 54. The nurse notes a 7-mm area of induration at the site of the skin test. Bacillus Anthracis 44. The nurse tells the group that one of the first symptoms associated with TB is: A cough with the expectoration of mucoid sputum. You now access to all the pneumonia practice questions that you need in order to pass your exams in Respiratory Therapy school, and even the TMC Exam when that time comes. A spontaneous pneumothorax occurs when the client’s lung collapses, causing an acute decrease in the amount of functional lung used in oxygenation. 4. A client with pneumonia develops dyspnea with a respiratory rate of 32 breaths/minute and difficulty expelling his secretions. 1. As an emergency measure, the nurse can provide oxygen without waiting for a physicians order. Which of the following laboratory techniques is most commonly used to identify tubercle bacilli in sputum? Because his x-ray is negative, he should be monitored every 6 months to see if he develops changes in his x-ray or pulmonary examination. Included in this updated guide for 2021 are 1,000+ practice questions, a primer on what is the NCLEX-RN exam, frequently asked questions about the NCLEX, question types, the NCLEX-RN test plan, and test-taking tips and strategies. 60. After 7 to 10 days, three more consecutive sputum cultures will be obtained. Created by. 48. Pneumonia is an acute infection of the lung parenchyma. Low hemoglobin levels cause reduces oxygen-carrying capacity. He was successfully treated for TB, but skin tests always stay positive, He’s a “seroconverter”, meaning the TB has gotten to his bloodstream, He’s a “tuberculin converter,” which means he has been infected with TB since his last skin test. Brush up on your knowledge of pneumonia (including a practice question) for the NCLEX® exam in this NCLEX review video. Based on this information, which of the following nursing interventions would be a priority? D. … Indeterminate isn’t a term used to describe results of a PPD test. Reposition the airway. 37. A 76-year old client is admitted for elective knee surgery. By providing the client with pressurized oxygen, the client has less resistance to overcome in taking his next breath, making it easier to breathe. Elderly persons are believed to be at higher risk for contracting TB because of decreased immunocompetence. Percentage of hemoglobin carrying oxygen. 1. Which of the following would be priority assessment data to gather from a client who has been diagnosed with pneumonia? Which of the following diagnostic tests is definitive for TB? Which of the following physical findings would lead the nurse to believe it is appropriate to discharge this client? Key Concepts: Terms in this set (34) A nurse is caring for an 89-year-old client admitted with pneumonia. A client is experiencing confusion and tremors is admitted to a nursing unit. Apathy and depression are not symptoms of hypoxia. 39. 4. The most valuable information the nurse can give the parents is how to … The nurse would determine that a therapeutic blood level exists if which of the following were noted in the laboratory report? A 24-year-old client comes into the clinic complaining of right-sided chest pain and shortness of breath. 13. 48. C. "Does anyone smoke in the house?" A tuberculin converter’s skin test will be positive, meaning he has been exposed to an infected with TB and now has a cell-mediated immune response to the skin test. Answer: 3. Using continuous suction while withdrawing the catheter. The mask provides continuous air that the client can breathe. Remove the airway and insert a shorter one. 3. The therapeutic theophylline blood level range from 10-20 mcg/mL. 20. STUDY. This is an NCLEX style exam that will challenge your knowledge to help you be more prepared for the test. A needle thoracostomy is done only in an emergency and only by someone trained to do it. Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Altered mental status and dehydration Suction shouldn’t be applied while the catheter is being advanced. 5/8” to ½” 25G to 27G needle. Positive acid-fast bacilli in a sputum sample after 2 months of treatment. Being a seroconverter doesn’t mean the TB has gotten into his bloodstream; it means it can be detected by a blood test. Antibiotics 4. Alveoli need oxygen to live A police officer brings in a homeless client to the ER. Answer: 1. 2. After the airway is inserted, he gags and coughs. B. Streptococcus pneumoniae. For which of the following reasons is this done? 46. Fever of more than 104*F and nausea 37. 15. Active TB Practice Mode: This is an interactive version of the Text Mode. Echocardiogram 2. 3. 2. The common feature of all type of pneumonia is an inflammatory pulmonary response to the offending organism or agent. Listening to breath sounds won’t confirm a diagnosis. Spell. 4. 28. 19. The assessment should include which of the following interventions? A positive skin test. Answer: 3. Pneumonia 4. Carbon monoxide poisoning A nurse is caring for a client diagnosed with TB. 1. PLAY. The risks associated with recurrent aspiration pneumonia. A client with pneumonia has a temperature ranging between 101* and 102*F and periods of diaphoresis. Welcome to our collection of free NCLEX practice questions to help you achieve success on your NCLEX-RN exam! The client begins to develop signs of TB. 4. 4. If antacids are needed for GI distress, they should be taken 1 hour before or 2 hours after these drugs are administered. Bronchodilators 5. Chest x-ray The test presents these questions to ensure that test-takers can evaluate and synthesize different types of information to solve a problem. A diagnosis of pneumonia is typically achieved by which of the following diagnostic tests? 4. The Causative agent of Tuberculosis is said to be: A client was infected with TB 10 years ago but never developed the disease. A client with pneumonia has a temperature of 102.6*F (39.2*C), is diaphoretic, and has a productive cough. Which of the … Nurse Salary 2020: How Much Do Registered Nurses Make? 3. Want 6,000+ more practice questions? To determine his compliance Group A Beta Hemolytic Streptococcus. 8. Which of the following, if noted in the client’s history, would require physician notification? A 24-year-old client comes into the clinic complaining of right-sided chest pain and shortness of breath. The fluid is then analyzed to determine if it’s transudative or exudative. 2. 2. To prevent hypoxia, suctioning shouldn’t last more than 10-seconds at a time. 3. If they’re negative, he would be considered non-contagious and may be sent home, although he’ll continue to take the antitubercular drugs for 9 to 12 months. 2. Answer: 1. The physician should take which of the following actions? 1. 32. Answers are at the bottom of the page. A 79-year-old client is admitted with pneumonia. Increases carbon dioxide levels Test. 3. 4. The general population has a 10% risk of developing active TB over their lifetime, in many cases because of a break in the body’s immune defenses. 1. 2. Para-aminosalicylic acid Both drugs should be taken on an empty stomach. 12. Impaired vision Which nursing action would be most appropriate for this client? Developed a resistance to tubercle bacilli 1. ABG analysis 1. It can affect one or both of your lungs. Flashcards. 2. High-grade fever. Get extra rest Read each question carefully and choose the best answer. Continued dyspnea A client is experiencing confusion and tremors is admitted to a nursing unit. Oxygen Gaseous exchange occurs in the alveolar membrane. The mask can be set to deliver any amount of oxygen needed. Bronchial Vesicular breath sounds in right base. Active infection Positive Using intermittent suction while withdrawing the catheter. Answer: 4. 1. Select all that apply. You can take our practice tests as many times as you like. A patient is presenting with mild symptoms of pneumonia. Potatoes and fish. Chest and lower back pain Which of the following treatments would the nurse expect for a client with a spontaneous pneumothorax? Which of the following diagnostic tests is definitive for TB? Increased number of functional capillaries in the alveoli. Transudates are substances that have passed through a membrane and usually occur in low protein states. A client with pneumonia develops dyspnea with a respiratory rate of 32 breaths/minute and difficulty expelling his secretions. Often, residing in group living situations increases the chance of disease transmission. Included topics in this practice quiz are: Follow the guidelines below to make the most out of this exam: In Exam Mode: All questions are shown in random and the results, answers and rationales (if any) will only be given after you’ve finished the quiz. 3. Pleuritic chest pain and cough. 3. Decreased cardiac output These test results are possible because: He had TB in the past and no longer has it. Respiratory System | Pneumonia & Tuberculosis NCLEX Quiz 42 10 Questions | By Santepro | Last updated: Sep 26, 2017 | Total Attempts: 1824 Questions All questions 5 questions 6 questions 7 questions 8 questions 9 questions 10 questions 3. A nurse is caring for a client diagnosed with TB. The bacilli have a waxy surface, which makes them difficult to stain in the lab. Which question will uncover whether the client has the highest risk for developing pneumonia? 4. 8-year-old son 20. A client is diagnosed with active TB and started on triple antibiotic therapy. Answer: 4. Take a chest x-ray 3. Hyperbaric chamber. 2. Included topics in this practice quiz are: 1. Which of the following would be priority assessment data to gather from a client who has been diagnosed with pneumonia? 2. Positive acid-fast bacilli in a sputum sample after 2 months of treatment. Gravity. Electrocardiogram (ECG). 2. The ability to perform ADL’s without dyspnea. 3. 2. Skin tests may be falsely positive or falsely negative. 2. 56. Supplement the diet with pyridoxine (vitamin B6). Double the dosage if a drug dose is forgotten Respiratory System | Pneumonia & Tuberculosis NCLEX Quiz 39 10 Questions | By Santepro | Last updated: Sep 26, 2017 | Total Attempts: 2170 Questions All questions 5 questions 6 questions 7 questions 8 questions 9 questions 10 questions The eighth cranial nerve is the vestibulocochlear nerve, which is responsible for hearing and equilibrium. Remove the airway and attempt suctioning without it. Continuing to have acid-fast bacilli in the sputum after 2 months indicated continued infection. An initial ABG report indicates that the PaCO2 level is 72 mm Hg, whereas the PaO2 level is 64 mm Hg. 2. 0 The pulse oximeter determines the percentage of hemoglobin carrying oxygen. A nurse interprets that the client is most likely experiencing: 1. 10 Respiratory NCLEX® Questions Take the Pop Quiz and see how good you are at Respiratory NCLEX® Questions. ABG analysis will determine the extent of hypoxia present due to the pneumonia, and blood cultures will help determine if the infection is systemic. Which of the following interventions would the nurse teach the client to help prevent this complication? Which of the following, if noted in the client’s history, would require physician notification? 2. NCLEX questions that use charts and exhibits are also similar to standard multiple-choice questions, with a little extra information. What is the min lenth of time the nurse should paln to hold pressure on punture site? The nurse should include which of the following instructions when developing a teaching plan for clients receiving INH and rifampin for treatment for TB? Simply repositioning the airway won’t solve the problem. 4. Test. 3. If a client gags or coughs after nasopharyngeal airway placement, the tube may be too long. Mycobacterium Tuberculosis. A client with a positive skin test for TB isn’t showing signs of active disease. 2. Chest x-ray The fluid in the alveolar space Because of the increased incidence of resistant strains of TB, the disease must be treated for up to 24 months in some cases, but treatment typically lasts for 9-12 months. The client is showing s/s of active TB and because of a productive cough is highly contagious. Stabilizes carbon dioxide levels 1. 1. These test results are possible because: 1. Match. A chest x-ray suggests he has TB. An initial ABG report indicates that the PaCO2 level is 72 mm Hg, whereas the PaO2 level is 64 mm Hg. To confirm the diagnosis 3 to 6 months Answer: 2. The nurse determines that the client requires which of the following treatments first? Allergy to penicillin Acid-fast staining Which of the following treatments would the nurse expect for a client with a spontaneous pneumothorax? Which of the following would be an appropriate expected outcome for an elderly client recovering from bacterial pneumonia? Which of the following symptoms will he exhibit? The need for repeat testing. 2. The nurse interprets the results as: A client diagnosed with active TB would be hospitalized primarily for which of the following reasons? Pneumonia Common Questions and Answers . Which of the following symptoms will he exhibit? Sputum culture Answer: 4. Isoniazid (INH) and rifampin (Rifadin) have been prescribed for a client with TB. Acute asthma Reduces amount of functional alveolar surface area. 3. 16. Which of the following pathophysiological mechanisms that occurs in the lung parenchyma allows pneumonia to develop? Percentage of hemoglobin carrying oxygen Write. Spell. Brock_Noldy. Start practicing with 6000 + NCLEX Questions at: https://nursing.com/product/npq/?utm_medium=social&utm_source=youtube&utm_campaign=yt%20npqCheck out … “It is important that I isolate myself from family when possible.” “I can use regular plate and utensils whenever I eat.”. Patients who have pneumonia are experiencing an infection of the lower respiratory system that affects the alveolar sacs. Which of the following techniques is correct? In nursing school and on the NCLEX exam, you will need to know about how to use personal protective equipment and how to don and doff PPE. He’s now being treated for cancer. He’s a “tuberculin converter,” which means he has been infected with TB since his last skin test. 4. 3. 4. The nurse tells the group that one of the first symptoms associated with TB is: 1. Leave the airway in place until the client gets used to it. You can also copy this exam and make a print out. An elderly client with pneumonia may appear with which of the following symptoms first? Blood cultures The nurse should include which of the following measures in the plan of care? The client is having difficulty breathing and is probably becoming hypoxic. 2. Admit him to the hospital in respiratory isolation. Difficulty swallowing. According to the NCLEX-RN test plan, about 9 to 15% of questions will come from this subcategory that includes content about the “nurse‘s ability required to protect clients, families, and healthcare personnel from health and environmental hazards.”Good luck, and hope you will learn a lot from this quiz. The physician orders an intradermal injection of 5 tuberculin units/0.1 ml of tuberculin purified derivative. Match. It is crucial you understand this material not only for NCLEX but for working as a nurse. Needs to be redone Notify the physician of the client’s non-compliance and request a different prescription. Presence of chest pain. You are about to accomplish a 60-item examination covering the topics of Pneumonia and Pulmonary Tuberculosis. Write. Improves oxygen uptake A nurse reviews the medical record of the client. More hemoglobin will increase oxygen-carrying capacity and thus increase the total amount of oxygen available in the blood. To determine if a repeat skin test is needed 36. Nasotracheal suctioning to clear secretions You are given one minute per question. 59. The answer beginning, "Are you afraid" implies that the patient thinks that the cancer will be immediately fatal, although the patient's statement may not be related to the cancer diagnosis. A client with a positive Mantoux test result will be sent for a chest x-ray. 31. To determine if this is a primary or secondary infection. Vertigo Select all that apply. They contain an accumulation of cells and have a high specific gravity and a high lactate dehydrogenase level. 0. 2. NCLEX Style Questions for Pneumonia. The nurse auscultates his lung fields and hears bronchial sounds in the left lower lobe. To help prevent the development of active TB, the client should be treated with isoniazid, 300 mg daily, for how long? Tuberculin test. Which of the following best describes pleural effusion? Also, this page requires javascript. A client with primary TB infection can expect to develop which of the following conditions? Learn. 25. Decreased vital capacity. Which of the following mental status changes may occur when a client with pneumonia is first experiencing hypoxia? A pulse oximetry gives what type of information about the client? Answer: 4. A fever that requires hospitalization 51. 1. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively. Answer: 4. A client’s ABG analysis reveals a pH of 7.18, PaCO2 of 72 mm Hg, PaO2 of 77 mm Hg, and HCO3- of 24 mEq/L. 3. Respiratory acidosis. 2. Give a prescription for isoniazid, 300 mg daily for 2 weeks, and send him home. 3. Which action should the nurse take? Irritability 1. This doesn’t ensure that the oxygen being carried through the bloodstream is actually being taken up by the tissue. Remind the client that TB can be fatal if not taken properly. Created by. Write. 31. Staphylococcus aureus is the most common cause of hospital-acquired pneumonia. Performing thoracentesis is used to remove excess pleural fluid. 4. 4. Diseases of the Respiratory System 2. Amount of carbon dioxide in the blood Presence of peripheral edema 2. 2. The public health nurse is providing follow-up care to a client with TB who does not regularly take his medication. A respiratory rate of 25 to 30 breaths per minute, The ability to perform ADL’s without dyspnea, A maximum loss of 5 to 10 pounds of body weight. (These are NCLEX style questions that I created myself. Oxygen toxicity causes direct pulmonary trauma, reducing the amount of alveolar surface area available for gaseous exchange, which results in increased carbon dioxide levels and decreased oxygen uptake. Fever of 102*F A nurse evaluates the blood theophylline level of a client receiving aminophylline (theophylline) by intravenous infusion. Lesions in the lung may not be big enough to be seen on x-ray. 1. Which needle is appropriate for this injection? 3. To determine the need for antibiotic therapy. NCLEX Questions | NCLEX Review (updated 2020) …. Chest x-ray 3. 4. Which of the following mental status changes may occur when a client with pneumonia is first experiencing hypoxia? Answer: 4. An elderly client with pneumonia may appear with which of the following symptoms first? Carbon dioxide narcosis Answer: 3. The Causative agent of Tuberculosis is said to be: 1. There can be false-positive and false-negative skin test results. Pneumonia 3. 4. Respiratory System | Pneumonia & Tuberculosis NCLEX Quiz 41 10 Questions | By Santepro | Last updated: Sep 26, 2017 | Total Attempts: 1171 Questions All questions 5 questions 6 questions 7 questions 8 questions 9 questions 10 questions Using continuous suction while advancing the catheter. 4. Performing thoracentesis The accumulation of fluid between the linings of the pleural space. “I should use paper tissues to cough in and dispose of them properly.” Decreased oxygenation of the blood. Pleural effusion Increase intake of dairy products The client should be kept dry to promote comfort. Pneumothorax NCLEX Questions This is a quiz that contains NCLEX review questions for pneumothorax. An effusion is an accumulation of excess pleural fluid in the pleural space, which may be a secondary response to pneumonia. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. 1. What do these values indicate? The client should be maintained on bedrest if he is dyspneic to minimize his oxygen demands, but providing additional will deal more immediately with his problem. The nurse is teaching a client who has been diagnosed with TB how to avoid spreading the disease to family members. 4. Included topics in this practice quiz are: 1. Try this amazing Test Your Knowledge About Pneumonia quiz which has been attempted 6269 times by avid quiz takers. A chest x-ray will show the area of collapsed lung if pneumothorax is present as well as the volume of air in the pleural space. 2. 2. Therapeutic Communication Techniques Quiz. 4. stick a needle in the area of decreased breath sounds. Respiratory alkalosis 3. 2. 3. 4. After 7 to 10 days, three more consecutive sputum cultures will be obtained. Symptoms is common in clients with TB and x-ray results may stay negative common effect. A ½ ” to 3/8 ” 26 or 27G needle should be warned to limit intake:. Tube because it ’ s spouse to supervise the daily administration of the following organisms most commonly community-acquired... Chronic illnesses are more likely to get pneumonia when which of the medications reviews the medical of. … Start studying NCLEX questions | NCLEX review questions for pneumonia to help this. Absent breath sounds inspire nursing students the PaO2 level is low, the client still has,. Positive, with a 10mm if induration respiratory isolation, and three cultures. The button below for contracting the disease drove his passion for helping student nurses by creating and. 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