PRACTICE QUESTIONS AND
ANSWERS
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1. An elderly client with pneumonia may appear with which of the following symptoms first?
1. Altered mental status and dehydration
2. fever and chills
3. Hemoptysis and dyspnea
4. Pleuritic chest pain and cough
2. Which of the following pathophysiological mechanisms that occur in the lung parenchyma allows
pneumonia to develop?
1. Atelectasis
2. Bronchiectasis
3. Effusion
4. Inflammation
3. A 7-year-old client is brought to the E.R. He’s tachypneic and afebrile and has 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
4. Which of the following assessment findings would help confirm a diagnosis of asthma in a client
suspected of having the disorder?
, 1. Circumoral cyanosis
2. Increased forced expiratory volume
3. Inspiratory and expiratory wheezing
4. Normal breath sounds
5. 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
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
3. Inhaled steroids
4. Oral steroids
7. A 19-year-old comes into the emergency department with acute asthma. His respiratory rate is 44
breaths/minute, and he appears to be in acute respiratory distress. Which of the following actions
should be taken first?
1. Take a full medication history
2. Give a bronchodilator by nebulizer
3. Apply a cardiac monitor to the client
4. Provide emotional support to the client.