PNEUMONIA NCLEX PRACTICE
QUESTIONS MED SURG I /
STUDY GUIDE EXAM NEWEST
ACTUAL QUESTIONS AND
ANSWERS (A+ GUIDE
SOLUTION)
A nurse is caring for an 89-year-old client admitted with pneumonia. He has
an IV of normal saline running at 100 mL/hr and antibiotics that were
initiated in the emergency department 3 hours ago. He has oxygen at 2
,liters/nasal cannula. What assessment finding by the nurse indicates that
goals for a priority diagnosis have been met for this client?
A) The client is alert and oriented to person, place, and time.
B) Blood pressure is within normal limits and client's baseline.
C) Skin behind the ears demonstrates no redness or irritation.
D) Urine output has been >30 mL/hr per Foley catheter - 🧠 ANSWER ✔✔A)
The client is alert and oriented to person, place, and time.
A client with pneumonia caused by aspiration after alcohol intoxication has
just been admitted. The client is febrile and agitated. Which health care
provider order should the nurse implement first?
A) Administer levofloxacin (Levaquin) 500 mg IV.
B) Draw aerobic and anaerobic blood cultures.
C) Give lorazepam (Ativan) as needed for agitation.
D) Refer to social worker for alcohol counseling. - 🧠 ANSWER ✔✔B) Draw
aerobic and anaerobic blood cultures.
, An older adult resident in a long-term-care facility becomes confused and
agitated, telling the nurse, "Get out of here! You're going to kill me!" Which
action will the nurse take first?
A) Check the resident's oxygen saturation.
B) Do a complete neurologic assessment.
C) Give the prescribed PRN lorazepam (Ativan).
D) Notify the resident's primary care provider. - 🧠 ANSWER ✔✔A) Check
the resident's oxygen saturation.
An older client presents to the emergency department with a 2-day history
of cough, pain on inspiration, shortness of breath, and dyspnea. The client
never had a pneumococcal vaccine. The client's chest x-ray shows density
in both bases. The client has wheezing upon auscultation of both lungs.
Would a bronchodilator be beneficial for this client?
A) It would not be beneficial for this client.
B) It would help decrease the bronchospasm.
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
QUESTIONS MED SURG I /
STUDY GUIDE EXAM NEWEST
ACTUAL QUESTIONS AND
ANSWERS (A+ GUIDE
SOLUTION)
A nurse is caring for an 89-year-old client admitted with pneumonia. He has
an IV of normal saline running at 100 mL/hr and antibiotics that were
initiated in the emergency department 3 hours ago. He has oxygen at 2
,liters/nasal cannula. What assessment finding by the nurse indicates that
goals for a priority diagnosis have been met for this client?
A) The client is alert and oriented to person, place, and time.
B) Blood pressure is within normal limits and client's baseline.
C) Skin behind the ears demonstrates no redness or irritation.
D) Urine output has been >30 mL/hr per Foley catheter - 🧠 ANSWER ✔✔A)
The client is alert and oriented to person, place, and time.
A client with pneumonia caused by aspiration after alcohol intoxication has
just been admitted. The client is febrile and agitated. Which health care
provider order should the nurse implement first?
A) Administer levofloxacin (Levaquin) 500 mg IV.
B) Draw aerobic and anaerobic blood cultures.
C) Give lorazepam (Ativan) as needed for agitation.
D) Refer to social worker for alcohol counseling. - 🧠 ANSWER ✔✔B) Draw
aerobic and anaerobic blood cultures.
, An older adult resident in a long-term-care facility becomes confused and
agitated, telling the nurse, "Get out of here! You're going to kill me!" Which
action will the nurse take first?
A) Check the resident's oxygen saturation.
B) Do a complete neurologic assessment.
C) Give the prescribed PRN lorazepam (Ativan).
D) Notify the resident's primary care provider. - 🧠 ANSWER ✔✔A) Check
the resident's oxygen saturation.
An older client presents to the emergency department with a 2-day history
of cough, pain on inspiration, shortness of breath, and dyspnea. The client
never had a pneumococcal vaccine. The client's chest x-ray shows density
in both bases. The client has wheezing upon auscultation of both lungs.
Would a bronchodilator be beneficial for this client?
A) It would not be beneficial for this client.
B) It would help decrease the bronchospasm.
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
