Exam 2 Dunphy Respiratory 1
The antibiotic of choice for the treatment of Streptococcus pneumoniae infection is A.
Dicloxacillin B. Erythromycin C. Penicillin D. Ampicillin clavulanate. -correct answer_C.
Penicillin In inner-city children, an important cause of asthma-related illness and
hospitalizations is A. Heredity and genetics B. Vitamin deficiencies C. Cockroaches D. Playing
on asphalt playgrounds -correct answer_C. Cockroaches The diagnosis of tuberculosis does
not need to be reported when A. The clients Mantoux test shows an induration of 15mm B. A
case of tuberculosis is only suspected C. An asymptomatic client has a positive chest x-ray for
pulmonary tuberculosis D. The Mantoux test shows a raised injected or red area without
induration -correct answer_D. The Mantoux test shows a raised injected or red area without
induration When asthma does not respond to traditional therapy, it may be due to another
syndrome that mimics asthma, such as A. Lower airway obstruction B. Vocal cord dysfunction
C. COPD D. Bronchitis -correct answer_B. Vocal cord dysfunction Which statement is true
regarding primary spontaneous pneumothorax? A. It usually occurs after individuals have
recently started an exercise program. B. It occurs more commonly in thin elderly men. C. It
usually occurs in healthy individuals without preexisting lung disease. D. It frequently occurs in
Marfan's syndrome. -correct answer_C. It usually occurs in healthy individuals without
preexisting lung disease. Of all the adults who smoke, what percentage who quit are
successful in their efforts? A. 2.5% B. 8% C. 15% D. 30% -correct answer_B. 8% Which of the
following underlying lung diseases is the most common cause of a secondary spontaneous
pneumothorax? A. COPD B. Lung abscess C. Cystic fibrosis D. Tuberculosis -correct
answer_A. COPD Harvey has severe obstructive sleep apnea and has just been ordered a
continuous positive airway pressure (CPAP) machine. What do you tell him about it? A. "You
put it on at night after you've woken up several times." B. "You must use it at least 5 nights
during the week." C. "You'll want to use it every night, all night long." D. "We'll discontinue it if
you develop nasal dryness or rhinitis." -correct answer_C. "You'll want to use it every night, all
night long." The well-established risk factor(s) for a nosocomial pneumonia caused by
multidrug-resistant organism is (are) A. Antibiotic exposure and a hospital stay of more than 1
week B. Age greater than 65 and having COPD C. Having outpatient surgery D. Having
allergies to multiple antibiotics -correct answer_A. Antibiotic exposure and a hospital stay of
more than 1 week The two most predominant organisms constituting the normal flora of the
oropharynx are A. Streptococci and Staphylococci B. Streptococci and Moraxella catarrhalis C.
Staphylococci and Candida albicans D. Various protozoa and Staphylococci -correct
answer_A. Streptococci and Staphylococci Hyperresonance on percussion of the chest occurs
with A. Emphysema B. Pneumonia C. Pleural effusion D. Lung tumor -correct answer_A.
Emphysema A pulmonary function test, such as spirometry, is helpful in the diagnosis of A.
Chronic bronchitis B. Lung cancer C. Pneumonia D. Tuberculosis -correct answer_A. Chronic
bronchitis In trying to differentiate between chronic bronchitis and emphysema, you know that
chronic bronchitis A. Usually occurs after age 50 and has insidious progressive dyspnea. B.
, Usually presents with a cough that is mild and with scant, clear sputum, if any. C. Presents
with adventitious sounds, wheezing and rhonchi, and a normal percussion note. D. Results in
an increased total lung capacity with a markedly increased residual volume. -correct answer_C.
Presents with adventitious sounds, wheezing and rhonchi, and a normal percussion note.
What percentage of adults over 65 years of age typically receives the pneumococcus vaccine?
A. 10% B. 30% C. 60% D. 90% -correct answer_C. 60% The nursing diagnosis of 'impaired
gas exchange' may be demonstrated by A. Clubbing of the fingers B. Nasal flaring C. The use
of accessory muscles D. A cough -correct answer_A. Clubbing of the fingers Other than
smoking cessation, which of the following slows the progression of COPD in smokers? A.
Making sure the environment is free of all pollutants B. Eliminating all pets from the
environment C. Engaging in moderate to high levels of physical activity D. Remaining indoors
with air conditioning as much as possible -correct answer_C. Engaging in moderate to high
levels of physical activity Cough and congestion result when breathing A. Carbon monoxide B.
Sulfur dioxide C. Tear gas D. Carbon dioxide -correct answer_B. Sulfur dioxide Sally, age 49,
has had asthma for several years but has never used a peak expiratory flowmeter. Should you
now recommend it? A. No, she has been managing fine without it. B. Yes, she might recognize
early signs of deterioration. C. Present the options and let Sally decide. D. No, at her age it is
not recommended. -correct answer_B. Yes, she might recognize early signs of deterioration.
Which statement about chronic obstructive pulmonary disease (COPD) is true? A. The
prevalence of COPD is directly related to increasing age. B. The incidence of COPD is about
equal in men and in women. C. Cigar or pipe smoking does not increase the risk of developing
COPD. D. Environmental factors such as smoke do not affect the potential for COPD. -correct
answer_A. The prevalence of COPD is directly related to increasing age. Which group is at the
highest risk for tuberculosis? A. Racial and ethnic minorities B. Foreign-born individuals C.
Substance abusers D. Nursing home residents -correct answer_A. Racial and ethnic minorities
Michael, age 52, has a gradual onset of dry cough, dyspnea, chills, fever, general malaise,
headache, confusion, anorexia, diarrhea, myalgias, and arthralgias. Which diagnosis do you
suspect? A. Bronchopneumonia B. Legionnaires' disease C. Primary atypical pneumonia D.
Pneumocystis juroveci pneumonia -correct answer_B. Legionnaires' disease The CURB-65
criteria may be used to help assess whether a patient needs to be treated in the hospital or can
be effectively treated at home. The R in CURB stands for A. Respiratory rate B. Rapid pulse
rate C. Raynaud's syndrome present D. Region of the country where the client resides -correct
answer_A. Respiratory rate The causative agent if the community-acquired pneumonia seen
most often in the client with an alcohol problem is A. Pneumococcus B. Mycoplasma C.
Legionella D. Haemophilus influenza -correct answer_A. Pneumococcus Which of the
following drugs causes a cough by inducing mucus production (bronchorrhea)? A. Tobacco
and/or marijuana B. Beta-adrenergic blockers C. Aspirin and NSAIDs D. Cholinesterase
inhibitors -correct answer_C. Aspirin and NSAIDs Unexplained nocturnal cough in an older
adult should suggest A. Allergies B. Asthma C. Congestive heart failure D. Viral syndrome
-correct answer_C. Congestive heart failure Which of the following individuals most likely will
The antibiotic of choice for the treatment of Streptococcus pneumoniae infection is A.
Dicloxacillin B. Erythromycin C. Penicillin D. Ampicillin clavulanate. -correct answer_C.
Penicillin In inner-city children, an important cause of asthma-related illness and
hospitalizations is A. Heredity and genetics B. Vitamin deficiencies C. Cockroaches D. Playing
on asphalt playgrounds -correct answer_C. Cockroaches The diagnosis of tuberculosis does
not need to be reported when A. The clients Mantoux test shows an induration of 15mm B. A
case of tuberculosis is only suspected C. An asymptomatic client has a positive chest x-ray for
pulmonary tuberculosis D. The Mantoux test shows a raised injected or red area without
induration -correct answer_D. The Mantoux test shows a raised injected or red area without
induration When asthma does not respond to traditional therapy, it may be due to another
syndrome that mimics asthma, such as A. Lower airway obstruction B. Vocal cord dysfunction
C. COPD D. Bronchitis -correct answer_B. Vocal cord dysfunction Which statement is true
regarding primary spontaneous pneumothorax? A. It usually occurs after individuals have
recently started an exercise program. B. It occurs more commonly in thin elderly men. C. It
usually occurs in healthy individuals without preexisting lung disease. D. It frequently occurs in
Marfan's syndrome. -correct answer_C. It usually occurs in healthy individuals without
preexisting lung disease. Of all the adults who smoke, what percentage who quit are
successful in their efforts? A. 2.5% B. 8% C. 15% D. 30% -correct answer_B. 8% Which of the
following underlying lung diseases is the most common cause of a secondary spontaneous
pneumothorax? A. COPD B. Lung abscess C. Cystic fibrosis D. Tuberculosis -correct
answer_A. COPD Harvey has severe obstructive sleep apnea and has just been ordered a
continuous positive airway pressure (CPAP) machine. What do you tell him about it? A. "You
put it on at night after you've woken up several times." B. "You must use it at least 5 nights
during the week." C. "You'll want to use it every night, all night long." D. "We'll discontinue it if
you develop nasal dryness or rhinitis." -correct answer_C. "You'll want to use it every night, all
night long." The well-established risk factor(s) for a nosocomial pneumonia caused by
multidrug-resistant organism is (are) A. Antibiotic exposure and a hospital stay of more than 1
week B. Age greater than 65 and having COPD C. Having outpatient surgery D. Having
allergies to multiple antibiotics -correct answer_A. Antibiotic exposure and a hospital stay of
more than 1 week The two most predominant organisms constituting the normal flora of the
oropharynx are A. Streptococci and Staphylococci B. Streptococci and Moraxella catarrhalis C.
Staphylococci and Candida albicans D. Various protozoa and Staphylococci -correct
answer_A. Streptococci and Staphylococci Hyperresonance on percussion of the chest occurs
with A. Emphysema B. Pneumonia C. Pleural effusion D. Lung tumor -correct answer_A.
Emphysema A pulmonary function test, such as spirometry, is helpful in the diagnosis of A.
Chronic bronchitis B. Lung cancer C. Pneumonia D. Tuberculosis -correct answer_A. Chronic
bronchitis In trying to differentiate between chronic bronchitis and emphysema, you know that
chronic bronchitis A. Usually occurs after age 50 and has insidious progressive dyspnea. B.
, Usually presents with a cough that is mild and with scant, clear sputum, if any. C. Presents
with adventitious sounds, wheezing and rhonchi, and a normal percussion note. D. Results in
an increased total lung capacity with a markedly increased residual volume. -correct answer_C.
Presents with adventitious sounds, wheezing and rhonchi, and a normal percussion note.
What percentage of adults over 65 years of age typically receives the pneumococcus vaccine?
A. 10% B. 30% C. 60% D. 90% -correct answer_C. 60% The nursing diagnosis of 'impaired
gas exchange' may be demonstrated by A. Clubbing of the fingers B. Nasal flaring C. The use
of accessory muscles D. A cough -correct answer_A. Clubbing of the fingers Other than
smoking cessation, which of the following slows the progression of COPD in smokers? A.
Making sure the environment is free of all pollutants B. Eliminating all pets from the
environment C. Engaging in moderate to high levels of physical activity D. Remaining indoors
with air conditioning as much as possible -correct answer_C. Engaging in moderate to high
levels of physical activity Cough and congestion result when breathing A. Carbon monoxide B.
Sulfur dioxide C. Tear gas D. Carbon dioxide -correct answer_B. Sulfur dioxide Sally, age 49,
has had asthma for several years but has never used a peak expiratory flowmeter. Should you
now recommend it? A. No, she has been managing fine without it. B. Yes, she might recognize
early signs of deterioration. C. Present the options and let Sally decide. D. No, at her age it is
not recommended. -correct answer_B. Yes, she might recognize early signs of deterioration.
Which statement about chronic obstructive pulmonary disease (COPD) is true? A. The
prevalence of COPD is directly related to increasing age. B. The incidence of COPD is about
equal in men and in women. C. Cigar or pipe smoking does not increase the risk of developing
COPD. D. Environmental factors such as smoke do not affect the potential for COPD. -correct
answer_A. The prevalence of COPD is directly related to increasing age. Which group is at the
highest risk for tuberculosis? A. Racial and ethnic minorities B. Foreign-born individuals C.
Substance abusers D. Nursing home residents -correct answer_A. Racial and ethnic minorities
Michael, age 52, has a gradual onset of dry cough, dyspnea, chills, fever, general malaise,
headache, confusion, anorexia, diarrhea, myalgias, and arthralgias. Which diagnosis do you
suspect? A. Bronchopneumonia B. Legionnaires' disease C. Primary atypical pneumonia D.
Pneumocystis juroveci pneumonia -correct answer_B. Legionnaires' disease The CURB-65
criteria may be used to help assess whether a patient needs to be treated in the hospital or can
be effectively treated at home. The R in CURB stands for A. Respiratory rate B. Rapid pulse
rate C. Raynaud's syndrome present D. Region of the country where the client resides -correct
answer_A. Respiratory rate The causative agent if the community-acquired pneumonia seen
most often in the client with an alcohol problem is A. Pneumococcus B. Mycoplasma C.
Legionella D. Haemophilus influenza -correct answer_A. Pneumococcus Which of the
following drugs causes a cough by inducing mucus production (bronchorrhea)? A. Tobacco
and/or marijuana B. Beta-adrenergic blockers C. Aspirin and NSAIDs D. Cholinesterase
inhibitors -correct answer_C. Aspirin and NSAIDs Unexplained nocturnal cough in an older
adult should suggest A. Allergies B. Asthma C. Congestive heart failure D. Viral syndrome
-correct answer_C. Congestive heart failure Which of the following individuals most likely will
