NEW NURS 2207 EXAM 1 RESP AND
ENDOCRINE 2025 QUESTIONS WITH
VERIFIED ANSWERS ALREADY
GRADED BY EXPERTS
manifestations of laryngeal obstruction - CORRECT ANSWER>>>•Subcutaneous emphysema
or crepitus
•Voice changes
•Dysphagia
•Pain with swallowing
•Inspiratory stridor- in upper
•Coarse sound in lower
•Hemoptysis
•Cough
•Signs of asphyxia: use of accessory muscles
late signs of laryngeal obstruction - CORRECT ANSWER>>>•Retracting of ribcage- late
symptom. Impending resp collapse
what should the nurse ask about during the assessment for a pt with suspected partial/total
laryngeal obstruction? - CORRECT ANSWER>>>-Alcohol use
-New meds- especially ace inhibitors
-Allergies
- Activity
how long does a nurse have to perform rapid interventions before a laryngeal obstruction
becomes fatal? - CORRECT ANSWER>>>3 mins
- BRAIN NEEDS O2
arytenoidectomy - CORRECT ANSWER>>>surgical widening of laryngeal tract
total laryngectomy - CORRECT ANSWER>>>Surgical removal of the entire larynx
- vocal cords, epiglottis, thyroid cartilage
•Permanent tracheostomy or laryngectomy tube
- Permanent loss of voice
post op care for total laryngectomy pts - CORRECT ANSWER>>>- NPO 7 days
- IV fluids
- Parenteral/ enteral feedings: NG or PEG
- semi fowler's position- helps ventilate and decreases pressure at incision
-JP drain post op as well- measure I&O- removed when there is less than 30 ml output in 2
consecutive days
-O2- humidified
1
,complications of laryngectomies - CORRECT ANSWER>>>- Unintelligible speech
- Frequent coughing
- Chest infections
- Dryness & irritation of the windpipe
how often should you clean/change the inner cannula for a laryngectomy/ tracheostomy tube? -
CORRECT ANSWER>>>every 8 hours
difference between tracheostomy and laryngectomy tubes - CORRECT
ANSWER>>>tracheostomy pts still have their upper airway
- puts them more at risk for aspiration
how can TB be spread? - CORRECT ANSWER>>>airborne
- pts placed in negative pressure rooms
ghon lesion or focus (HALLMARK SIGN OF TB) - CORRECT ANSWER>>>represents a
calcified TB granuloma- primary TB infection
- body's attempt to kill it. ends up walling off the acid fast bacilli and stops further spreading
when can TB symptoms manifest? - CORRECT ANSWER>>>2-10 weeks
Progressive tuberculosis - CORRECT ANSWER>>>tuberculosis that becomes reactivated
XDR tuberculosis - CORRECT ANSWER>>>resistant to isoniazid, rifampin, fluoroquinolones,
and at least 1 of 3 available second line injectable drugs.
primary TB infection - CORRECT ANSWER>>>•When bacteria are inhaled and initiate an
inflammatory reaction
•majority of people mount effective immune responses to encapsulate these organisms for the
rest of their lives
latent TB infection - CORRECT ANSWER>>>•Infected but no active disease
•have a positive skin test but are asymptomatic
•cannot transmit the TB bacteria to others
Active TB disease - CORRECT ANSWER>>>•Primary TB - active disease develops within the
first 2 years of infection
•Reactivation TB (post-primary) - TB disease occurring 2 or more years after the initial infection
tuberculosis manifestations - CORRECT ANSWER>>>•Initial dry cough that becomes
productive
•Fatigue
•Malaise
•Anorexia
•Weight loss
2
, •Low-grade fever
•Night sweats
•Dyspnea
•Fever
•Hemoptysis = late symptoms
•Chills, generalized flu-like symptoms
•Pleuritic pain
•Productive cough
•Crackles and/or adventitious breath sounds
tuberculin skin test (AKA : Mantoux test, PPD) - CORRECT ANSWER>>>•Assess for
induration in 48 - 72 hours
•Presence of induration (not redness) at injection site indicates development of antibodies
secondary to exposure to TB
•Positive if ≥15 mm induration in any person
•Positive if ≥10 mm induration in persons with chronic disease, recent immigrants, IV drug users
•Reactions ≥5 mm considered positive in immunosuppressed
Interferon-γ gamma release assays (IGRAs) - CORRECT ANSWER>>>Detects T-cells in
response to Mycobacterium tuberculosis
QuantiFERON-TB and T-SPOT.TB tests - CORRECT ANSWER>>>•used for people who have
the vaccine and have antibodies since they will always test positive on a PPD.
chest Xray - CORRECT ANSWER>>>•Cannot make diagnosis solely on x-ray
•May appear normal in a patient with TB
•Upper lobe infiltrates, cavitary infiltrates, lymph node involvement, and pleural and/or
pericardial effusion suggest TB
sputum stains - CORRECT ANSWER>>>•Required for diagnosis
•Consecutive sputum samples were obtained on 3 different days
med management considerations for TB - CORRECT ANSWER>>>•Infectious for first 2 weeks
after starting treatment if sputum
active TB disease drug therapy - CORRECT ANSWER>>>•Treatment is aggressive
•Two phases of treatment
•Initial (8 weeks)
•Continuation (18 weeks)
four drug regimen used for TB - CORRECT ANSWER>>>- Rifampin
- Isoniazid
- Pyrazinamide
- Ethambutol
3
ENDOCRINE 2025 QUESTIONS WITH
VERIFIED ANSWERS ALREADY
GRADED BY EXPERTS
manifestations of laryngeal obstruction - CORRECT ANSWER>>>•Subcutaneous emphysema
or crepitus
•Voice changes
•Dysphagia
•Pain with swallowing
•Inspiratory stridor- in upper
•Coarse sound in lower
•Hemoptysis
•Cough
•Signs of asphyxia: use of accessory muscles
late signs of laryngeal obstruction - CORRECT ANSWER>>>•Retracting of ribcage- late
symptom. Impending resp collapse
what should the nurse ask about during the assessment for a pt with suspected partial/total
laryngeal obstruction? - CORRECT ANSWER>>>-Alcohol use
-New meds- especially ace inhibitors
-Allergies
- Activity
how long does a nurse have to perform rapid interventions before a laryngeal obstruction
becomes fatal? - CORRECT ANSWER>>>3 mins
- BRAIN NEEDS O2
arytenoidectomy - CORRECT ANSWER>>>surgical widening of laryngeal tract
total laryngectomy - CORRECT ANSWER>>>Surgical removal of the entire larynx
- vocal cords, epiglottis, thyroid cartilage
•Permanent tracheostomy or laryngectomy tube
- Permanent loss of voice
post op care for total laryngectomy pts - CORRECT ANSWER>>>- NPO 7 days
- IV fluids
- Parenteral/ enteral feedings: NG or PEG
- semi fowler's position- helps ventilate and decreases pressure at incision
-JP drain post op as well- measure I&O- removed when there is less than 30 ml output in 2
consecutive days
-O2- humidified
1
,complications of laryngectomies - CORRECT ANSWER>>>- Unintelligible speech
- Frequent coughing
- Chest infections
- Dryness & irritation of the windpipe
how often should you clean/change the inner cannula for a laryngectomy/ tracheostomy tube? -
CORRECT ANSWER>>>every 8 hours
difference between tracheostomy and laryngectomy tubes - CORRECT
ANSWER>>>tracheostomy pts still have their upper airway
- puts them more at risk for aspiration
how can TB be spread? - CORRECT ANSWER>>>airborne
- pts placed in negative pressure rooms
ghon lesion or focus (HALLMARK SIGN OF TB) - CORRECT ANSWER>>>represents a
calcified TB granuloma- primary TB infection
- body's attempt to kill it. ends up walling off the acid fast bacilli and stops further spreading
when can TB symptoms manifest? - CORRECT ANSWER>>>2-10 weeks
Progressive tuberculosis - CORRECT ANSWER>>>tuberculosis that becomes reactivated
XDR tuberculosis - CORRECT ANSWER>>>resistant to isoniazid, rifampin, fluoroquinolones,
and at least 1 of 3 available second line injectable drugs.
primary TB infection - CORRECT ANSWER>>>•When bacteria are inhaled and initiate an
inflammatory reaction
•majority of people mount effective immune responses to encapsulate these organisms for the
rest of their lives
latent TB infection - CORRECT ANSWER>>>•Infected but no active disease
•have a positive skin test but are asymptomatic
•cannot transmit the TB bacteria to others
Active TB disease - CORRECT ANSWER>>>•Primary TB - active disease develops within the
first 2 years of infection
•Reactivation TB (post-primary) - TB disease occurring 2 or more years after the initial infection
tuberculosis manifestations - CORRECT ANSWER>>>•Initial dry cough that becomes
productive
•Fatigue
•Malaise
•Anorexia
•Weight loss
2
, •Low-grade fever
•Night sweats
•Dyspnea
•Fever
•Hemoptysis = late symptoms
•Chills, generalized flu-like symptoms
•Pleuritic pain
•Productive cough
•Crackles and/or adventitious breath sounds
tuberculin skin test (AKA : Mantoux test, PPD) - CORRECT ANSWER>>>•Assess for
induration in 48 - 72 hours
•Presence of induration (not redness) at injection site indicates development of antibodies
secondary to exposure to TB
•Positive if ≥15 mm induration in any person
•Positive if ≥10 mm induration in persons with chronic disease, recent immigrants, IV drug users
•Reactions ≥5 mm considered positive in immunosuppressed
Interferon-γ gamma release assays (IGRAs) - CORRECT ANSWER>>>Detects T-cells in
response to Mycobacterium tuberculosis
QuantiFERON-TB and T-SPOT.TB tests - CORRECT ANSWER>>>•used for people who have
the vaccine and have antibodies since they will always test positive on a PPD.
chest Xray - CORRECT ANSWER>>>•Cannot make diagnosis solely on x-ray
•May appear normal in a patient with TB
•Upper lobe infiltrates, cavitary infiltrates, lymph node involvement, and pleural and/or
pericardial effusion suggest TB
sputum stains - CORRECT ANSWER>>>•Required for diagnosis
•Consecutive sputum samples were obtained on 3 different days
med management considerations for TB - CORRECT ANSWER>>>•Infectious for first 2 weeks
after starting treatment if sputum
active TB disease drug therapy - CORRECT ANSWER>>>•Treatment is aggressive
•Two phases of treatment
•Initial (8 weeks)
•Continuation (18 weeks)
four drug regimen used for TB - CORRECT ANSWER>>>- Rifampin
- Isoniazid
- Pyrazinamide
- Ethambutol
3
