HESI CASE STUDY - COPD with Pneumonia (2025 Update) with
100% Correct Answers
Which assessment is most important for the
nurse to complete next? - ANSWER - -Wait at least 1 min between each puff of the
Auscultate breath sounds same medication
Which assessment finding supports Mr. Which instruction should the nurse provide Mr.
Johnson's diagnosis of pneumonia? - Johnson for an acute episode of asthma? -
ANSWER -Pulse rate of 110 ANSWER -Use the albuterol inhaler for
acute asthma attacks
Based on these ABG results, which acid base
imabalance is Mr. Johnson experiencing? - After checking the sensor site to make sure the
ANSWER -Respiratory acidosis readings are accurate, the nurse should then
initiate which intervention? - ANSWER -
Assess the client's respiratory rate and rhythm
Which nursing diagnosis has the highest priority
when planning care for Mr. Johnson? -
ANSWER -Ineffective airway clearance Which action should the nurse implement to
ensure accurate oxygen saturation readings via a
pulse oximeter? - ANSWER -Assess
Which nursing action should be implemented adequacy of circulation prior to applying the
before administering the prescribed Unasyn? - sensor
ANSWER -Obtain a sputum culture
What is the best statement for the nurse to use to
The levofloxacin 500 mg IVPB is supplied in promote effective communication with Mr.
100mL of D5W to be delivered over 60min. Johnson? - ANSWER -You seem pretty
There is no IV pump available so the nurse will upset this morning
infuse the antibiotic by gravity. The drop factor on
the tubing is 20 gtts/mL. The nurse should set
the IVPB to infuse at how many gtts per min? - What is the nurse's best response? -
ANSWER -33 ANSWER -Remain silent
Which assessment is most important for the What is the BEST nursing action? -
nurse to perform while Mr. Johnson is receiving ANSWER -Instruct the UAP involved
Ventolin? - ANSWER -Monitor pulse and regarding the inappropriate removal of the nasal
BP cannula
After observing Mr. Johnson, which instruction by Which 1 of these rights was violated in that
the nurse is most important for client teaching? situation - ANSWER -Right
(SATA) - ANSWER --Wait at least 5 Direction/Communication
minutes between each medication
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100% Correct Answers
Which assessment is most important for the
nurse to complete next? - ANSWER - -Wait at least 1 min between each puff of the
Auscultate breath sounds same medication
Which assessment finding supports Mr. Which instruction should the nurse provide Mr.
Johnson's diagnosis of pneumonia? - Johnson for an acute episode of asthma? -
ANSWER -Pulse rate of 110 ANSWER -Use the albuterol inhaler for
acute asthma attacks
Based on these ABG results, which acid base
imabalance is Mr. Johnson experiencing? - After checking the sensor site to make sure the
ANSWER -Respiratory acidosis readings are accurate, the nurse should then
initiate which intervention? - ANSWER -
Assess the client's respiratory rate and rhythm
Which nursing diagnosis has the highest priority
when planning care for Mr. Johnson? -
ANSWER -Ineffective airway clearance Which action should the nurse implement to
ensure accurate oxygen saturation readings via a
pulse oximeter? - ANSWER -Assess
Which nursing action should be implemented adequacy of circulation prior to applying the
before administering the prescribed Unasyn? - sensor
ANSWER -Obtain a sputum culture
What is the best statement for the nurse to use to
The levofloxacin 500 mg IVPB is supplied in promote effective communication with Mr.
100mL of D5W to be delivered over 60min. Johnson? - ANSWER -You seem pretty
There is no IV pump available so the nurse will upset this morning
infuse the antibiotic by gravity. The drop factor on
the tubing is 20 gtts/mL. The nurse should set
the IVPB to infuse at how many gtts per min? - What is the nurse's best response? -
ANSWER -33 ANSWER -Remain silent
Which assessment is most important for the What is the BEST nursing action? -
nurse to perform while Mr. Johnson is receiving ANSWER -Instruct the UAP involved
Ventolin? - ANSWER -Monitor pulse and regarding the inappropriate removal of the nasal
BP cannula
After observing Mr. Johnson, which instruction by Which 1 of these rights was violated in that
the nurse is most important for client teaching? situation - ANSWER -Right
(SATA) - ANSWER --Wait at least 5 Direction/Communication
minutes between each medication
1/2
