2026 TRUSTED ANSWERS READY
◍ The nurse is caring for a patient with a nonmassive pulmonary
embolism (PE). What is the best standard for treatment?
Warfarin
Alteplase
Enoxaparin
Tissue plasminogen activator. Answer: Enoxaparin
◍ The nurse cares for a patient with tuberculosis who is taking
isoniazid and rifampin. About which data found in the patient's health
history is the nurse most concerned?
Hepatitis B
Asthma attacks
Rheumatic fever
Allergy to penicillin. Answer: Hepatitis B
◍ A patient has just been admitted to the intensive care unit with a
suspected diagnosis of pulmonary embolism (PE). The patient's
condition is stable. The nurse will prepare for which intervention?
Oral administration of warfarin
Thrombolytic therapy with alteplase
Subcutaneous administration of enoxaparin
,Intravenous administration of unfractionated heparin. Answer:
Subcutaneous administration of enoxaparin
◍ The nurse evaluates that discharge teaching for a patient
hospitalized with pneumonia has been effective when the patient
makes which statement?
"I will seek immediate medical treatment for any upper respiratory
infections."
"I should continue to do deep-breathing and coughing exercises for at
least 12 weeks."
"I will increase my food intake to 2400 calories a day to keep my
immune system well."
"I must have a follow-up chest x-ray in six to eight weeks to evaluate
the pneumonia's resolution.". Answer: "I must have a follow-up chest
x-ray in six to eight weeks to evaluate the pneumonia's resolution."
◍ Which physical assessment finding in a patient with a lower
respiratory problem best supports the nursing diagnosis of ineffective
airway clearance?
Basilar crackles
Respiratory rate of 28
Oxygen saturation of 85%
Presence of greenish sputum. Answer: Basilar crackles
◍ A 72-year-old patient is in the emergency department with a
temperature of 101.4° F and a productive cough with rust-colored
,sputum. The nurse notifies the health care provider, understanding
these findings are indicative of which condition?
Tuberculosis
Pneumonia
Pulmonary embolus
Chronic heart failure (CHF). Answer: Pneumonia
◍ Which clinical manifestation should the nurse expect to find during
assessment of a patient admitted with pneumonia?
Hyperresonance on percussion
Vesicular breath sounds in all lobes
Increased vocal fremitus on palpation
Fine crackles in all lobes on auscultation. Answer: Increased vocal
fremitus on palpation
◍ A patient reports shortness of breath one day after a
cholecystectomy. On examination there is dullness on percussion on
the right side of the chest, and breath sounds are also decreased in this
region. The nurse recognizes that the most probable reason for the
assessment findings is what?
Atelectasis
Pneumonia
Pneumothorax
Tension pneumothorax. Answer: Atelectasis
, ◍ When planning care for a patient with pneumonia, the nurse
recognizes which intervention as the highest priority?
Administering analgesics as needed for pain
Keeping the patient in a calm and quiet environment
Routinely checking vital signs and oxygen saturation
Increasing fluids to 2 to 3 L/day unless contraindicated. Answer:
Increasing fluids to 2 to 3 L/day unless contraindicated
◍ Complications of pneumonia occur more frequently in older
patients. The nurse knows that potential complications include which
of these? Select all that apply.
Sepsis
Pleurisy
Bronchitis
Encephalitis
Pleural effusion
Congestive heart disease. Answer: Sepsis
Pleurisy
Pleural effusion
◍ The nurse is monitoring a patient who has pneumonia with thick
secretions. The patient is having difficulty clearing the secretions.
Which of these would be appropriate nursing interventions for this
patient? Select all that apply.
Perform postural drainage every hour.