NCLEX NURSING STUDY GUIDE 2026/2027
After assessment of a patient with pneumonia, the nurse identifies a nursing diagnosis of
ineffective airway clearance. Which assessment data best supports this diagnosis?
a. Weak cough effort
b. Profuse green sputum
c. Respiratory rate of 28 breaths/minute
d. Resting pulse oximetry (SpO2) of 85% - correct answer ✔✔A. Weak cough effort
The nurse plans to teach a patient how to manage allergic rhinitis. Which information should
the nurse include in the teaching plan?
a. Using oral antihistamines for 2 weeks before the allergy season may prevent reactions.
b. Identifying and avoiding environmental triggers are the best way to prevent symptoms.
c. Frequent hand washing is the primary way to prevent spreading the condition to others.
d. Corticosteroid nasal sprays will reduce inflammation, but systemic effects limit their use. -
correct answer ✔✔b. Identifying and avoiding environmental triggers are the best way to
prevent symptoms.
The nurse prepares a patient with a left-sided pleural effusion for a thoracentesis. How should
the nurse position the patient?
a. High-Fowler's position with the left arm extended.
b. Supine with the head of the bed elevated 30 degrees.
c. On the Right side with the left arm extended above the head.
,d. Sitting upright with the arms supported on an over bed table. - correct answer ✔✔d. Sitting
upright with the arms supported on an over bed table.
A patient with acute shortness of breath is admitted to the hospital. Which action should the
nurse take during the initial assessment of the patient?
a. Complete the admission database to check for allergies before treatment.
b. Delay the physical assessment to first complete pulmonary function tests.
c. Briefly ask specific questions about this episode of respiratory distress.
d. Ask the patient to lie down to complete a full physical assessment. - correct answer ✔✔c.
Briefly ask specific questions about this episode of respiratory distress.
The nurse teaches a patient about discharge instructions after a rhinoplasty. Which statement, if
made by the patient, indicates that the teaching was successful?
a. "My nose will look normal after 24 to 48 hours."
b. "I can take 800 mg ibuprofen every 6 hours for pain."
c. "I will remove and reapply the nasal packing every day."
d. " I will elevate my head for 48 hours to minimize swelling." - correct answer ✔✔d. " I will
elevate my head for 48 hours to minimize swelling."
The nurse assesses the chest of a patient with pneumococcal pneumonia. Which finding would
the nurse expect?
a. Increased tactile fremitus
b. Dry, nonproductive cough
c. Hyperresonance to percussion
d. A grating sound on auscultation - correct answer ✔✔a. Increased tactile fremitus
, A 56-year-old normally healthy patient at the clinic is diagnosed with bacterial community-
acquired pneumonia. Before treatment is prescribed, the nurse asks the patient about an
allergy to?
a. amoxicillin
b. erythromycin
c. sulfonamides
d. Cephalosporins - correct answer ✔✔b. erythromycin
A patient with bacterial pneumonia has coarse crackles and thick sputum. Which action should
the nurse plan to promote airway clearance?
a. Restrict oral fluids during the day
b. Teach pursed-lip breathing technique
c. Assist the patient to splint the chest when coughing
d. encourage the patient to wear the nasal O2 cannula - correct answer ✔✔c. Assist the patient
to splint the chest when coughing
The nurse is caring for a patient with pneumonia. If a pleural effusion is developing, the nurse
would expect which finding?
a. Barrel-shaped chest
b. Paradoxical respirations
c. Hyperresonance on percussion
d. Localized decreased breath sounds - correct answer ✔✔d. Localized decreased breath sounds