Pneumonia By Rnpedia

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Pneumonia By Rnpedia - Quiz

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Questions and Answers
  • 1. 
    A client is diagnosed with methicillin resistant staphylococcus aureus pneumonia. What type of isolation is MOST appropriate for this client?
    • A. 

      Reverse isolation

    • B. 

      Respiratory isolation

    • C. 

      Standard precautions

    • D. 

      Contact isolation

  • 2. 
    A male client with pneumococcal pneumonia is admitted to an acute care facility. The client in the next room is being treated for mycoplasmal pneumonia. Despite the different causes of the various types of pneumonia, all of them share which feature?  
    • A. 

      Inflamed lung tissue

    • B. 

      Sudden onset

    • C. 

      Responsiveness to penicillin.

    • D. 

      Elevated white blood cell (WBC) count

  • 3. 
    A male client admitted to an acute care facility with pneumonia is receiving supplemental oxygen, 2 L/minute via nasal cannula. The client’s history includes chronic obstructive pulmonary disease (COPD) and coronary artery disease. Because of these history findings, the nurse closely monitors the oxygen flow and the client’s respiratory status. Which complication may arise if the client receives a high oxygen concentration? 
    • A. 

      Apnea

    • B. 

      Anginal pain

    • C. 

      Respiratory alkalosis

    • D. 

      Metabolic acidosis

  • 4. 
    A male elderly client is admitted to an acute care facility with influenza. The nurse monitors the client closely for complications. What is the most common complication of influenza?
    • A. 

      Septicemia

    • B. 

      Pneumonia

    • C. 

      Meningitis

    • D. 

      Pulmonary edema

  • 5. 
    A male client with pneumonia develops respiratory failure and has a partial pressure of arterial oxygen of 55 mm Hg. He’s placed on mechanical ventilation with a fraction of inspired oxygen (FIO2) of 0.9. The nursing goal should be to reduce the FIO2 to no greater than:  
    • A. 

      0.21

    • B. 

      0.35

    • C. 

      0.5

    • D. 

      0.7

  • 6. 
    A 20-year-old patient is being treated for pneumonia. He has a persistent cough and complains of severe pain on coughing. What could you tell him to help him reduce his discomfort?   
    • A. 

      "Hold your cough as much as possible."

    • B. 

      "Place the head of your bed flat to help with coughing."

    • C. 

      "Restrict fluids to help decrease the amount of sputum."

    • D. 

      "Splint your chest wall with a pillow for comfort."

  • 7. 
    A firefighter who was involved in extinguishing a house fire is being treated for smoke inhalation. He develops severe hypoxia 48 hours after the incident, requiring intubation and mechanical ventilation. Which of the following conditions has he most likely developed?  
    • A. 

      Acute respiratory distress syndrome (ARDS).

    • B. 

      Atelectasis.

    • C. 

      Bronchitis.

    • D. 

      Pneumonia.

  • 8. 
    An 80-year-old male client is admitted to the hospital with a diagnosis of pneumonia. Nurse Oliver learns that the client lives alone and hasn’t been eating or drinking. When assessing him for dehydration, nurse Oliver would expect to find: 
    • A. 

      Hypothermia

    • B. 

      Hypertension

    • C. 

      Distended neck veins

    • D. 

      Tachycardia

  • 9. 
    Nurse Betty is assessing tactile fremitus in a client with pneumonia. For this examination, nurse Betty should use the:
    • A. 

      Fingertips

    • B. 

      Finger pads

    • C. 

      Dorsal surface of the hand

    • D. 

      Ulnar surface of the hand

  • 10. 
    The nurse is caring for four clients on a stepdown intensive care unit. The client at the highest risk for developing nosocomial pneumonia is the one who: 
    • A. 

      Has a respiratory infection

    • B. 

      is intubated and on a ventilator

    • C. 

      Has pleural chest tubes

    • D. 

      Is receiving feedings through a jejunostomy tube

  • 11. 
    A client with pneumonia is receiving supplemental oxygen, 2 L/min via nasal cannula. The client’s history includes chronic obstructive pulmonary disease (COPD) and coronary artery disease. Because of these findings, the nurse closely monitors the oxygen flow and the client’s respiratory status. Which complication may arise if the client receives a high oxygen concentration? 
    • A. 

      Apnea

    • B. 

      Anginal pain

    • C. 

      Respiratory alkalosis

    • D. 

      Metabolic acidosis

  • 12. 
    The home health nurse is planning for the day’s visits. Which client should be seen first? 
    • A. 

      The 78-year-old who had a gastrectomy 3 weeks ago and has a PEG tube

    • B. 

      The 5-month-old discharged 1 week ago with pneumonia who is being treated with amoxicillin liquid suspension

    • C. 

      The 50-year-old with MRSA being treated with Vancomycin via a PICC line

    • D. 

      The 30-year-old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter

  • 13. 
     A client with bacterial pneumonia is admitted to the pediatric unit. What would the nurse expect the admitting assessment to reveal?  
    • A. 

      High fever

    • B. 

      Nonproductive cough

    • C. 

      Rhinitis

    • D. 

      Vomiting and diarrhea

  • 14. 
    Braguda brought her 5-month old daughter in the nearest RHU because her baby sleeps most of the time, with decreased appetite, has colds and fever for more than a week. The physician diagnosed pneumonia. Based on this data given by Braguda, you can classify Braguda’s daughter to have: 
    • A. 

      Pneumonia: cough and colds

    • B. 

      Severe pneumonia

    • C. 

      Very severe pneumonia

    • D. 

      Pneumonia moderate

  • 15. 
     For a 3-month old child to be classified to have Pneumonia (not severe), you would expect to find RR of:   
    • A. 

      60 bpm

    • B. 

      40 bpm

    • C. 

      70 bpm

    • D. 

      50 pbm

  • 16. 
    The nurse is preparing her plan of care for her patient diagnosed with pneumonia. Which is the most appropriate nursing diagnosis for this patient?  
    • A. 

      Fluid volume deficit

    • B. 

      Decreased tissue perfusion.

    • C. 

      Impaired gas exchange.

    • D. 

      Risk for infection

  • 17. 
    Which of the following signs will indicate that a young child is suffering from severe pneumonia?  
    • A. 

      Dyspnea

    • B. 

      Wheezing

    • C. 

      Fast breathing

    • D. 

      Chest indrawing

  • 18. 
    Using IMCI guidelines, you classify a child as having severe pneumonia. What is the best management for the child?  
    • A. 

      Prescribe an antibiotic.

    • B. 

      Refer him urgently to the hospital.

    • C. 

      Instruct the mother to increase fluid intake.

    • D. 

      Instruct the mother to continue breastfeeding.

  • 19. 
    You are evaluating an HIV-positive patient who is receiving IV pentamidine (Pentam) as a treatment for Pneumocystis carinii pneumonia. Which information is most important to communicate to the physician?   
    • A. 

      The blood pressure decreased to 104/76 during administration.

    • B. 

      The patient is complaining of pain at the site of the infusion.

    • C. 

      The patient is not taking in an adequate amount of oral fluids.

    • D. 

      Blood glucose is 55 mg/dL after the medication administration.

  • 20. 
    While caring for an HIV-positive patient who is hospitalized with Pneumocystis carinii pneumonia, you note that all of these drug therapies are scheduled for 10:00 AM. Which nursing action is most essential to accomplish at the scheduled time?   
    • A. 

      Administer the protease inhibitor indinavir (Crixivan) 800 mg PO.

    • B. 

      Infuse pentamidine (Pentam-300) 300 mg IV over 60 minutes.

    • C. 

      Have the patient “swish and swallow” nystatin (Mycostatin) 5 mL.

    • D. 

      Apply acyclovir (Zovirax) cream to oral herpes simplex lesions.

  • 21. 
    A client with AIDS develops bacterial pneumonia is admitted in the emergency department. The client’s arterial blood gases is drawn and the result is PaO2 80mmHg. then arterial blood gases are drawn again and the level is reduced from 80 mmHg to 65 mmHg. The nurse should;   
    • A. 

      Have arterial blood gases performed again to check for accuracy.

    • B. 

      Increase the oxygen flow rate.

    • C. 

      Notify the physician.

    • D. 

      Decrease the tension of oxygen in the plasma.

  • 22. 
    Which of the following community-acquired pneumonias demonstrates the highest occurrence during summer and fall? 
    • A. 

      Legionnaires’ disease

    • B. 

      Streptococcal (pneumococcal) pneumonia

    • C. 

      Mycoplasma pneumonia

    • D. 

      Viral pneumonia

  • 23. 
    Which of the following would be an appropriate nursing diagnosis for a hospitalized client with bacterial pneumonia and shortness of breath? 
    • A. 

      Ineffective cardiopulmonary tissue perfusion related to myocardial damage

    • B. 

      Risk for self-care deficit related to fatigue

    • C. 

      Deficient fluid volume related to nausea and vomiting

    • D. 

      Disturbed thought processes related to inadequate relief of chest pain

  • 24. 
    The priority is postoperative respiratory toilet. This client will quickly develop profound atelectasis and eventually pneumonia without adequate gas exchange. This will only be achieved with the appropriate pain management. 
    • A. 

      Pallor

    • B. 

      Increased temperature

    • C. 

      Dyspnea

    • D. 

      Involuntary muscle spasms

  • 25. 
      A client with pneumacystis carini pneumonia is receiving trimetrexate. The rationale for administering leucovorin calcium to a client receiving Methotrexate is to: 
    • A. 

      Treat anemia.

    • B. 

      Create a synergistic effect.

    • C. 

      Increase the number of white blood cells.

    • D. 

      Reverse drug toxicity.

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