MN551 Unit 5 Midterm
1. Which of the following patients who presented to a walk-in medical clinic is most likely to be
diagnosed with a rhinosinusitis rather than a common cold? (Points : 3)
A man complaining of general fatigue, a headache, and facial pain with a temperature of
100.9°F
A woman presenting with malaise, lethargy, and copious nasal secretions
A man with a dry, stuffy nasopharynx, a sore throat, and temperature of 98.9°F
A woman complaining of generalized aches who has a hoarse voice and reddened, painful upper
airways
Question 2.2. A 44-year-old woman developed calf pain during a transatlantic flight followed by
acute shortness of breath upon arrival at her destination. She was subsequently diagnosed with
a pulmonary embolism (PE), which resolved with anticoagulant therapy. Which of these
statements best characterizes the underlying problem of her PE? (Points : 3)
She was short of breath because ventilation was occurring but perfusion was inadequate.
The combination of normal perfusion but compromised ventilation caused hypoxia.
She developed a transient anatomic shunt resulting in impaired oxygenation.
Impaired gas diffusion across alveolar membranes resulted in dyspnea and hypoxia.
Question 3.3. A premature infant on mechanical ventilation has developed bronchopulmonary
dysplasia (BPD) and is showing signs and symptoms of hypoxemia, low lung compliance, and
, respiratory distress syndrome (RDS). Which of the following is the most likely contributor to the
infant's present health problem? (Points : 3)
High inspired oxygen concentration and injury from positive-pressure ventilation
Failure to administer corticosteroids to the infant in utero
Insufficient surfactant production and insufficient surfactant therapy
Insufficient supplemental oxygen therapy
Question 4.4. Which of the following residents of a long-term care facility is most likely to be
exhibiting the signs and symptoms of chronic obstructive pulmonary disease (COPD)? (Points :
3)
A 79-year-old lifetime smoker who is complaining of shortness of breath and pain on deep
inspiration
An 81-year-old smoker who has increased exercise intolerance, a fever, and increased white
blood cells
An 81-year-old male who has a productive cough and recurrent respiratory infections
An 88-year-old female who experiences acute shortness of breath and airway constriction when
exposed to tobacco smoke
Question 5.5. A 66-year-old male presents to the emergency department accompanied by his
wife who claims that he has been acting confused. The man is complaining of a sudden onset of
severe weakness and malaise and has a dry cough and diarrhea. His temperature is 102.8°F and
his blood work indicates his sodium level is 126 mEq/L (normal is 135 to 145 mEq/L). What will
be the assessing nurse practitioner's most likely suspicion? (Points : 3)
1. Which of the following patients who presented to a walk-in medical clinic is most likely to be
diagnosed with a rhinosinusitis rather than a common cold? (Points : 3)
A man complaining of general fatigue, a headache, and facial pain with a temperature of
100.9°F
A woman presenting with malaise, lethargy, and copious nasal secretions
A man with a dry, stuffy nasopharynx, a sore throat, and temperature of 98.9°F
A woman complaining of generalized aches who has a hoarse voice and reddened, painful upper
airways
Question 2.2. A 44-year-old woman developed calf pain during a transatlantic flight followed by
acute shortness of breath upon arrival at her destination. She was subsequently diagnosed with
a pulmonary embolism (PE), which resolved with anticoagulant therapy. Which of these
statements best characterizes the underlying problem of her PE? (Points : 3)
She was short of breath because ventilation was occurring but perfusion was inadequate.
The combination of normal perfusion but compromised ventilation caused hypoxia.
She developed a transient anatomic shunt resulting in impaired oxygenation.
Impaired gas diffusion across alveolar membranes resulted in dyspnea and hypoxia.
Question 3.3. A premature infant on mechanical ventilation has developed bronchopulmonary
dysplasia (BPD) and is showing signs and symptoms of hypoxemia, low lung compliance, and
, respiratory distress syndrome (RDS). Which of the following is the most likely contributor to the
infant's present health problem? (Points : 3)
High inspired oxygen concentration and injury from positive-pressure ventilation
Failure to administer corticosteroids to the infant in utero
Insufficient surfactant production and insufficient surfactant therapy
Insufficient supplemental oxygen therapy
Question 4.4. Which of the following residents of a long-term care facility is most likely to be
exhibiting the signs and symptoms of chronic obstructive pulmonary disease (COPD)? (Points :
3)
A 79-year-old lifetime smoker who is complaining of shortness of breath and pain on deep
inspiration
An 81-year-old smoker who has increased exercise intolerance, a fever, and increased white
blood cells
An 81-year-old male who has a productive cough and recurrent respiratory infections
An 88-year-old female who experiences acute shortness of breath and airway constriction when
exposed to tobacco smoke
Question 5.5. A 66-year-old male presents to the emergency department accompanied by his
wife who claims that he has been acting confused. The man is complaining of a sudden onset of
severe weakness and malaise and has a dry cough and diarrhea. His temperature is 102.8°F and
his blood work indicates his sodium level is 126 mEq/L (normal is 135 to 145 mEq/L). What will
be the assessing nurse practitioner's most likely suspicion? (Points : 3)
