Pathophysiology Exam 2 practice questions
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A child is brought to the emergency department b) Severe asthma attack
struggling to breathe with a prolonged bronchospasm
and severe hypoxemia. Assessment revealed the use of
accessory muscles, a weak cough, audible wheezing
sound, moist skin, and tachycardia. Which of the following
is the most likely diagnosis?
a) Pulmonary embolism
b) Severe asthma attack
c) Chronic obstructive pulmonary disease
d) Cystic fibrosis
A client with a history of heart failure and COPD (caused a) "Having a hard time catching my breath."
by 60 pack/year smoking) presents to the clinic with the b) Respiratory rate—32; pulse rate—122 beats/minute.
following complaints: auscultation of breath sounds c) Using accessory muscles to help him breathe.
reveal absent/diminished breath sounds in the right lower
lobe. Which other manifestations lead the health care
provider to suspect the client may have developed
atelectasis? Select all that apply.
a) "Having a hard time catching my breath."
b) Respiratory rate—32; pulse rate—122 beats/minute.
c) Using accessory muscles to help him breathe.
d) "Seems like I'm not making much water (decreased
urine production)."
e) Copious amounts of thick, green sputum.
,The nurse is caring for the following clients. Select the b) The client who is postop total knee replacement and receiving client-
client at highest risk for the development of atelectasis. controlled analgesia
a) The client who is mobile within 24 hours after
abdominal surgery
b) The client who is postop total knee replacement and
receiving client-controlled analgesia
c) The client with a lower leg cast who changes position
every 2 hours
d) The client diagnosed with pneumonia who performs
frequent coughing and deep breathing exercises
Cystic fibrosis (CF) is an autosomal recessive disorder d) Pseudomonas aeruginosa and Staphylococcus aureus
involving the secretion of fluids in specific exocrine
glands. The genetic defect in CF inclines a person to
chronic respiratory infections from a small group of
organisms. Which organisms create chronic infection in a
child with cystic fibrosis?
a) Staphylococcus aureus and hepatitis C
b) Pseudomonas aeruginosa and Escherichia coli
c) Haemophilus influenzae and influenza A
d) Pseudomonas aeruginosa and Staphylococcus aureus
The health care provider suspects a newly admitted client d) Fractured or dislocated ribs
may have a hemothorax. The client most likely
experienced:
a) Renal failure
b) Pneumonia
c) Congestive heart failure
d) Fractured or dislocated ribs
Unilateral chest pain associated with respiratory c) Pleuritic
movements is usually described as which of the
following?
a) Bronchitic
b) Myocardial
c) Pleuritic
d) Musculoskeletal
, A car accident client is admitted with a chest tube b) Apply a Vaseline gauze (airtight) dressing over the insertion site
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
An elderly client who has been restricted to bed by a) Thoracentesis
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
Acute-onset bronchial asthma causes wheezing and d) Airway inflammation
breathlessness as a result of which of the following?
a) Pulmonary hypertension
b) Alveolar collapse
c) Compression atelectasis
d) Airway inflammation
When CO2 levels in the blood rise, a state of hypercapnia a) Abnormalities in respiratory function
occurs in the body. What factors contribute to c) Changes in neural control of respiration
hypercapnia? (Select all that apply.) d) Disturbance in gas exchange function
e) Alteration in carbon dioxide production
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