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Pneumonia, Hypertension & Flu

Total questions: 15

Worksheet time: 11mins

Name
Class
Date
1.

A patient with pneumonia has increasing dyspnea and low SpO2. Which initial nursing action is most appropriate?

a)

Encourage vigorous exercise immediately

b)

Hold all antihypertensive medications

c)

Administer supplemental oxygen per orders

d)

Increase fluid restriction immediately

2.

Which lifestyle modification best reduces risk of developing hypertension?

a)

Regular aerobic activity weekly

b)

High sodium dietary choices daily

c)

Increase sedentary screen time

d)

Avoid all vaccinations entirely

3.

Which nursing assessment is essential for evaluating oxygenation in respiratory illness?

a)

Peripheral pulses regular rhythm

b)

Capillary refill under two seconds

c)

Abdominal girth measured weekly

d)

Oxygen saturation via pulse oximetry

4.

Which infection control measure helps limit influenza spread in clinical settings?

SELECT ALL THAT APPLY

a)

Airborne precautions

b)

Contact isolation

c)

Protective Precautions

d)

Droplet precautions

5.

Which finding in a hypertensive patient requires prompt reporting to the provider?

a)

SpO2 98% on room air

b)

Pulse 72 and regular rhythm

c)

BP 182/110 with headache

d)

Respirations 16 unlabored

6.

For pneumonia risk reduction in frail adults, which strategy is most appropriate?

a)

Strict bed rest for all patients

b)

High-sodium diet and weight gain

c)

Routine antihistamine for prevention

d)

Smoking cessation and vaccination

7.

Which combination of assessments monitors complications in respiratory infections?

a)

Capillary refill and skin turgor

b)

Abdominal sounds and bowel output

c)

Oxygen saturation and respiratory rate

d)

Blood pressure and heart sounds

8.

A patient with pneumonia receives albuterol. What is the primary purpose of this medication in this context?

a)

Diuresis to lower fluid overload

b)

Sedation to reduce anxiety

c)

Bronchodilation to improve airflow

d)

Anticoagulation to prevent clots

9.

Which finding most specifically suggests development of ARDS in a patient being treated for pneumonia?

a)

Hypoxemia despite oxygen therapy

b)

Blood pressure rises with fluids

c)

Fever resolves with antibiotics

d)

Productive cough increases sputum

10.

A patient presents 36 hours after sudden onset of fever and myalgia. Which action regarding oseltamivir will best improve outcomes?

a)

Delay therapy until BMP results

b)

Start oseltamivir immediately at this visit

c)

Begin oseltamivir after three full days

d)

Use antibiotics instead of antivirals

11.

During orthostatic assessment, which finding indicates a positive result?

a)

No change after one to three minutes waiting

b)

Heart rate decrease by ten to twenty percent

c)

Diastolic rise of ten millimeters mercury

d)

Systolic drop of twenty millimeters mercury

12.
  1. A 42 year-old male came to the primary care with chest pain and cough. What type of pneumonia does he have?

a)

CAP

b)

HAP

c)

VAP

13.

The nurse is speaking about the DASH diet with a group of patients who have hypertension. Which food groups are emphasized in the DASH diet?

Select all that apply

a)

vegetables

b)

fruits

c)

nuts and seeds

d)

whole milk

14.

Which of the following are hyperinflation techniques to help prevent atelectasis? Select all that apply:

a)

Chest physiotherapy

b)

Incentive Spirometry 

c)

Deep breathing

d)

CPAP or BIPAP

15.

What patient do you need to see first?

a)

Pneumonia

  • O₂ sat 89% on 2 L NC

  • RR 28, coarse crackles

b)

Hypertension

  • BP 182/104

  • Headache, blurred vision

c)

Influenza

  • Temp 102.6°F

  • HR 118, dry cough

d)

Hypertension

  • BP 150/90

  • Requesting pain medication