HESI Case Study: COPD with
Pneumonia Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
Which assessment finding is most concerning in a client with COPD and pneumonia?
A. Productive cough with yellow sputum
✔✔B. Respiratory rate of 32 with accessory muscle use
C. Reports of fatigue and poor appetite
D. SpO₂ of 91% on room air
Which intervention should the nurse implement first for a COPD client with pneumonia who is
short of breath?
A. Encourage fluid intake
✔✔B. Elevate the head of the bed
C. Provide high-calorie snacks
D. Offer emotional reassurance
Which dietary recommendation is best for a client with COPD and pneumonia?
1
,A. Restrict protein to reduce respiratory workload
B. Choose large, heavy meals to conserve energy
✔✔C. Eat small, frequent, high-calorie meals
D. Avoid all dairy products completely
Which oxygen delivery system is most appropriate for a client with COPD and pneumonia
requiring 2 L/min oxygen?
✔✔A. Nasal cannula
B. Simple face mask
C. Non-rebreather mask
D. Venturi mask at 50%
Which client statement indicates correct understanding about energy conservation with COPD
and pneumonia?
A. “I should exercise after meals to build strength.”
✔✔B. “I will sit while performing daily hygiene tasks.”
C. “I should cook all meals at once to save energy.”
D. “I will avoid resting between activities.”
2
,Which nursing diagnosis has the highest priority for COPD with pneumonia?
A. Risk for falls
✔✔B. Impaired gas exchange
C. Risk for constipation
D. Disturbed sleep pattern
Which laboratory result should the nurse report immediately in a COPD client with pneumonia?
✔✔A. PaCO₂ of 68 mm Hg
B. WBC of 11,500/mm³
C. Hematocrit of 47%
D. BUN of 18 mg/dL
Which breathing technique should the nurse reinforce for COPD with pneumonia?
A. Diaphragmatic breathing only during exercise
✔✔B. Pursed-lip breathing during dyspnea episodes
C. Rapid shallow breathing for shortness of breath
D. Holding the breath after inhaling
3
, Which finding indicates improvement in a client with COPD and pneumonia after antibiotics?
A. Increased fatigue
B. Persistent fever
✔✔C. Decreased purulent sputum
D. Elevated respiratory rate
Which action is most important when administering IV antibiotics to a client with COPD and
pneumonia?
A. Infuse antibiotics as rapidly as possible
✔✔B. Check allergies before initiating therapy
C. Give on an empty stomach for best absorption
D. Delay doses if client is sleeping
Which position best facilitates lung expansion in COPD with pneumonia?
A. Supine with arms at side
✔✔B. Sitting upright leaning slightly forward
C. Prone with pillow under chest
4
Pneumonia Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
Which assessment finding is most concerning in a client with COPD and pneumonia?
A. Productive cough with yellow sputum
✔✔B. Respiratory rate of 32 with accessory muscle use
C. Reports of fatigue and poor appetite
D. SpO₂ of 91% on room air
Which intervention should the nurse implement first for a COPD client with pneumonia who is
short of breath?
A. Encourage fluid intake
✔✔B. Elevate the head of the bed
C. Provide high-calorie snacks
D. Offer emotional reassurance
Which dietary recommendation is best for a client with COPD and pneumonia?
1
,A. Restrict protein to reduce respiratory workload
B. Choose large, heavy meals to conserve energy
✔✔C. Eat small, frequent, high-calorie meals
D. Avoid all dairy products completely
Which oxygen delivery system is most appropriate for a client with COPD and pneumonia
requiring 2 L/min oxygen?
✔✔A. Nasal cannula
B. Simple face mask
C. Non-rebreather mask
D. Venturi mask at 50%
Which client statement indicates correct understanding about energy conservation with COPD
and pneumonia?
A. “I should exercise after meals to build strength.”
✔✔B. “I will sit while performing daily hygiene tasks.”
C. “I should cook all meals at once to save energy.”
D. “I will avoid resting between activities.”
2
,Which nursing diagnosis has the highest priority for COPD with pneumonia?
A. Risk for falls
✔✔B. Impaired gas exchange
C. Risk for constipation
D. Disturbed sleep pattern
Which laboratory result should the nurse report immediately in a COPD client with pneumonia?
✔✔A. PaCO₂ of 68 mm Hg
B. WBC of 11,500/mm³
C. Hematocrit of 47%
D. BUN of 18 mg/dL
Which breathing technique should the nurse reinforce for COPD with pneumonia?
A. Diaphragmatic breathing only during exercise
✔✔B. Pursed-lip breathing during dyspnea episodes
C. Rapid shallow breathing for shortness of breath
D. Holding the breath after inhaling
3
, Which finding indicates improvement in a client with COPD and pneumonia after antibiotics?
A. Increased fatigue
B. Persistent fever
✔✔C. Decreased purulent sputum
D. Elevated respiratory rate
Which action is most important when administering IV antibiotics to a client with COPD and
pneumonia?
A. Infuse antibiotics as rapidly as possible
✔✔B. Check allergies before initiating therapy
C. Give on an empty stomach for best absorption
D. Delay doses if client is sleeping
Which position best facilitates lung expansion in COPD with pneumonia?
A. Supine with arms at side
✔✔B. Sitting upright leaning slightly forward
C. Prone with pillow under chest
4
