Pneumonia NCLEX UPDATED SCRIPT 2026
PRACTICE SOLUTIONS 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.. 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.
C) It would clear up the density in the bases of the client's lungs.
D) It would decrease the client's pain on inspiration.. Answer: B) It
would help decrease the bronchospasm.
● pneumonia may present differently in the older adult than in the
younger adult?
A) Crackles on auscultation
B) Fever
C) Headache
D) Wheezing. Answer: B) Fever
● Which pt is at higher risk for developing pneumonia?
A. any hospitalized pt between 19 - 64 y.o.
B. 36 y.o. trauma pt on mechanical ventilator
C. disabled 51 y.o. with abdominal pain, d/c home
, D. Any pt who has not received the pneumonia vaccine. Answer: B
36 y.o. trauma pt on mechanical ventilator
● Which statement best describes pneumonia?
A. an infection of just the windpipe because the lungs are clear of any
problems
B. a serious inflammation, caused by various things, of the bronchioles
C. only an infection of the lungs with mild to severe effects on breathing
D. an inflammation resulting from damage to the lungs due to long-term
smoking. Answer: B
a serious inflammation, caused by various things, of the bronchioles
● A pt is seen in the HCP office and dx with community-acquired
pneumonia. The nurse knows the most common symptoms that this pt
may have is
A. dyspnea
B. abdominal pain
C. back pain
D. hypoxemia
E. chest discomfort
F. a smoker. Answer: A, D, E
dyspnea
PRACTICE SOLUTIONS 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.. 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.
C) It would clear up the density in the bases of the client's lungs.
D) It would decrease the client's pain on inspiration.. Answer: B) It
would help decrease the bronchospasm.
● pneumonia may present differently in the older adult than in the
younger adult?
A) Crackles on auscultation
B) Fever
C) Headache
D) Wheezing. Answer: B) Fever
● Which pt is at higher risk for developing pneumonia?
A. any hospitalized pt between 19 - 64 y.o.
B. 36 y.o. trauma pt on mechanical ventilator
C. disabled 51 y.o. with abdominal pain, d/c home
, D. Any pt who has not received the pneumonia vaccine. Answer: B
36 y.o. trauma pt on mechanical ventilator
● Which statement best describes pneumonia?
A. an infection of just the windpipe because the lungs are clear of any
problems
B. a serious inflammation, caused by various things, of the bronchioles
C. only an infection of the lungs with mild to severe effects on breathing
D. an inflammation resulting from damage to the lungs due to long-term
smoking. Answer: B
a serious inflammation, caused by various things, of the bronchioles
● A pt is seen in the HCP office and dx with community-acquired
pneumonia. The nurse knows the most common symptoms that this pt
may have is
A. dyspnea
B. abdominal pain
C. back pain
D. hypoxemia
E. chest discomfort
F. a smoker. Answer: A, D, E
dyspnea
