Quiz_________________?
A 22-year-old patient with cystic fibrosis is receiving a pneumonia vaccine. The patient asks
the nurse why it is necessary to have the vaccine at such a young age. What is the best
response by the nurse?
"By getting it out of the way, you will not have to have one later."
"The pneumonia vaccine is indicated for patients 65 years or younger."
"The vaccine will help protect your lungs from damage when you contract pneumonia."
"Because of your health history, you should receive the vaccine even though you are not 65
years old." -
Answer✅
"Because of your health history, you should receive the vaccine even though you are not 65
years old."
Cystic fibrosis is a chronic illness affecting the lungs. Patients with chronic illnesses should
receive the vaccine, even if they are younger than 65 years.
1
, Quiz_________________?
A family member of a patient asks the nurse how a person develops pneumonia. What is the
best response by the nurse?
"Pneumonia develops when a person has a weak cough reflex."
"Pneumonia develops when a person has active mucociliary function."
"Pneumonia develops when bacteria invade the lower airways."
"Pneumonia develops when the immune system mobilizes against a bacterial invasion of the
lower airways." -
Answer✅
"Pneumonia develops when bacteria invade the lower airways."
Pneumonia is an infection that occurs when bacteria invade the patient's lower airways.
Rationale for Incorrect:
A weak cough may allow for aspiration of oropharyngeal contents into the lungs. Aspiration
is one risk factor for the development of pneumonia, but is not responsible for the direct
development of the disease.
Active mucociliary function removes potential respiratory pathogens from the respiratory
system which prevents the development of pneumonia.
Alveolar macrophages immobilize respiratory pathogens preventing the development of
pneumonia.
Quiz_________________?
A nurse is caring for a child with a history of asthma. The nurse anticipates that the provider
will order which test to determine whether the child's asthma is related to allergies?
Serum immunoglobulin E (IgE)
Chest x-ray
Measurement of arterial blood gases (ABGs)
Sputum culture -
Answer✅
Serum immunoglobulin E (IgE)
2
, IgE and eosinophil counts can be used to determine if the child's asthma is due to an allergic
tendency.
Rationale for Incorrect:
A chest x-ray can be taken during an asthma attack to determine whether hyperinflation is
present. It is not used to determine whether allergies are involved in the development of
the child's asthma.
Measurement of ABGs provides information about oxygenation and the response to
treatment. It does not determine whether the child's asthma is due to allergies.
A sputum culture is used to detect the presence of an infection; it will not indicate not
whether allergies are contributing to the child's asthma symptoms.
Quiz_________________?
A nurse is caring for a patient in the medical unit with altered consciousness. Which nursing
interventions should be included in the plan of care to prevent this patient from getting
pneumonia?
Select all that apply.
Raise the patient's head of bed to 30 degrees.
Reposition patient every two hours while in bed.
Have the patient utilize purse lip breathing while awake.
Perform hand hygiene before and after providing patient care.
Provide oral hygiene with over-the-counter mouthwash twice a day. -
Answer✅
Raise the patient's head of bed to 30 degrees.
Use of the semi-fowler's position decreases the risk of pneumonia by minimizing the risk of
aspiration.
Reposition patient every two hours while in bed.
Turning and repositioning the patient every two hours facilitates lung expansion and
mobilization of secretions.
3
, Perform hand hygiene before and after providing patient care.
Performing hand hygiene before and after providing patient care decreases the risk of
pneumonia by reducing the incidence of health care-associated infections.
Quiz_________________?
A nurse is caring for a patient with lung cancer who has been coughing severely and having
trouble breathing. Which nursing intervention is appropriate to ensure that the patient
achieves effective breathing patterns?
Raise the head of the bed to high fowler's position
Assess the patient for increased shortness of breath
Instruct the patient to cough 10 times during the hour
Apply a continuous pulse oximeter probe to the nailbed -
Answer✅
Raise the head of the bed to high fowler's position
Raising the head of the bed provides the optimal position for effective breathing patterns.
Rationale for Incorrect:
The patient reports increased shortness of breath. Assessing the patient for this would not
help them breathe more effectively.
Coughing could lead to other side effects and is not recommended as an intervention to
allow the patient to breathe effectively.
A pulse oximeter provides data on the gas exchange capabilities of the patient but does not
ensure effective breathing patterns are met.
Quiz_________________?
A patient arrives at the emergency department reporting flu-like symptoms that have
progressively worsened over the past two to three days. The nurse bases the plan of care
on which likely cause of the patient's symptoms?
Asthma
Viral infection
COPD exacerbation
4
A 22-year-old patient with cystic fibrosis is receiving a pneumonia vaccine. The patient asks
the nurse why it is necessary to have the vaccine at such a young age. What is the best
response by the nurse?
"By getting it out of the way, you will not have to have one later."
"The pneumonia vaccine is indicated for patients 65 years or younger."
"The vaccine will help protect your lungs from damage when you contract pneumonia."
"Because of your health history, you should receive the vaccine even though you are not 65
years old." -
Answer✅
"Because of your health history, you should receive the vaccine even though you are not 65
years old."
Cystic fibrosis is a chronic illness affecting the lungs. Patients with chronic illnesses should
receive the vaccine, even if they are younger than 65 years.
1
, Quiz_________________?
A family member of a patient asks the nurse how a person develops pneumonia. What is the
best response by the nurse?
"Pneumonia develops when a person has a weak cough reflex."
"Pneumonia develops when a person has active mucociliary function."
"Pneumonia develops when bacteria invade the lower airways."
"Pneumonia develops when the immune system mobilizes against a bacterial invasion of the
lower airways." -
Answer✅
"Pneumonia develops when bacteria invade the lower airways."
Pneumonia is an infection that occurs when bacteria invade the patient's lower airways.
Rationale for Incorrect:
A weak cough may allow for aspiration of oropharyngeal contents into the lungs. Aspiration
is one risk factor for the development of pneumonia, but is not responsible for the direct
development of the disease.
Active mucociliary function removes potential respiratory pathogens from the respiratory
system which prevents the development of pneumonia.
Alveolar macrophages immobilize respiratory pathogens preventing the development of
pneumonia.
Quiz_________________?
A nurse is caring for a child with a history of asthma. The nurse anticipates that the provider
will order which test to determine whether the child's asthma is related to allergies?
Serum immunoglobulin E (IgE)
Chest x-ray
Measurement of arterial blood gases (ABGs)
Sputum culture -
Answer✅
Serum immunoglobulin E (IgE)
2
, IgE and eosinophil counts can be used to determine if the child's asthma is due to an allergic
tendency.
Rationale for Incorrect:
A chest x-ray can be taken during an asthma attack to determine whether hyperinflation is
present. It is not used to determine whether allergies are involved in the development of
the child's asthma.
Measurement of ABGs provides information about oxygenation and the response to
treatment. It does not determine whether the child's asthma is due to allergies.
A sputum culture is used to detect the presence of an infection; it will not indicate not
whether allergies are contributing to the child's asthma symptoms.
Quiz_________________?
A nurse is caring for a patient in the medical unit with altered consciousness. Which nursing
interventions should be included in the plan of care to prevent this patient from getting
pneumonia?
Select all that apply.
Raise the patient's head of bed to 30 degrees.
Reposition patient every two hours while in bed.
Have the patient utilize purse lip breathing while awake.
Perform hand hygiene before and after providing patient care.
Provide oral hygiene with over-the-counter mouthwash twice a day. -
Answer✅
Raise the patient's head of bed to 30 degrees.
Use of the semi-fowler's position decreases the risk of pneumonia by minimizing the risk of
aspiration.
Reposition patient every two hours while in bed.
Turning and repositioning the patient every two hours facilitates lung expansion and
mobilization of secretions.
3
, Perform hand hygiene before and after providing patient care.
Performing hand hygiene before and after providing patient care decreases the risk of
pneumonia by reducing the incidence of health care-associated infections.
Quiz_________________?
A nurse is caring for a patient with lung cancer who has been coughing severely and having
trouble breathing. Which nursing intervention is appropriate to ensure that the patient
achieves effective breathing patterns?
Raise the head of the bed to high fowler's position
Assess the patient for increased shortness of breath
Instruct the patient to cough 10 times during the hour
Apply a continuous pulse oximeter probe to the nailbed -
Answer✅
Raise the head of the bed to high fowler's position
Raising the head of the bed provides the optimal position for effective breathing patterns.
Rationale for Incorrect:
The patient reports increased shortness of breath. Assessing the patient for this would not
help them breathe more effectively.
Coughing could lead to other side effects and is not recommended as an intervention to
allow the patient to breathe effectively.
A pulse oximeter provides data on the gas exchange capabilities of the patient but does not
ensure effective breathing patterns are met.
Quiz_________________?
A patient arrives at the emergency department reporting flu-like symptoms that have
progressively worsened over the past two to three days. The nurse bases the plan of care
on which likely cause of the patient's symptoms?
Asthma
Viral infection
COPD exacerbation
4
