Complete Real Exam Questions And Correct Answers
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The APN is seeing a 30-year-old male client who presents with
sudden onset of
malaise, low back pain, and perineal pain with fever, chills,
dysuria, nocturia,
and urinary retention. Which action by the APN is most
appropriate?
A) Assess the man's recent
sexual history
B) Recommend heat and acetaminophen for
back pain
C) Assist the client in obtaining a
urine sample
D) Obtain a urethral swab for bacterial culture - ANSWER-C)
Assist the client in
obtaining a urine
sample
An advanced practice nurse recalls that the acinus contains?
A) ciliated cells
B) goblet cells
C) alveolar ducts
,D) striated muscle - ANSWER-C) alveolar ducts
The gas-exchange airways are made up of respiratory
bronchioles, alveolar ducts, and alveoli. These structures
together are sometimes called the acinus and all of them
participate in gas exchange.
J-receptors are
A) sensitive to noxious aerosols
B) located in the smooth muscle of airways
C) stimulated by increases in volume
D) sensitive to alterations in pulmonary capillary pressure -
ANSWER-D) sensitive to alterations in pulmonary capillary
pressure
They are sensitive to increased pulmonary capillary pressure,
which stimulates them to initiate rapid, shallow breathing
laryngeal constriction on expiration and mucus secretion;
hypotension; and bradycardia.
Which statement indicates the nurse has a correct
understanding of surfactant?
A) is found in the
bronchi
B) is produced by type 1
alveolar cells
C) reduces surface
tension
D) promotes phagocytosis - ANSWER-C) reduces
surface tension
,Type I alveolar cells provide structure, and type II alveolar
cells secrete
surfactant, a lipoprotein that coats the inner surface of
the alveolus and
facilitates its expansion during inspiration, lowers alveolar
surface tension at
end-expiration, and, thereby, prevents
lung collapse.
Which conditions cause a shift to the left in the
oxyhemoglobin dissociation
curve?
A) Acidosis and increased
Paco2
B) High pH and hypocapnia
C) Hyperthermia and increased 2,3-diphosphoglycerate
(2,3-DPG) D) Decreased hila and gluconeogenesisl -
ANSWER-B) High pH and hypocapnia
The most common cause of
hypoxemia is A) reduced diffusion
distance.
B) hyperventilation with hypocapnia.
C) ventilation-perfusion mismatch.
D) traveling to a low altitude. - ANSWER-C) ventilation-perfusion
mismatch. An abnormal ventilation-perfusion ratio is the
most common cause of hypoxemia. Hypoxemia can be
caused by inadequate ventilation of wellperfused areas of the
lung (low ventilation-perfusion ratio). Hypoxemia also can be
, caused by poor perfusion of well-ventilated portions of the
lung (high ventilation-perfusion ratio), resulting in wasted
ventilation.
A person has pneumoconiosis. Which information would the
advanced practice nurse find in the history of this person?
A) Inhaled inorganic dust particles, resulting in a change in the
lungs
B) Fractured ribs, causing paradoxical movement of the chest
with breathing
C) Ruptured visceral pleura, which allows air or gas into the
pleural space
D) Bronchial inflammation with a persistent abnormal dilation of
the bronchi - ANSWER-A) Inhaled inorganic dust particles,
resulting in a change in the lungs Pneumoconiosis
represents any change in the lung caused by inhalation of
inorganic dust particles, which usually occurs in the
workplace. Pneumoconiosis is caused by long-term
inhalation of dust particles. Dust particles that produce this
disorder include coal, asbestos, silica, talc, fiberglass, and
mica.
What are the phases of ALI/ARDS?
A) Exudative, Proliferative, Fibrotic
B) Exudative, Secretory, Inflammatory
C) Proliferative, Secretory, Fibrotic
D) Inflammatory, Proliferative, Destructive - ANSWER-A)
Exudative,
Proliferative, Fibrotic