Pathophysiology Exam 2
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1. A child is brought to the emergency department strug- b) Severe asthma attack
gling to breathe with a prolonged bronchospasm and
severe hypoxemia. Assessment revealed the use of
accessory muscles, a weak cough, audible wheezing
sound, moist skin, and tachycardia. Which of the fol-
lowing is the most likely diagnosis?
a) Pulmonary embolism
b) Severe asthma attack
c) Chronic obstructive pulmonary disease
d) Cystic fibrosis
2. A client with a history of heart failure and COPD a) "Having a hard time
(caused by 60 pack/year smoking) presents to the clinic catching my breath."
with the following complaints: auscultation of breath b) Respiratory rate—32;
sounds reveal absent/diminished breath sounds in the pulse rate—122
right lower lobe. Which other manifestations lead the beats/minute.
health care provider to suspect the client may have c) Using accessory mus-
developed atelectasis? Select all that apply. cles to help him breathe.
a) "Having a hard time catching my breath."
b) Respiratory rate—32; pulse rate—122
beats/minute.
c) Using accessory muscles to help him breathe.
d) "Seems like I'm not making much water (decreased
urine production)."
e) Copious amounts of thick, green sputum.
3. The nurse is caring for the following clients. Select the b) The client who is postop
client at highest risk for the development of atelecta- total knee replacement
sis. and receiving client-con-
trolled analgesia
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a) The client who is mobile within 24 hours after ab-
dominal surgery
b) The client who is postop total knee replacement and
receiving client-controlled analgesia
c) The client with a lower leg cast who changes posi-
tion every 2 hours
d) The client diagnosed with pneumonia who per-
forms frequent coughing and deep breathing exercis-
es
4. Cystic fibrosis (CF) is an autosomal recessive disorder d) Pseudomonas aerugi-
involving the secretion of fluids in specific exocrine nosa and Staphylococcus
glands. The genetic defect in CF inclines a person to aureus
chronic respiratory infections from a small group of
organisms. Which organisms create chronic infection
in a child with cystic fibrosis?
a) Staphylococcus aureus and hepatitis C
b) Pseudomonas aeruginosa and Escherichia coli
c) Haemophilus influenzae and influenza A
d) Pseudomonas aeruginosa and Staphylococcus au-
reus
5. The health care provider suspects a newly admitted d) Fractured or dislocated
client may have a hemothorax. The client most likely ribs
experienced:
a) Renal failure
b) Pneumonia
c) Congestive heart failure
d) Fractured or dislocated ribs
, Pathophysiology Exam 2 practice questions
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6. Unilateral chest pain associated with respiratory move- c) Pleuritic
ments is usually described as which of the following?
a) Bronchitic
b) Myocardial
c) Pleuritic
d) Musculoskeletal
7. A car accident client is admitted with a chest tube fol- b) Apply a Vaseline gauze
lowing pneumothorax. He also has an elevated blood (airtight) dressing over the
alcohol level. When the nurse enters his room, she insertion site
notes the client is dyspneic, short of breath, and hold-
ing his chest tube in his hand. When the nurse pulls
the linens back, she finds a "sucking" chest wound. Af-
ter calling a "code blue," the next priority intervention
would be to:
a) Try to calm the patient down by maintaining thera-
peutic communication
b) Apply a Vaseline gauze (airtight) dressing over the
insertion site
c) Observe and wait for the code blue team to bring
equipment
d) Place the client's meal napkin over the wound
8. An elderly client who has been restricted to bed by a) Thoracentesis
numerous comorbidities for several weeks has been
diagnosed with a large pleural effusion. Which of the
following treatment modalities is most likely to resolve
the client's most recent health problem?
a) Thoracentesis
b) Supplementary oxygen therapy