Ans 2026 (PDF) | Graded A+
1. Describe how a pulmonary function test with spirometry aids in the diagnosis of
COPD.
It evaluates the presence of lung infections through imaging.
It tests for allergic reactions affecting lung capacity.
It measures lung function and airflow, helping to identify obstructive patterns
characteristic of COPD.
It assesses blood oxygen levels to determine respiratory distress.
2. What is the primary treatment approach for classic phase 2 migraines?
Physical therapy
Dietary changes
Surgical intervention
Medication management
3. According to the rule of palms, the
paramedic's palmar surface area is equal to approximately 5 percent body surface area.
paramedic's palmar surface area is equal to approximately 2 percent body surface area.
patient's palmar surface area is equal to approximately 1 percent body surface
area.
paramedic's palmar surface area is equal to approximately 1 percent body surface area.
patient's palmar surface area is equal to approximately 2 percent body surface area.
,4. If a patient with severe COPD and coronary artery disease experiences worsening symptoms,
which medication adjustment involving Norvasc would be appropriate?
Evaluate the dosage of Norvasc to ensure optimal management of CAD
without exacerbating COPD.
Increase the dosage of a diuretic to manage fluid retention.
Switch to a different beta blocker that is not contraindicated.
Discontinue Norvasc and monitor the patient without medication.
5. The point of maximal impulse (PMI) is located_____________ _.
Superior to the suprasternal notch over the aortic arch
Lateral and inferior at the point over the apex
Just to the right of the sternum over the ascending aorta
Below the sub-xiphoid process over the IVC
6. Lab test preformed on a patient indicate macrocytic anemia. Which disorder is the patient
most likely to be experiencing?
Acute hemorrhage
Vitamin B12 deficiency
Iron deficiency
Anemia of chronic disease
7. What lung condition is indicated by the presence of crackles that clear after coughing?
Atelectasis
Bronchitis
Pneumonia
, Pulmonary edema
8. Describe the difference between gustatory hallucinations and stereognosis in the
context of patient assessments.
Gustatory hallucinations are related to sound perception, while stereognosis is about
visual recognition.
Gustatory hallucinations are linked to visual stimuli, while stereognosis involves
auditory processing.
Gustatory hallucinations involve false perceptions of taste, while stereognosis
refers to the ability to recognize objects by touch.
Gustatory hallucinations occur only in schizophrenia, while stereognosis is
a general sensory ability.
9. In a clinical setting, if a patient reports an unpleasant taste during an assessment, what
should be the nurse's immediate action regarding the patient's mental status?
Ignore the symptom as it is not relevant to the assessment.
Assess for potential gustatory hallucinations and evaluate the patient's
medication history.
Focus solely on the patient's physical symptoms and disregard the taste complaint.
Immediately refer the patient for psychiatric evaluation without further assessment.
10. The nurse is auscultating the lungs of a sleeping patient and notes short, popping, crackling
sounds that stop after a few breaths. The nurse recognizes that these breath sounds are:
Vesicular breath sounds.
Fine wheezes.
Fine crackles, which may be a sign of pneumonia.
, Atelectatic crackles, and not pathological.
11. What is the most likely cause of having a macrocytic anemia with elevated mean
corpuscular volume (MCV) levels?
Low B12 levels
Elevated hematocrit levels
Low iron levels
Elevated folate levels
12. A therapist detects abnormal sounds during auscultation when "E" sounds are
transmitted to sound like "A" sounds. What is the correct term and most likely
condition associated with this test?
Wheezing, asthma
Egophony, pneumonia
Bronchophony, chronic bronchitis
Whispered pectoriloquy, emphysema
13. What are the correct medication interventions for status asthmaticus?
D. Both A and C.
C. Mag sulfate, Heliox, and ketamine.
A. Three nebulizer treatments of beta2 agonist 20-30 mins apart or continuously,
ipratropium bromide, corticosteroids.
B. One nebulizer treatment of beta2 agonist and ipratropium bromide.
14. In a post-operative patient with dull percussion sounds over lung tissue, what immediate
nursing intervention would be most appropriate to address potential respiratory
complications?
Administer pain medication