{"id":2214,"date":"2024-04-03T20:18:00","date_gmt":"2024-04-03T20:18:00","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=2214"},"modified":"2026-03-20T13:50:43","modified_gmt":"2026-03-20T21:50:43","slug":"nclex-qotd-bacterial-pneumonia","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-bacterial-pneumonia","title":{"rendered":"NCLEX-RN\u00ae Question of the Day: Bacterial pneumonia"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-bacterial-pneumonia\/#The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_are%E2%80%A6\" >The correct answer to today&#8217;s NCLEX-RN\u00ae Question are&#8230;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-bacterial-pneumonia\/#A_Apply_supplemental_oxygen_via_nasal_cannula\" >A.&nbsp;Apply supplemental oxygen via nasal cannula&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-bacterial-pneumonia\/#Major_Takeaway\" >Major Takeaway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-bacterial-pneumonia\/#Incorrect_answer_explanations\" >Incorrect answer explanations<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-bacterial-pneumonia\/#B_Administer_the_patients_prescribed_metoprolol\" >B.&nbsp;Administer the patient\u2019s prescribed metoprolol<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-bacterial-pneumonia\/#C_Educate_the_patient_on_receiving_the_pneumococcal_polysaccharide_vaccine\" >C.&nbsp;Educate the patient on receiving the pneumococcal polysaccharide vaccine<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-bacterial-pneumonia\/#E_Administer_oral_acetaminophen_as_prescribed\" >E.&nbsp;Administer oral acetaminophen as prescribed<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><strong><em>Prepare for your NCLEX exam with this question of the day on bacterial pneumonia. Test your knowledge on oxygen saturation and the use of supplemental oxygen.<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The nurse is caring for a 70 year-old patient admitted to the hospital from a &nbsp;skilled nursing facility for treatment of bacterial pneumonia. Based upon the information in the electronic health record, which action should the nurse take&nbsp;first?<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td colspan=\"2\">Electronic Health Record (EHR)&nbsp;<\/td><\/tr><tr><td>Current Vital Signs&nbsp;<\/td><td>Temperature 101.5 \u2109 (38.6\u2103)&nbsp;Heart Rate 105\/min&nbsp;Respirations 26\/min&nbsp;&nbsp;Blood pressure 140\/85 mmHg&nbsp;Oxygen saturation 91% on room air&nbsp;&nbsp;<\/td><\/tr><tr><td>Respiratory Assessment&nbsp;&nbsp;<\/td><td>Coarse crackles to left lower lobe&nbsp;<\/td><\/tr><tr><td>Vaccination Status&nbsp;<\/td><td>Pneumococcal polysaccharide vaccine: Last dose 7 years ago&nbsp;<\/td><\/tr><tr><td>Pending Diagnostic Tests&nbsp;<\/td><td>Chest X-ray&nbsp;Complete blood count&nbsp;Electrolyte panel&nbsp;<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A.&nbsp;Apply supplemental oxygen via nasal cannula&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B.&nbsp;Administer the patient\u2019s prescribed metoprolol&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C.&nbsp;Educate the patient on receiving the pneumococcal polysaccharide vaccine<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D.&nbsp;Administer oral acetaminophen as prescribed&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Scroll down for the correct answers!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_are%E2%80%A6\"><\/span>The correct answer to today&#8217;s NCLEX-RN\u00ae Question are&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"A_Apply_supplemental_oxygen_via_nasal_cannula\"><\/span>A.&nbsp;Apply supplemental oxygen via nasal cannula&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>This is the priority action since the patient\u2019s oxygen saturation is below 95% on room air. In patients with pneumonia, there can be impaired gas exchange. According to the airway, breathing, circulation (ABC) model, problems with airway and breathing should be addressed first.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Major_Takeaway\"><\/span>Major Takeaway<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The nurse should use clinical judgment to take action related to pneumonia by implementing the solutions that address the highest priority. The nurse\u2019s priority action for a patient with pneumonia who is hypoxic is to apply &nbsp;supplemental oxygen to achieve an oxygen saturation of 95% or above. Patients with pneumonia are at risk for hypoxia because the airway and alveoli can fill with fluid and exudate resulting in poor gas exchange. &nbsp;According to the airway, breathing, circulation (ABC) model, problems with airway and breathing should be addressed first followed by other problems (e.g., fever, vaccination).&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_answer_explanations\"><\/span>Incorrect answer explanations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"B_Administer_the_patients_prescribed_metoprolol\"><\/span>B.&nbsp;Administer the patient\u2019s prescribed metoprolol<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong>&nbsp;While the patient\u2019s heart rate is elevated, it is likely due to the pneumonia infection. Another priority action should be taken first according to the airway, breathing, circulation (ABC) model.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"C_Educate_the_patient_on_receiving_the_pneumococcal_polysaccharide_vaccine\"><\/span>C.&nbsp;Educate the patient on receiving the pneumococcal polysaccharide vaccine<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>Older adult patients from a community setting, like a skilled nursing facility,, are prone to pneumonia and should be vaccinated with the updated pneumococcal polysaccharide every five years. Since this patient had their last dose seven years ago, they will likely need another dose, however, there is another action that should be taken first.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"E_Administer_oral_acetaminophen_as_prescribed\"><\/span>E.&nbsp;Administer oral acetaminophen as prescribed<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>Although this patient has a fever due to the infectious process of pneumonia and could benefit from acetaminophen administration, there is another action that should be performed first.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;________________________<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>Want more NCLEX\u00ae-style practice questions? Try Osmosis by Elsevier today! Access your&nbsp;<a href=\"https:\/\/www.osmosis.org\/login?type=create\" target=\"_blank\" rel=\"noreferrer noopener\">free trial<\/a>&nbsp;and find out why millions of current and future clinicians and caregivers love learning with us.<\/em><\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/www.osmosis.org\/plans\/rn\"><img loading=\"lazy\" decoding=\"async\" width=\"904\" height=\"324\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_3b1370.png\" alt=\"Osmosis ad to create an account\" class=\"wp-image-2217\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_3b1370.png 904w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_3b1370.png?resize=300,108 300w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_3b1370.png?resize=768,275 768w\" sizes=\"auto, (max-width: 904px) 100vw, 904px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.osmosis.org\/plans\/rn\" target=\"_blank\" rel=\"noreferrer noopener\"><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Prepare for your NCLEX exam with this question of the day on bacterial pneumonia. Test your knowledge on oxygen saturation and the use of supplemental oxygen. The nurse is caring for a 70 year-old patient admitted to the hospital from a &nbsp;skilled nursing facility for treatment of bacterial pneumonia. Based upon the information in the [&hellip;]<\/p>\n","protected":false},"author":279,"featured_media":2216,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[20,29,1367,32],"tags":[],"class_list":["post-2214","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exam-prep","category-nclex","category-nclex-rn","category-nursing"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NCLEX-RN\u00ae Question of the Day: Bacterial pneumonia - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-bacterial-pneumonia\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NCLEX-RN\u00ae Question of the Day: Bacterial pneumonia - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"Prepare for your NCLEX exam with this question of the day on bacterial pneumonia. Test your knowledge on oxygen saturation and the use of supplemental oxygen. The nurse is caring for a 70 year-old patient admitted to the hospital from a &nbsp;skilled nursing facility for treatment of bacterial pneumonia. 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