NURSING 1234 NCLEX questions & answers latest update 100% correct & verified Grade/Rated A+

NURSING 1234 NCLEX questions & answers latest
update 100% correct & verified Grade/Rated A+
Airway – Obstruction and Asthma

1. An elderly client with pneumonia may appear with which of the following symptoms
first?
A. Altered mental status and dehydration

B. fever and chills

C. Hemoptysis and dyspnea

D. Pleuretic chest pain and cough


Ans-1. 1. Fever, chills, hemoptysis, dyspnea, cough, and pleuric chest pain are the common
symptoms of pneumonia, but elderly clients may first appear with only an altered mental status
and dehydration due to a blunted immune response.


2. Which of the following pathophysiological mechanisms that occurs in the lung
parenchyma allows pneumonia to develop?


1. Atelectasis

2. Bronchiectasis

3. Effusion

4. Inflammation


Ans-2. 4. the most common feature of all types of pneumonia is an inflammatory pulmonary
response to the offending organism or agent. Atelectasis and bronchiectasis indicate a collapse of
a portion of the airway that doesn’t occur with pneumonia. An effusion is an accumulation of
excess pleural fluid in the pleural space, which may be a secondary response to pneumonia.


3. A 7-year-old client is brought to the E.R. He’s tachypneic and afebrile and has a


NURSING 1234 NCLEX questions & answers latest
update 100% correct & verified Grade/Rated A+

,NURSING 1234 NCLEX questions & answers latest
update 100% correct & verified Grade/Rated A+
respiratory rate of 36 breaths/minute and a nonproductive cough. He recently had a cold.
From his history, the client may have which of the following?


1. Acute asthma

2. Bronchial pneumonia

3. Chronic obstructive pulmonary disease (COPD)

4. Emphysema




NURSING 1234 NCLEX questions & answers latest
update 100% correct & verified Grade/Rated A+

,NURSING 1234 NCLEX questions & answers latest
update 100% correct & verified Grade/Rated A+
Ans-3. 1. Based on the client’s history and symptoms, acute asthma is the most likely diagnosis.
He’s unlikely to have bronchial pneumonia without a productive cough and fever and he’s too
young to have developed COPD or emphysema.


4. The term “blue bloater” refers to which of the following conditions?


1. Adult respiratory distress syndrome (ARDS)

2. Asthma

3. Chronic obstructive bronchitis

4. Emphysema


Ans-9. 3. Clients with chronic obstructive bronchitis appear bloated; they have large barrel chests
and peripheral edema, cyanotic nail beds and, at times, circumoral cyanosis. Clients with ARDS
are acutely short of breath and frequently need intubation for mechanical ventilation and large
amounts of oxygen. Clients with asthma don’t exhibit characteristics of chronic disease, and
clients with emphysema appear pink and cachectic (a state of ill health, malnutrition, and
wasting).


1. Which of the following types of asthma involves an acute asthma attack brought on by an
upper respiratory infection?


1. Emotional

2. Extrinsic

3. Intrinsic

4. Mediated


Ans-5. 1. Intrinsic asthma doesn’t have an easily identifiable allergen and can be triggered by the


NURSING 1234 NCLEX questions & answers latest
update 100% correct & verified Grade/Rated A+

,NURSING 1234 NCLEX questions & answers latest
update 100% correct & verified Grade/Rated A+
common cold. Asthma caused be emotional reasons is considered to be in the extrinsic category.
Extrinsic asthma is caused by dust, molds, and pets; easily identifiable allergens. Mediated
asthma doesn’t exist.


6. A client with acute asthma showing inspiratory and expiratory wheezes and a decreased
expiratory volume should be treated with which of the following classes of medication right
away?


1. Beta-adrenergic blockers

2. Bronchodilators




NURSING 1234 NCLEX questions & answers latest
update 100% correct & verified Grade/Rated A+