2. Nutritional intake. 3. Eggs and spinach The fluid in the alveolar space Effusion A client who is HIV+ has had a PPD skin test. If the client still has pneumonia, the breath sounds in the right base will be bronchial, not the normal vesicular breath sounds. 3. Increased number of functional capillaries in the alveoli. Pneumonia would have bronchial breath sounds over the area of consolidation. 4. 2. Take a chest x-ray Rheumatic fever. 36. 25 mcg/mL 53. 4. Indeterminate 2. 1. 4. If a pleural effusion develops, which of the following actions best describes how the fluid can be removed from the pleural space and proper lung status restored? Visit the clinic weekly to ask him whether he is taking his medications regularly. Answers are at the bottom of the page. 3. I am not in any way associated with the NCLEX and have not been trained on how to write NCLEX style questions.) 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 . Often, residing in group living situations increases the chance of disease transmission. 1. 2. A client has active TB. Malnutrition 4. A community health nurse is conducting an educational session with community members regarding TB. A 76-year old client is admitted for elective knee surgery. Presence of chest pain. 1. To determine his compliance 28. Percentage of hemoglobin carrying oxygen Which of the following mental status changes may occur when a client with pneumonia is first experiencing hypoxia? Answer: 2. 2. A client with a positive Mantoux test result will be sent for a chest x-ray. Answers and rationales are given below. After 7 to 10 days, three more consecutive sputum cultures will be obtained. A pulse oximetry gives what type of information about the client? Also, this page requires javascript. The client with HIV is immunosuppressed, making a smaller area of induration positive for this type of client. If the PPD is reddened and raised 10mm or more, it’s considered positive according to the CDC. Anorexia and weight loss Performing thoracentesis is used to remove excess pleural fluid. It takes half your life before you discover life is a do-it-yourself project. Which statement(s) by the client indicate(s) that he has understood the nurses instructions? Which of the following would be priority assessment data to gather from a client who has been diagnosed with pneumonia? 1. Agglutination testing 21. Bronchiectasis The signs and symptoms of aspiration pneumonia. Give a tuberculin test and tell him to come back in 48 hours and have it read. Typical signs and symptoms are chills, fever, night sweats, and hemoptysis. 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. 4. Spell. Which of the following best describes pleural effusion? 4. This PPD would be read as having which of the following results? Superinfection 1. The nurse should remove it and insert a shorter one. TB typically produces anorexia and weight loss. Respiratory NCLEX Pneumonia questions. Potatoes and fish. Alveoli need oxygen to live 25. Using continuous suction while withdrawing the catheter. NCLEX Questions | NCLEX Review (updated 2020) …. 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. PLAY. Sputum culture confirms the diagnosis. 4. The nurse tells the group that one of the first symptoms associated with TB is: A cough with the expectoration of mucoid sputum. Clients who are experiencing hypoxia characteristically exhibit irritability, restlessness, or anxiety as initial mental status changes. Chills, fever, night sweats, and hemoptysis. Respiratory rate. 9. A weight loss of 5-10 pounds is undesirable; the expected outcome would be to maintain normal weight. 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 27. Administer oxygen therapy Mental status changes. 1. 2. YES! Continuous positive airway pressure (CPAP) can be provided through an oxygen mask to improve oxygenation in hypoxic patients by which of the following methods? Answer: 1. Hemoglobin carries oxygen to all tissues in the body. B. 5. NCLEX Style Questions for Pneumonia. 54. Chills and night sweats Which of the following pathophysiological mechanisms that occurs in the lung parenchyma allows pneumonia to develop? Nasotracheal suctioning to clear secretions There’s no such thing as tertiary infection, and superinfection doesn’t apply in this case. Notify the physician of the client’s non-compliance and request a different prescription. The ability to perform ADL’s without dyspnea. Maintain complete bedrest "Are your immunizations up to date?" To help prevent the development of active TB, the client should be treated with isoniazid, 300 mg daily, for how long? 3. The treatment plan for aspiration pneumonia. For which of the following reasons is this done? 1. To determine the extent of the lesions. A client diagnosed with active TB would be hospitalized primarily for which of the following reasons? A client with primary TB infection can expect to develop which of the following conditions? The client begins to develop signs of TB. Maternal & Child NCLEX questions 0; NCLEX Study Guide Wow! Answer: 3. An elderly client with pneumonia may appear with which of the following symptoms first? V. Barnes. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Negative Continuous positive airway pressure (CPAP) can be provided through an oxygen mask to improve oxygenation in hypoxic patients by which of the following methods? Hansen’s Bacilli A maximum loss of 5 to 10 pounds of body weight This doesn’t ensure that the oxygen being carried through the bloodstream is actually being taken up by the tissue. 1. 27. More hemoglobin reduces the client’s respiratory rate A chest x-ray can’t determine if this is a primary or secondary infection. 4. Which of the following techniques is correct? 2. Test. 29. He has a tracheostomy in place and requires frequent suctioning. Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. Amount of oxygen in the blood After 7 to 10 days, three more consecutive sputum cultures will be obtained. 36. 1. Physical examination reveals shallow respirations but no signs of respiratory distress. 4. The mask provides continuous air that the client can breathe. The nurse tells the group that one of the first symptoms associated with TB is: 1. Auscultating bowel sounds and assessing for peripheral edema may be appropriate assessments, but these are not priority assessments for the patient with pneumonia. The NCLEX Exam: Pneumonia and Tuberculosis includes 60 multiple choice questions in 2 sections. D. … 4. Auscultation of breath sounds. Chest auscultation reveals bronchial breath sounds over areas of consolidation. They contain an accumulation of cells and have a high specific gravity and a high lactate dehydrogenase level. By providing the client with pressurized oxygen, the client has less resistance to overcome in taking his next breath, making it easier to breathe. 57. 4. Which of the following diagnostic tests is definitive for TB? He’s a “tuberculin converter,” which means he has been infected with TB since his last skin test. 1. Reduction in VC is a normal physiologic change in the older adult. 2. 2. 2. You have not finished your quiz. Isoniazid (INH) and rifampin (Rifadin) have been prescribed for a client with TB. 1. Increased elastic recoil of the lungs What do these values indicate? Auscultation of breath sounds A pulse oximetry gives what type of information about the client? When auscultating the chest of a client with pneumonia, the nurse would expect to hear which of the following sounds over areas of consolidation? A nurse interprets that the client is most likely experiencing: 1. 2. Improves oxygen uptake To evaluate his condition You can also copy this exam and make a print out. Pneumonia Common Questions and Answers . Some people carry dormant TB infections that may develop into active disease. It can affect one or both of your lungs. 2. A patient was admitted to the intensive care unit 48 hours … Since you are here, this quiz will let you know how much you are prepared for the NCLEX exam. What effect does hemoglobin amount have on oxygenation status? C. "Does anyone smoke in the house?" 59. Presence of peripheral edema Carbon dioxide narcosis is a condition that results from extreme hypercapnia, with carbon dioxide levels in excess of 70 mm Hg. Pneumonia symptoms, pathophysiology (pathology) presentation for nursing NCLEX review. Answer: 1. 25. 1. 4. The nurse interprets the results as: A client diagnosed with active TB would be hospitalized primarily for which of the following reasons? Ethambutol hydrochloride. Pneumonia nursing interventions lecture and medication treatment which includes antibiotics. In DOT, a responsible person, who may be a family member or a health care provider, observes the client taking the medication. 1. A 24-year-old client comes into the clinic complaining of right-sided chest pain and shortness of breath. The mask provides pressurized at the end of expiration to open collapsed alveoli. 3. Sensitivity testing 4. Reposition the airway. The ability to perform ADL’s without dyspnea A client with pneumonia has less lung surface available for the diffusion of gases because of the inflammatory pulmonary response that creates lung exudate and results in reduced oxygenation of the blood. Chronic Obstructive Pulmonary Disease(COPD) 4. The mask can be set to deliver any amount of oxygen needed. 4. Write. 1. ABG analysis 1. 15 mcg/mL Auscultation of bowel sounds 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. Which of the following organisms most commonly causes community-acquired pneumonia in adults? 1. Low hemoglobin levels cause increased oxygen-carrying capacity. 4. When auscultating the chest of a client with pneumonia, the nurse would expect to hear which of the following sounds over areas of consolidation? The risks associated with recurrent aspiration pneumonia. 2 to 4 weeks A positive skin test. Because the client is short of breath, listening to breath sounds is a good idea. A patient is presenting with mild symptoms of pneumonia. Weight loss He may need a chest x-ray and an ECG, but a physician must order these tests. Hepatitis B 7. Clients with TB typically have low-grade fevers, not higher than 102*F. Nausea, headache, and photophobia aren’t usual TB symptoms. The public health nurse is providing follow-up care to a client with TB who does not regularly take his medication. What signs and symptoms would the client show if therapy is inadequate? 3. 4. Write. Carbon monoxide poisoning A spontaneous pneumothorax occurs when the client’s lung collapses, causing an acute decrease in the amount of functional lung used in oxygenation. For which of the following reasons is this done? A client with pneumonia has a temperature ranging between 101* and 102*F and periods of diaphoresis. This PPD would be read as having which of the following results? 3. 4. A. 1. 4. 51. 34. The nurse should include which of the following instructions when developing a teaching plan for clients receiving INH and rifampin for treatment for TB? “I should always cover my mouth and nose when sneezing.” 17. “It is important that I isolate myself from family when possible.” 1. 2. Continued dyspnea Here are a few NCLEX style questions for pneumonia to help you assess your comprehension of the information in this post. 3. The prevention of aspiration pneumonia. A nurse reviews the medical record of the client. Increased number of functional capillaries in the alveoli 47. Exposure does not necessarily mean that active disease exists. High-grade fever. 2. Select all that apply. 3. Nurse Salary 2020: How Much Do Registered Nurses Make? He’s a “seroconverter”, meaning the TB has gotten to his bloodstream. 17-year-old daughter 10 to 14 days Respiratory alkalosis Dehydration 4. A client with primary TB infection can expect to develop which of the following conditions? This is an NCLEX style exam that will challenge your knowledge to help you be more prepared for the test. Pleural effusions can’t drain by themselves. 6. 15. 20. A client who is HIV+ has had a PPD skin test. 1” 20G needle. Acute asthma INH treatment is associated with the development of peripheral neuropathies. 3. 3. 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. Please wait while the activity loads. Color of nail beds. 2. Hyperbaric chamber. Using intermittent suction while withdrawing the catheter. Based on this information, which of the following nursing interventions would be a priority? Decreased oxygenation of the blood. Which nursing action would be most appropriate for this client? 1. Be sure to read them. Negative Flashcards. The nurse notes a 7-mm area of induration at the site of the skin test. You can take our practice tests as many times as you like. 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 2. Download NCLEX Respiratory questions and answers pdf that covers all the topics in the question bank related to Asthma, Pneumonia and Tuberculosis. 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. A fever that requires hospitalization 2. Learn. Once you are finished, click the button below. A client with pneumonia develops dyspnea with a respiratory rate of 32 breaths/minute and difficulty expelling his secretions. Try this amazing Test Your Knowledge About Pneumonia quiz which has been attempted 6269 times by avid quiz takers. 3. The accumulation of fluid between the linings of the pleural space. Tubular Bronchodilators Metabolic alkalosis Alveoli have no effect on oxygenation The accumulation of fluid between the linings of the pleural space. The most commonly used technique to identify tubercle bacilli is acid-fast staining. An initial ABG report indicates that the PaCO2 level is 72 mm Hg, whereas the PaO2 level is 64 mm Hg. 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