answered Questions Revised and Graded Excellent
A patient experiencing respiratory distress at home from pneumonia is brought to the hospital
and upon presentation requires intubation. How would the nurse classify this type of pneumonia?
A. Ventilator-associated pneumonia
B. Health care-associated pneumonia
C. Community-acquired pneumonia
D. Hospital-acquired pneumonia - CORRECT ANSWER ✔✔ -C. Community-acquired
pneumonia
Rationale: Community-acquired pneumonia (CAP) is pneumonia occurring in the community or
within less than 48 hours of hospital admission. Health care-associated pneumonia (HCAP)
occurs in a nonhospitalized patient with extensive health care contact. Hospital-acquired
pneumonia (HAP) occurs 48 hours or more after hospital admission. Ventilator-associated
pneumonia (VAP) is a type of HAP that develops 48 hours or more after intubation.
Epinephrine is administered for Kenneth Bronson's acute anaphylactic reaction. Which of the
following does the nurse know is a possible side effect of this drug? - CORRECT ANSWER ✔✔
-Tachycardia
Rationale: Tachycardia is one possible cardiovascular adverse effect of epinephrine.
, Once the patient is stabilized after an anaphylactic reaction, what information would be most
essential for the nurse to include with patient and family follow-up teaching? - CORRECT
ANSWER ✔✔ -What caused the event and how to prevent an anaphylactic reaction
Rationale: It will be important for the patient and family to know what caused the anaphylactic
reaction and how to prevent it from happening in the future. They should also receive instruction
on the proper use of a preloaded epinephrine syringe.
The nurse administering diphenhydramine understands that the medication falls under which of
the following categories for the treatment of an anaphylactic reaction? - CORRECT ANSWER
✔✔ -Antihistamine
Rationale: Diphenhydramine (Benadryl) is an antihistamine used to block the histamine released
in the immune response with anaphylaxis.
The nurse is assessing the lungs of a patient diagnosed with pneumonia. Which of the following
would be expected upon auscultation? - CORRECT ANSWER ✔✔ -Bronchial breath sounds
Rationale: Bronchial breath sounds occur in consolidation, such as pneumonia. Egophony may
occur in patients diagnosed with pleural effusion. Absent breath sounds occurs in pneumothorax.
Wheezes are associated with bronchial wall oscillation and changes in airway diameter.