NCLEX Exam Pneumonia & Tuberculosis
Questions and Answers 100% Solved
Clients with chronic illnesses are more likely to get pneumonia when which
of the following situations is present?
A. Dehydration
B. Group living
C. Malnutrition
D. Severe periodontal disease - ✔✔B. Group living
Clients with chronic illnesses generally have poor immune systems.
Residing in group living situations increases the chances of disease
transmission.
Which of the following pathophysiological mechanisms that occurs in the
lung parenchyma allows pneumonia to develop?
A. Atelectasis
B. Bronchiectasis
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,C. Effusion
D. Inflammation - ✔✔D. Inflammation
The common feature of all type of pneumonia is an inflammatory
pulmonary response to the offending organism or agent.
Atelectasis & bronchiectasis indicate a collapse of a portion of the airway
that doesn't occur in pneumonia.
An effusion is an accumulation of excess pleural fluid in the pleural space,
which may be a secondary response to pneumonia.
Which of the following organisms most commonly causes community
acquired pneumonia in adults?
A. Haemiphilus influenzae
B. Klebsiella pnuemoniae
C. Streptococcus pneumoniae
D. Staphylococcus aureus - ✔✔C. Steptococcus pneumoniae
Pneumococcal or streptococcal pneumonia, caused by steptococcus
pneumoniae, is the most common cause of community-acquired
pneumonia.
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©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
, Staphylococcus aureus is the most common cause of hospital-aquired
pneumonia.
An elderly client client with pneumonia may appear with which of the
following symptoms first?
A. Altered mental status & dehydration
B. Fever & chills
C. Hemoptysis (coughing up blood) & dyspnea
D. Pleuritic chest pain & cough - ✔✔A. Altered mental status & dehydration
Fever, chills, hemoptysis, dyspnea, cough, & pleuritic chest pain are
common symptoms of pneumonia but elderly clients may first appear with
only an altered mental status & dehydration due to a blunted immune
response.
When auscultating the chest of a client with pneumonia, the nurse would
expect to hear which of the following sounds over the areas of
consolidation?
A. Bronchial
3
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
Questions and Answers 100% Solved
Clients with chronic illnesses are more likely to get pneumonia when which
of the following situations is present?
A. Dehydration
B. Group living
C. Malnutrition
D. Severe periodontal disease - ✔✔B. Group living
Clients with chronic illnesses generally have poor immune systems.
Residing in group living situations increases the chances of disease
transmission.
Which of the following pathophysiological mechanisms that occurs in the
lung parenchyma allows pneumonia to develop?
A. Atelectasis
B. Bronchiectasis
1
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
,C. Effusion
D. Inflammation - ✔✔D. Inflammation
The common feature of all type of pneumonia is an inflammatory
pulmonary response to the offending organism or agent.
Atelectasis & bronchiectasis indicate a collapse of a portion of the airway
that doesn't occur in pneumonia.
An effusion is an accumulation of excess pleural fluid in the pleural space,
which may be a secondary response to pneumonia.
Which of the following organisms most commonly causes community
acquired pneumonia in adults?
A. Haemiphilus influenzae
B. Klebsiella pnuemoniae
C. Streptococcus pneumoniae
D. Staphylococcus aureus - ✔✔C. Steptococcus pneumoniae
Pneumococcal or streptococcal pneumonia, caused by steptococcus
pneumoniae, is the most common cause of community-acquired
pneumonia.
2
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
, Staphylococcus aureus is the most common cause of hospital-aquired
pneumonia.
An elderly client client with pneumonia may appear with which of the
following symptoms first?
A. Altered mental status & dehydration
B. Fever & chills
C. Hemoptysis (coughing up blood) & dyspnea
D. Pleuritic chest pain & cough - ✔✔A. Altered mental status & dehydration
Fever, chills, hemoptysis, dyspnea, cough, & pleuritic chest pain are
common symptoms of pneumonia but elderly clients may first appear with
only an altered mental status & dehydration due to a blunted immune
response.
When auscultating the chest of a client with pneumonia, the nurse would
expect to hear which of the following sounds over the areas of
consolidation?
A. Bronchial
3
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
