HESI Case Study: COPD with
Pneumonia Exam Questions and
Answers 100% Pass
The physical examination reveals the following:
Vital signs: temperature 101.6° F (38.6° C), heart rate 110 beats/minute,
respirations 32 breaths/minute, blood pressure 132/78 mmHg.
Respirations shallow and labored, with use of respiratory accessory muscles.
Increased anteroposterior (AP) diameter of the chest.
Skin dry and warm to touch, with inelastic skin turgor, and fingernail clubbing
present.
1.Which assessment is most important for the nurse to complete next? -
ANSWER-Auscultate breath sounds.
2. With a diagnosis of pneumonia, which assessment finding warrants immediate
intervention by the nurse? - ANSWER-Oxygen saturation 90%.
pH 7.25 7.35 to 7.45 7.35 to 7.45
pCO2 58 35 to 45 mmHg 35 to 45 mmHg
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, HCO3 26 21 to 28 mEq/L 21 to 28 mmol/L
pO2 87 80 to 100 mmHg 80 to 100 mmHg
3. The ABG results indicate that the client is experiencing which acid-base
imbalance? - ANSWER-Respiratory acidosis.
4. Which nursing problem has the highest priority when the nurse is planning care
for the client? - ANSWER-Ineffective airway clearance.
5. Which assessment finding warrants immediate intervention by the nurse? -
ANSWER-Kussmal respirations.
6. Which nursing action should be implemented before the prescribed levofloxacin
is administered? - ANSWER-Obtain a sputum culture with sensitivity.
7. The levofloxacin 500 mg IVPB is supplied in 100 mL of 5% dextrose to be
delivered over 60 minutes. There is no IV pump available, so the nurse will 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? (Enter numerical value
only. If rounding is necessary, round to the whole number.) - ANSWER-33
8. While the client is undergoing nebulizer treatments with albuterol, which
assessment is it most important for the nurse to perform? - ANSWER-Monitor
pulse and blood pressure.
The nurse observes the client using the MDI. Using a spacer, the client takes 2
puffs of albuterol, followed one minute later by 2 puffs of beclomethasone.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
Pneumonia Exam Questions and
Answers 100% Pass
The physical examination reveals the following:
Vital signs: temperature 101.6° F (38.6° C), heart rate 110 beats/minute,
respirations 32 breaths/minute, blood pressure 132/78 mmHg.
Respirations shallow and labored, with use of respiratory accessory muscles.
Increased anteroposterior (AP) diameter of the chest.
Skin dry and warm to touch, with inelastic skin turgor, and fingernail clubbing
present.
1.Which assessment is most important for the nurse to complete next? -
ANSWER-Auscultate breath sounds.
2. With a diagnosis of pneumonia, which assessment finding warrants immediate
intervention by the nurse? - ANSWER-Oxygen saturation 90%.
pH 7.25 7.35 to 7.45 7.35 to 7.45
pCO2 58 35 to 45 mmHg 35 to 45 mmHg
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
, HCO3 26 21 to 28 mEq/L 21 to 28 mmol/L
pO2 87 80 to 100 mmHg 80 to 100 mmHg
3. The ABG results indicate that the client is experiencing which acid-base
imbalance? - ANSWER-Respiratory acidosis.
4. Which nursing problem has the highest priority when the nurse is planning care
for the client? - ANSWER-Ineffective airway clearance.
5. Which assessment finding warrants immediate intervention by the nurse? -
ANSWER-Kussmal respirations.
6. Which nursing action should be implemented before the prescribed levofloxacin
is administered? - ANSWER-Obtain a sputum culture with sensitivity.
7. The levofloxacin 500 mg IVPB is supplied in 100 mL of 5% dextrose to be
delivered over 60 minutes. There is no IV pump available, so the nurse will 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? (Enter numerical value
only. If rounding is necessary, round to the whole number.) - ANSWER-33
8. While the client is undergoing nebulizer treatments with albuterol, which
assessment is it most important for the nurse to perform? - ANSWER-Monitor
pulse and blood pressure.
The nurse observes the client using the MDI. Using a spacer, the client takes 2
puffs of albuterol, followed one minute later by 2 puffs of beclomethasone.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
