PNEUMONIA NCLEX PRACTICE QUESTIONS MED
SURG I AND ANSWERS 2024 VERSION VERIFIED
RATIONALE GRADED A+
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. - ansB) Draw aerobic and anaerobic blood cultures.
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. What do these values indicate?
A. Metabolic acidosis
B. Respiratory alkalosis
C. Metabolic alkalosis
D. Respiratory acidosis - ansD
Respiratory Acidosis
A critical concern for a post op pt returning to the floor is r/t impaired oxygenation caused by inadequate
ventilation. The ABG and assessment finding that alerts the nurse to use oxygen and the ICS is
A. PaO2 is 90mm Hg with crackles
B. PaO2 is 45mm Hg with atelectasis
C. PaO2 is 90mm Hg with wheezing
D. PaO2 is 38mm Hg with clear lung sounds - ansA
PaO2 is 90mm Hg with crackles
, PNEUMONIA NCLEX PRACTICE QUESTIONS MED
SURG I AND ANSWERS 2024 VERSION VERIFIED
RATIONALE GRADED A+
A nurse evaluates the blood theophylline level of a client receiving aminophylline (theophylline) by
intravenous infusion. The nurse would determine that a therapeutic blood level exists if which of the
following were noted in the laboratory report?
A. 5 mcg/mL
B. 15 mcg/mL
C. 25 mcg/mL
D. 30 mcg/mL - ansB
The therapeutic theophylline blood level range from 10-20 mcg/mL.
A nurse is auscultating the lower lung fields of a pneumonia pt. She hears coarse crackles and ids the
problem as impaired oxygenation. She knows the underlying physiologic condition associated with pt
condition is
A. hypoxemia
B. hyperemia
C. hypocapnia
D. hypercapnia - ansA
hypoxemia
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.
SURG I AND ANSWERS 2024 VERSION VERIFIED
RATIONALE GRADED A+
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. - ansB) Draw aerobic and anaerobic blood cultures.
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. What do these values indicate?
A. Metabolic acidosis
B. Respiratory alkalosis
C. Metabolic alkalosis
D. Respiratory acidosis - ansD
Respiratory Acidosis
A critical concern for a post op pt returning to the floor is r/t impaired oxygenation caused by inadequate
ventilation. The ABG and assessment finding that alerts the nurse to use oxygen and the ICS is
A. PaO2 is 90mm Hg with crackles
B. PaO2 is 45mm Hg with atelectasis
C. PaO2 is 90mm Hg with wheezing
D. PaO2 is 38mm Hg with clear lung sounds - ansA
PaO2 is 90mm Hg with crackles
, PNEUMONIA NCLEX PRACTICE QUESTIONS MED
SURG I AND ANSWERS 2024 VERSION VERIFIED
RATIONALE GRADED A+
A nurse evaluates the blood theophylline level of a client receiving aminophylline (theophylline) by
intravenous infusion. The nurse would determine that a therapeutic blood level exists if which of the
following were noted in the laboratory report?
A. 5 mcg/mL
B. 15 mcg/mL
C. 25 mcg/mL
D. 30 mcg/mL - ansB
The therapeutic theophylline blood level range from 10-20 mcg/mL.
A nurse is auscultating the lower lung fields of a pneumonia pt. She hears coarse crackles and ids the
problem as impaired oxygenation. She knows the underlying physiologic condition associated with pt
condition is
A. hypoxemia
B. hyperemia
C. hypocapnia
D. hypercapnia - ansA
hypoxemia
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.
