Gravity. Write. 2. 48. A client with pneumonia has a temperature ranging between 101* and 102*F and periods of diaphoresis. After the airway is inserted, he gags and coughs. Sputum culture confirms the diagnosis. A police officer brings in a homeless client to the ER. The pleural fluid normally seeps continually into the pleural space from the capillaries lining the parietal pleura and is reabsorbed by the visceral pleural capillaries and lymphatics. He’s now being treated for cancer. 2. Chills, fever, night sweats, and hemoptysis. Included topics in this practice quiz are: 1. Clients should not double the dosage of these drugs because of their potential toxicity. Decreased oxygenation of the blood. The client with HIV is immunosuppressed, making a smaller area of induration positive for this type of client. 1. Klebsiella pneumoniae 2. 60. A 79-year-old client is admitted with pneumonia. The fluid in the alveolar space Air sacs within the lungs fill with pus and fluid making it hard for oxygen to get into your bloodstream. Which statement(s) by the client indicate(s) that he has understood the nurses instructions? Difficulty swallowing. If the PPD is reddened and raised 10mm or more, it’s considered positive according to the CDC. 1. Developed passive immunity to TB. Atelectasis It packs more than 220 questions from the NCLEX Pneumonia Questions and NCLES Tuberculosis Questions. STUDY. 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. 2. A client with a positive Mantoux test result will be sent for a chest x-ray. Active TB within 2 weeks 1. INH competes with the available vitamin B6 in the body and leaves the client at risk for development of neuropathies related to vitamin deficiency. YES! A cough with the expectoration of mucoid sputum The nurse tells the group that one of the first symptoms associated with TB is: A cough with the expectoration of mucoid sputum. 2. Which of the following interventions would the nurse teach the client to help prevent this complication? A client who is recovering from pneumonia should experience decreased or no chest pain. 46. Agglutination testing 4. Low hemoglobin levels cause reduces oxygen-carrying capacity Clients with chronic illnesses are more likely to get pneumonia when which of the following situations is present? 3. Isoniazid (INH) and rifampin (Rifadin) have been prescribed for a client with TB. 1. Chest x-ray will show the area of lung consolidation. 2. 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. From your nursing knowledge, you know this type of pneumonia is caused by what type of infectious agent? Answer: 4. 3. He has an IV of normal saline running at 100 mL/hr and antibiotics that were initiated in the emergency department 3 hours ago. Notify the physician of the client’s non-compliance and request a different prescription. Any items you have not completed will be marked incorrect. A patient was admitted to the intensive care unit 48 hours … 3. Have the client use an incentive spirometer 32. 3. 2. A client with pneumonia has a temperature ranging between 101* and 102*F and periods of diaphoresis. "Are your immunizations up to date?" The Respiratory System is responsible for taking oxygen in and expelling carbon dioxide out. 2. There can be false-positive and false-negative skin test results. 1. Allergy to penicillin 1. A client with a productive cough, chills, and night sweats is suspected of having active TB. In Text Mode: All questions and answers are given for reading and answering at your own pace. Pleuritic chest pain and cough. 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. Diseases of the Respiratory System 2. The physician should take which of the following actions? If the hemoglobin level is low, the amount of oxygen-carrying capacity is also low. Alveoli have no effect on oxygenation This doesn’t ensure that the oxygen being carried through the bloodstream is actually being taken up by the tissue. 3. He’s now being treated for cancer. Any condition that interferes with either the secretion or drainage of this fluid will lead to a pleural effusion. Chapter 28 Nursing Management: Lower Respiratory Problems . Decreased residual volume Adhere to a low cholesterol diet 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. Group living 1. Give a prescription for isoniazid, 300 mg daily for 2 weeks, and send him home. Answer: 2. A client has active TB. Take a chest x-ray D. Influenza. Had contact with Mycobacterium tuberculosis Malnutrition The doctor diagnoses the patient with “walking pneumonia”. Answer: 2. Many questions on the NCLEX are in multiple-choice format Nclex questions and answers on pneumonia. To determine his compliance 2. “It is important that I isolate myself from family when possible.” Which of the following family members exposed to TB would be at highest risk for contracting the disease? Atelectasis and bronchiectasis indicate a collapse of a portion of the airway that doesn’t occur in pneumonia. After 7 to 10 days, three more consecutive sputum cultures will be obtained. 1. Which action should the nurse take? 3. He’s a “tuberculin converter,” which means he has been infected with TB since his last skin test. Pleural effusions can’t drain by themselves. 4. This question is part of safety and infection control nclex questions (exam mode) by rnpedia.com. An elderly client with pneumonia may appear with which of the following symptoms first? 9 to 12 months. Which of the following statements best explains how opening up collapsed alveoli improves oxygenation? Using continuous suction while advancing the catheter. What effect does hemoglobin amount have on oxygenation status? The complete MCQs is prepared by the experts considering all the previous questions and answers in mind . Streptococcus pneumoniae 4. Presence of chest pain. 49. 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. Answer: 2. Vesicular breath sounds in right base. The mask provides continuous air that the client can breathe. Answer: 1. Please wait while the activity loads. Answer: 2. Chest x-ray Without enough oxygen, you may have trouble breathing and your body cells do not work properly. 59. The nurse teaches the client with TB to increase intake of protein, iron, and vitamin C. A respiratory assessment, which includes auscultating breath sounds and assessing the color of the nail beds, is a priority for clients with pneumonia. 5. Remind the client that TB can be fatal if not taken properly. 2. He reports that it started suddenly. Stabilizes carbon dioxide levels To determine if a repeat skin test is needed 2. 1. Metabolic acidosis. The treatment plan for aspiration pneumonia. 1. A nurse interprets that the client is most likely experiencing: 1. The test presents these questions to ensure that test-takers can evaluate and synthesize different types of information to solve a problem. ABG analysis Which of the following would be an appropriate expected outcome for an elderly client recovering from bacterial pneumonia? 1. 2. Answer: 4. 1” 20G needle. Match. A pulse oximetry gives what type of information about the client? Pneumonia leads to impaired gas exchange which can require mechanical ventilation if severe enough. 2. 1. Irritability The client experiences symptoms such as confusion and tremors, which may progress to convulsions and possible coma. You are about to accomplish a 60-item examination covering the topics of Pneumonia and Pulmonary Tuberculosis. Patients who have pneumonia are experiencing an infection of the lower respiratory system that affects the alveolar sacs. 2. Increased appetite A client with pneumonia has a temperature of 102.6*F (39.2*C), is diaphoretic, and has a productive cough. 4. 51. Supplement the diet with pyridoxine (vitamin B6). To prevent spread of the disease Ask the client’s spouse to supervise the daily administration of the medications. Based on this information, which of the following nursing interventions would be a priority? Using intermittent suction while advancing the catheter, Using continuous suction while withdrawing the catheter, Using intermittent suction while withdrawing the catheter, Using continuous suction while advancing the catheter. Indeterminate isn’t a term used to describe results of a PPD test. An initial ABG report indicates that the PaCO2 level is 72 mm Hg, whereas the PaO2 level is 64 mm Hg. The right forearm of a client who had a purified protein derivative (PPD) test for tuberculosis is reddened and raised about 3mm where the test was given. Cranial Nerve assessment Nerves names are different, but assessment is great! 1. A client with pneumonia develops dyspnea with a respiratory rate of 32 breaths/minute and difficulty expelling his secretions. Antibiotics He was successfully treated for TB, but skin tests always stay positive. INH and rifampin are hepatotoxic drugs. Provide fluid intake of 3 L/day. 46. Admit him to the hospital in respiratory isolation The mask provides pressurized oxygen continuously through both inspiration and expiration. A 24-year-old client comes into the clinic complaining of right-sided chest pain and shortness of breath. 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. Carbon dioxide narcosis is a condition that results from extreme hypercapnia, with carbon dioxide levels in excess of 70 mm Hg. 4. The score will be posted as soon as you are done with the quiz. Brush up on your knowledge of pneumonia (including a practice question) for the NCLEX® exam in this NCLEX review video. Streptomycin Mycobacterium Tuberculosis. Take the medication with antacids 1. 2. The sputum culture for Mycobacterium tuberculosis is the only method of confirming the diagnosis. 29. 4. The nurse tells the group that one of the first symptoms associated with TB is: 1. Which of the following mental status changes may occur when a client with pneumonia is first experiencing hypoxia? What do these values indicate? Decreased shortness of breath 4. A diagnosis of pneumonia is typically achieved by which of the following diagnostic tests? A positive skin test. 3. The fluid is then analyzed to determine if it’s transudative or exudative. INH treatment is associated with the development of peripheral neuropathies. Write. The nurse should include which of the following measures in the plan of care? 2. Spell. Chest x-ray 4. Our NCLEX practice questions are based on the same categories that are included on the official exam provided by the National Council of State Boards of Nursing (NCSBN): Physiological Integrity; Safe and Effective Care Environment; Health Promotion and Maintenance; Psychosocial; Maximize your study time . In DOT, a responsible person, who may be a family member or a health care provider, observes the client taking the medication. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. 4. Gaseous exchange occurs in the alveolar membrane. 2. 4. Carbon monoxide poisoning Which of the following statements best explains how opening up collapsed alveoli improves oxygenation? Answer: 1. 4. Continuous positive airway pressure (CPAP) can be provided through an oxygen mask to improve oxygenation in hypoxic patients by which of the following methods? The client should be kept dry to promote comfort. 3. 3. 1. Physical examination reveals shallow respirations but no signs of respiratory distress. At this point, the bacilli are walled off and skin tests read positive. The most commonly used technique to identify tubercle bacilli is acid-fast staining. Using continuous suction while withdrawing the catheter. 35. Answer: 4. A client with shortness of breath has decreased to absent breath sounds on the right side, from the apex to the base. The mask provides 100% oxygen to the client. Spontaneous pneumothorax. 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. An expected outcome for a client recovering from pneumonia would be the ability to perform ADL’s without experiencing dyspnea. 4. High-grade fever. 3. 4. The cyanosis that accompanies bacterial pneumonia is primarily caused by which of the following? 50. Diaphoresis produces general discomfort. Position changes need to be done every 2 hours. A client with a productive cough, chills, and night sweats is suspected of having active TB. The signs and symptoms of aspiration pneumonia. Inflammation. 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. Streptomycin can damage this nerve. 2. Welcome to your NCLEX practice quiz on Safety and Infection Control. Vertigo As the hypoxia becomes more pronounced, the client may become confused and combative. A chest x-ray suggests he has TB. There’s no such thing as tertiary infection, and superinfection doesn’t apply in this case. Daniel_Griffiths2. Allowing the pleural effusion to drain by itself. Spell. Which of the following diagnostic tests is definitive for TB? Increased number of functional capillaries in the alveoli. 3. Which of the following mental status changes may occur when a client with pneumonia is first experiencing hypoxia? 4. A community health nurse is conducting an educational session with community members regarding TB. Positive. 1. Which of the following would be priority assessment data to gather from a client who has been diagnosed with pneumonia? Needs to be redone 1. After the airway is inserted, he gags and coughs. 4. 39. Pressurized oxygen delivered at the end of expiration is positive end-expiratory pressure (PEEP), not continuous positive airway pressure. The only way to re-expand the lung is to place a chest tube on the right side so the air in the pleural space can be removed and the lung re-expanded. 3. Acute pain related to lung expansion secondary to lung infection A fever that requires hospitalization If this activity does not load, try refreshing your browser. 1. Learn. Metabolic acidosis Facial paralysis 3. 3. 0. What signs and symptoms would the client show if therapy is inadequate? Created by. He would most likely be given isoniazid and two or three other antitubercular antibiotics until the diagnosis is confirmed, then isolation and treatment would continue if the cultures were positive for TB. 4. 2. A 76-year old client is admitted for elective knee surgery. Here are a few NCLEX style questions for pneumonia to help you assess your comprehension of the information in this post. The eighth cranial nerve is the vestibulocochlear nerve, which is responsible for hearing and equilibrium. 2. A nurse is caring for a client diagnosed with TB. Select all that apply. They contain an accumulation of cells and have a high specific gravity and a high lactate dehydrogenase level. Percentage of hemoglobin carrying oxygen Gaseous exchange occurs in the alveolar membrane. 76-year-old grandmother. A positive PPD test indicates that the client has been exposed to tubercle bacilli. Answer: 2. “I can use regular plate and utensils whenever I eat.”. Rheumatic fever. 17. (These are NCLEX style questions that I created myself. Answer: 3. Klebsiella species is the most common gram-negative organism found in the hospital setting. 34. Intradermal injections like those used in TN skin tests are administered in small volumes (usually 0.5 ml or less) into the outer skin layers to produce a local effect. The client with active TB is highly contagious until three consecutive sputum cultures are negative, so he’s put in respiratory isolation in the hospital. Respiratory alkalosis 2. A maximum loss of 5 to 10 pounds of body weight “I will need to dispose of my old clothing when I return home.”, “I should always cover my mouth and nose when sneezing.”, “It is important that I isolate myself from family when possible.”, “I should use paper tissues to cough in and dispose of them properly.”, “I can use regular plate and utensils whenever I eat.”. To determine the extent of the lesions. Dark-field illumination. Topics or concepts included in this exam are: 1. As an emergency measure, the nurse can provide oxygen without waiting for a physicians order. 3. 8-year-old son 4. To determine the need for antibiotic therapy. “I should always cover my mouth and nose when sneezing.” The assessment should include which of the following interventions? Auscultation of breath sounds The client is showing s/s of active TB and because of a productive cough is highly contagious. Created by. 2. 2. One of the first pulmonary symptoms includes a slight cough with the expectoration of mucoid sputum. Which of the following pathophysiological mechanisms that occurs in the lung parenchyma allows pneumonia to develop? 3. To determine if this is a primary or secondary infection. 4. The nurse is teaching a client who has been diagnosed with TB how to avoid spreading the disease to family members. D. … Typical signs and symptoms are chills, fever, night sweats, and hemoptysis. 1. No effect The remaining two answers offer interventions that may be ... Study 30 Terms | NCLEX Questions:... Flashcards | …. The nurse interprets the results as: A client diagnosed with active TB would be hospitalized primarily for which of the following reasons? Staphylococcus aureus is the most common cause of hospital-acquired pneumonia. 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