PATHOPHYSIOLOGY PRACTICE EXAM 2 (3 IN ONE DOCUMENT) LATEST
ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT ANSWERS WITH
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A car accident client is admitted with a chest tube following pneumothorax. He
also has an elevated blood alcohol level. When the nurse enters his room, she
notes the client is dyspneic, short of breath, and holding his chest tube in his
hand. When the nurse pulls the linens back, she finds a "sucking" chest wound.
After calling a "code blue," the next priority intervention would be to:
a) Try to calm the patient down by maintaining therapeutic communication
b) Apply a Vaseline gauze (airtight) dressing over the insertion site
c) Observe and wait for the code blue team to bring equipment
d) Place the client's meal napkin over the wound - Correct Answer-b) Apply a
Vaseline gauze (airtight) dressing over the insertion site
An elderly client who has been restricted to bed by numerous comorbidities for
several weeks has been diagnosed with a large pleural effusion. Which of the
following treatment modalities is most likely to resolve the client's most recent
health problem?
a) Thoracentesis
b) Supplementary oxygen therapy
c) Administration of bronchodilators
d) Administration of corticosteroids - Correct Answer-a) Thoracentesis
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, Pathophysiology Practice Exam 2
Acute-onset bronchial asthma causes wheezing and breathlessness as a result of
which of the following?
a) Pulmonary hypertension
b) Alveolar collapse
c) Compression atelectasis
d) Airway inflammation - Correct Answer-d) Airway inflammation
When CO2 levels in the blood rise, a state of hypercapnia occurs in the body. What
factors contribute to hypercapnia? (Select all that apply.)
a) Abnormalities in respiratory function
b) Decrease in carbon dioxide production
c) Changes in neural control of respiration
d) Disturbance in gas exchange function
e) Alteration in carbon dioxide production - Correct Answer-a) Abnormalities in
respiratory function
c) Changes in neural control of respiration
d) Disturbance in gas exchange function
e) Alteration in carbon dioxide production
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, Pathophysiology Practice Exam 2
A client has just been admitted to the postsurgical unit following a below-the-knee
amputation. Which of the following measures should her care team prioritize to
prevent atelectasis during the client's immediate recovery?
a) Bedrest and supplementary oxygen by nasal cannula
b) Adequate hydration and a high-humidity environment
c) Administration of bronchodilators by nebulizer
d) Deep-breathing exercises and early mobilization - Correct Answer-d) Deep-
breathing exercises and early mobilization
The nurse determines that the client has clubbing of the fingertips. Which is the
best intervention?
a) Assess peripheral capillary refill.
b) Monitor the client's heart rate.
c) Call the health care provider.
d) Check the patient's O2 saturation level. - Correct Answer-d) Check the patient's
O2 saturation level.
Which of the following statements concerning hypoxemia are true? (Select all that
apply.)
a) Normally, serum lactate levels are between 1 and 0.5 mmol/L.
b) When hypoxemia occurs, metabolic acidosis is a possible outcome.
c) The condition depends on the body's ability to adapt to lowered oxygen levels.
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, Pathophysiology Practice Exam 2
d) The brain is vulnerable to hypoxia.
e) With hypoxemia, aerobic metabolism replaces anaerobic metabolism. - Correct
Answer-a) Normally, serum lactate levels are between 1 and 0.5 mmol/L.
b) When hypoxemia occurs, metabolic acidosis is a possible outcome.
c) The condition depends on the body's ability to adapt to lowered oxygen levels.
d) The brain is vulnerable to hypoxia.
Which of the following is most likely to precipitate an asthmatic attack in a child
with a diagnosis of extrinsic, or atopic, asthma?
a) Cold weather
b) Respiratory tract infections
c) Stress
d) Pet dander - Correct Answer-d) Pet dander
The nurse needs to assess the oxygen status of a client who is suddenly
experiencing shortness of breath. The most appropriate noninvasive
measurement techniques would be:
a) Pulse oximetry
b) Assessment of the rate and depth of respiration
c) Pulmonary function tests
d) Arterial blood gas analysis - Correct Answer-a) Pulse oximetry
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