NURS 334 EXAM QUESTIONS AND ANSWERS A
+ GRADED
A patient is being seen in the health clinic for possible pneumonia. Which of the
following is a sign and symptom that identifies viral pneumonia?
Blood cultures are sterile.
Reason:
Viral pneumonia differs from bacterial pneumonia in that results of blood cultures are
sterile, sputum may be more copious, chills are less common, and pulse and respiratory
rates are slow.
A client has been battling typical pneumonia for about a month, and currently
using a second course of antibiotics. What complications can result from
pneumonia? Select all that apply.
CHF
Shock
Septicemia
Reason:
Empyema (collection of pus in the pleural cavity), pleurisy (inflammation of the pleura),
septicemia (infective microorganisms in the blood), atelectasis, hypotension, etc.
A nurse who provides care in a long-term care facility has observed a sharp
decline in an 88-year-old man's level of consciousness and activity over the past
36 hours. The nurse recognizes the high incidence of pneumonia among older
adults. How does pneumonia present differently among the elderly than among
younger patients?
Older adults often lack a fever when they develop pneumonia.
A nurse is aware that the diagnostic feature of ARDS is sudden:
Unresponsive arterial hypoxemia
A client with unresolved hemothorax is febrile, with chills and sweating. He has a
nonproductive cough and chest pain. His chest tube drainage is turbid. A
possible explanation for these findings is:
Empyema
A medical patient developed a new onset of shortness of breath with pulse
oximetry (POX) ranging between 70% and 75% and a respiratory rate of 30 to 35
breaths per minute. The patient did not respond to oxygen therapy with nasal
prongs and was fitted with a partial rebreathing mask by the respiratory therapist.
When maintaining this patient's oxygen delivery system, the nurse should:
Ensure that the Reservoir bag remains inflated at all times.
A 26-year-old woman is thankful to be alive after rear-ending a truck with her car.
However, she experienced a sternal fracture from the force of her car's airbag and
has been breathing shallowly to avoid exacerbating her pain. The nurse should
consequently prioritize assessments related to:
, Atelectasis
Reason:
This breathing pattern has the potential to cause diminished ventilation, atelectasis
(collapse of unaerated alveoli), pneumonitis, and hypoxemia.
A client presents to a physician's office complaining of dyspnea with exertion,
weakness, and coughing up blood. Further examination reveals peripheral
edema, crackles, and jugular vein distention. The nurse anticipates the physician
will make which diagnosis?
Pulmonary Hypertension
Reason:
Dyspnea, weakness, hemoptysis, and right-sided heart failure are all signs of pulmonary
hypertension.
A water seal system for chest drainage has been inserted into a patient who
suffered chest trauma during a motor vehicle accident. At the beginning of the
night shift, the nurse has entered the patient's room to assess the system and the
patient's condition. Which of the following assessment findings suggests that the
system is operating correctly and the patient is maintaining oxygenation?
The water level in the water seal chamber increases when the patient inhales.
Reason: There is an increase in the water level with inspiration and a return to the
baseline level during exhalation; this is referred to as tidaling. Intermittent bubbling in
the water seal chamber is normal, but continuous bubbling can indicate an air leak.
Water levels should at no time reach the top of the water seal chamber.
A 72-year-old patient is status post right knee replacement, and the nurse
recognizes the patient's risk of hospital-acquired pneumonia (HAP). What is a
priority nursing measure for the prevention of HAP?
Providing anticipatory interventions.
Reason:
Important nursing measures for prevention of HAP include providing anticipatory
interventions and preventive care. This scenario is asking about prevention of HAP, not
what to do after it occurs, so emotional support and antibiotics are incorrect. Providing
extra nutrition is not a preventive measure for HAP.
A patient has been brought to the emergency department with multiple trauma
after a motor vehicle accident. After immediate threats to life have been
corrected, the nurse and trauma team should:
Perform a rapid physical assessment.
After administration of epinephrine for an acute anaphylactic reaction, the nurse
expects to administer which of the following drugs to treat severe
bronchospasm?
Aminophylline
A patient is suspected to have an air embolus after being in close proximity to an
explosion at a sports arena. What position should the nurse place the patient in
to prevent migration of the embolus?
+ GRADED
A patient is being seen in the health clinic for possible pneumonia. Which of the
following is a sign and symptom that identifies viral pneumonia?
Blood cultures are sterile.
Reason:
Viral pneumonia differs from bacterial pneumonia in that results of blood cultures are
sterile, sputum may be more copious, chills are less common, and pulse and respiratory
rates are slow.
A client has been battling typical pneumonia for about a month, and currently
using a second course of antibiotics. What complications can result from
pneumonia? Select all that apply.
CHF
Shock
Septicemia
Reason:
Empyema (collection of pus in the pleural cavity), pleurisy (inflammation of the pleura),
septicemia (infective microorganisms in the blood), atelectasis, hypotension, etc.
A nurse who provides care in a long-term care facility has observed a sharp
decline in an 88-year-old man's level of consciousness and activity over the past
36 hours. The nurse recognizes the high incidence of pneumonia among older
adults. How does pneumonia present differently among the elderly than among
younger patients?
Older adults often lack a fever when they develop pneumonia.
A nurse is aware that the diagnostic feature of ARDS is sudden:
Unresponsive arterial hypoxemia
A client with unresolved hemothorax is febrile, with chills and sweating. He has a
nonproductive cough and chest pain. His chest tube drainage is turbid. A
possible explanation for these findings is:
Empyema
A medical patient developed a new onset of shortness of breath with pulse
oximetry (POX) ranging between 70% and 75% and a respiratory rate of 30 to 35
breaths per minute. The patient did not respond to oxygen therapy with nasal
prongs and was fitted with a partial rebreathing mask by the respiratory therapist.
When maintaining this patient's oxygen delivery system, the nurse should:
Ensure that the Reservoir bag remains inflated at all times.
A 26-year-old woman is thankful to be alive after rear-ending a truck with her car.
However, she experienced a sternal fracture from the force of her car's airbag and
has been breathing shallowly to avoid exacerbating her pain. The nurse should
consequently prioritize assessments related to:
, Atelectasis
Reason:
This breathing pattern has the potential to cause diminished ventilation, atelectasis
(collapse of unaerated alveoli), pneumonitis, and hypoxemia.
A client presents to a physician's office complaining of dyspnea with exertion,
weakness, and coughing up blood. Further examination reveals peripheral
edema, crackles, and jugular vein distention. The nurse anticipates the physician
will make which diagnosis?
Pulmonary Hypertension
Reason:
Dyspnea, weakness, hemoptysis, and right-sided heart failure are all signs of pulmonary
hypertension.
A water seal system for chest drainage has been inserted into a patient who
suffered chest trauma during a motor vehicle accident. At the beginning of the
night shift, the nurse has entered the patient's room to assess the system and the
patient's condition. Which of the following assessment findings suggests that the
system is operating correctly and the patient is maintaining oxygenation?
The water level in the water seal chamber increases when the patient inhales.
Reason: There is an increase in the water level with inspiration and a return to the
baseline level during exhalation; this is referred to as tidaling. Intermittent bubbling in
the water seal chamber is normal, but continuous bubbling can indicate an air leak.
Water levels should at no time reach the top of the water seal chamber.
A 72-year-old patient is status post right knee replacement, and the nurse
recognizes the patient's risk of hospital-acquired pneumonia (HAP). What is a
priority nursing measure for the prevention of HAP?
Providing anticipatory interventions.
Reason:
Important nursing measures for prevention of HAP include providing anticipatory
interventions and preventive care. This scenario is asking about prevention of HAP, not
what to do after it occurs, so emotional support and antibiotics are incorrect. Providing
extra nutrition is not a preventive measure for HAP.
A patient has been brought to the emergency department with multiple trauma
after a motor vehicle accident. After immediate threats to life have been
corrected, the nurse and trauma team should:
Perform a rapid physical assessment.
After administration of epinephrine for an acute anaphylactic reaction, the nurse
expects to administer which of the following drugs to treat severe
bronchospasm?
Aminophylline
A patient is suspected to have an air embolus after being in close proximity to an
explosion at a sports arena. What position should the nurse place the patient in
to prevent migration of the embolus?
