What could contribute to an obstructed airway in a patient with asthma - ANSWER-
thick mucous, swelling of bronchial membranes, airway remodeling
Tube feed aspiration prevention: - ANSWER- check placement, visual inspection,
patient in upright position, feeding given only when placement is verified
Thoracentesis - ANSWER- aspiration of fluid/air collection in the pleural space via
needle
Substantial portion of one or more lobes = - ANSWER- lobar pnemonia
Subjective Data of Pneumonia - ANSWER- anxiety, fatigue, weakness, chest
discomfort, confusion
Streptococcal Pneumonia Manifestations - ANSWER- sudden onset, chills, high fever,
pleuritic chest pain, tachypnea, respiratory distress, tachycardia
Stage IV COPD - ANSWER- very severe. May be called "end stage". Symptoms of
chronic respiratory failure
Stage III COPD - ANSWER- severe. increased SOB, reduced exercise tolerance,
repeated exacerbations
Stage II COPD - ANSWER- moderate. SOB on exertion
Stage I COPD - ANSWER- mild. May or may not exhibit cough, sputum production
Silent aspiration can occur: - ANSWER- from a poor swallow function or from a tube
feeding
Signs of Heart Failure - ANSWER- congestion, dependent edema, JVD, pain in the area
of the liver
Signs and symptoms of oxygen toxicity - ANSWER- fatigue, substernal pain, dyspnea
Signs and symptoms of Aspiration Pneumonia vary depending on: - ANSWER- causal
organism, type, underlying disease
Short-acting beta 2 adrenergic-agonist agent - ANSWER- albuterol
Severe Pneumonia Manifestations - ANSWER- flushed face, central cyanosis
S/S of HAP - ANSWER- cough, sputum production, low grade temp, malaise, high
fever, tachycardia
Risk factors of HAP - ANSWER- elderly, ETOH abuse, chronic lung disease, DM
Pulse-temp deficit = - ANSWER- viral, mycoplasma, legionella
Pulmonary Function Test - ANSWER- Assess lung function or extent of dysfunction
Primary goal of aspiration is - ANSWER- Prevention
Predisposing factors of Hospital Acquired Pneumonia - ANSWER- impaired host
defense, comorbid conditions, supine positioning, aspiration, coma, malnutrition,
hypotension, prolonged hospitalization, metabolic disorders
Post-op patient with shallow respirations and reluctant to cough is at risk for: -
ANSWER- Atelectasis
Pneumonia is - ANSWER- inflammation of the lung tissue caused by bacteria,
mycobacterium, fungi, or viruses
Peak Flow Rate - ANSWER- Measures highest volume of air flow during forced
expiration
Patchy distribution = - ANSWER- bronchopneumonia
Panlobular - ANSWER- all air space within the lobule are enlarged
Other S/S - ANSWER- orthopnea, poor appetite, rusty blood tinged sputum
, Objective data of pneumonia - ANSWER- fever, chills, flushed face, diaphoretic, SOB,
tachypnea, pleuritic pain, sputum production (yellow), crackles/wheezes, cough, dull
percussion, decreased O2 sat
Nursing Care for Pneumonia - ANSWER- high fowlers, encourage cough/suction,
administer resp treatments, administer O2 as prescribed, encourage deep breathing,
provide frequent rest periods, promote adequate nutrition, increase fluid intake to 2-3
L/day, reassure patients with dyspnea
NUR 130 EXAM 2 Questions With
Answer 2025
Normal SaO2 - ANSWER- 95-100
Normal pH - ANSWER- 7.35-7.45
Normal PaO2 - ANSWER- 80-100
Normal PaCO2 - ANSWER- 34-45
Normal HCO3 - ANSWER- 22-26
Medications for Pneumonia - ANSWER- antibiotics, bronchodilators, anti-inflammatory
Leukotriene modifiers - ANSWER- Montelukast, Zafirlukast, Zileuton
Interferes with __ & __ diffusion - ANSWER- oxygen , CO2
Inflammatory reaction in the ____ - ANSWER- alveoli
Indication of pneumonia in patient with COPD - ANSWER- purulent sputum or changes
in respiratory pattern
Increased CO2 tension in the arterial blood leads to: - ANSWER- Respiratory Acidosis
Hypertrophy of smooth muscle can lead to - ANSWER- pulmonary hypertension
Hospitalization required if - ANSWER- severe dyspnea, confusion/lethargy, respiratory
muscle failure, paradoxical chest wall movement, peripheral edema, increased central
cyanosis, need for ventilation support
Hospital Acquired Pneumonias - ANSWER- Enterobacter, E. Coli, Klebsiella, Proteus,
Serratia marcescens, P. aeruginosa
-gastric contents
-gases
Exacerbation Management - ANSWER- Bronchodilators, antibiotics, corticosteroids, O2
Diagnostics of Aspiration Pneumonia - ANSWER- Chest x-ray, sputum culture, blood
culture, bronchoscopy
Diagnostics for Pneumonia - ANSWER- ABG, chest x-ray, sputum culture and
sensitivity, pulse ox
Complications of COPD - ANSWER- pneumonia, chronic atelectasis, pneumothorax,
pulmonary artery hypertenion (cor pulmonale)
Complications of Aspiration Pneumonia - ANSWER- shock/respiratory failure, cardiac
dysrhythmias, pericarditis, myocarditis
Community Acquired Pneumonias - ANSWER- S. Pneumoniae, H. Influenza, M.
Pneumoniae, Viral
Common trigger of asthma - ANSWER- esophageal reflux
Clinical Manifestations of emphysema - ANSWER- chronic cough, sputum production,
dyspnea on exertion
thick mucous, swelling of bronchial membranes, airway remodeling
Tube feed aspiration prevention: - ANSWER- check placement, visual inspection,
patient in upright position, feeding given only when placement is verified
Thoracentesis - ANSWER- aspiration of fluid/air collection in the pleural space via
needle
Substantial portion of one or more lobes = - ANSWER- lobar pnemonia
Subjective Data of Pneumonia - ANSWER- anxiety, fatigue, weakness, chest
discomfort, confusion
Streptococcal Pneumonia Manifestations - ANSWER- sudden onset, chills, high fever,
pleuritic chest pain, tachypnea, respiratory distress, tachycardia
Stage IV COPD - ANSWER- very severe. May be called "end stage". Symptoms of
chronic respiratory failure
Stage III COPD - ANSWER- severe. increased SOB, reduced exercise tolerance,
repeated exacerbations
Stage II COPD - ANSWER- moderate. SOB on exertion
Stage I COPD - ANSWER- mild. May or may not exhibit cough, sputum production
Silent aspiration can occur: - ANSWER- from a poor swallow function or from a tube
feeding
Signs of Heart Failure - ANSWER- congestion, dependent edema, JVD, pain in the area
of the liver
Signs and symptoms of oxygen toxicity - ANSWER- fatigue, substernal pain, dyspnea
Signs and symptoms of Aspiration Pneumonia vary depending on: - ANSWER- causal
organism, type, underlying disease
Short-acting beta 2 adrenergic-agonist agent - ANSWER- albuterol
Severe Pneumonia Manifestations - ANSWER- flushed face, central cyanosis
S/S of HAP - ANSWER- cough, sputum production, low grade temp, malaise, high
fever, tachycardia
Risk factors of HAP - ANSWER- elderly, ETOH abuse, chronic lung disease, DM
Pulse-temp deficit = - ANSWER- viral, mycoplasma, legionella
Pulmonary Function Test - ANSWER- Assess lung function or extent of dysfunction
Primary goal of aspiration is - ANSWER- Prevention
Predisposing factors of Hospital Acquired Pneumonia - ANSWER- impaired host
defense, comorbid conditions, supine positioning, aspiration, coma, malnutrition,
hypotension, prolonged hospitalization, metabolic disorders
Post-op patient with shallow respirations and reluctant to cough is at risk for: -
ANSWER- Atelectasis
Pneumonia is - ANSWER- inflammation of the lung tissue caused by bacteria,
mycobacterium, fungi, or viruses
Peak Flow Rate - ANSWER- Measures highest volume of air flow during forced
expiration
Patchy distribution = - ANSWER- bronchopneumonia
Panlobular - ANSWER- all air space within the lobule are enlarged
Other S/S - ANSWER- orthopnea, poor appetite, rusty blood tinged sputum
, Objective data of pneumonia - ANSWER- fever, chills, flushed face, diaphoretic, SOB,
tachypnea, pleuritic pain, sputum production (yellow), crackles/wheezes, cough, dull
percussion, decreased O2 sat
Nursing Care for Pneumonia - ANSWER- high fowlers, encourage cough/suction,
administer resp treatments, administer O2 as prescribed, encourage deep breathing,
provide frequent rest periods, promote adequate nutrition, increase fluid intake to 2-3
L/day, reassure patients with dyspnea
NUR 130 EXAM 2 Questions With
Answer 2025
Normal SaO2 - ANSWER- 95-100
Normal pH - ANSWER- 7.35-7.45
Normal PaO2 - ANSWER- 80-100
Normal PaCO2 - ANSWER- 34-45
Normal HCO3 - ANSWER- 22-26
Medications for Pneumonia - ANSWER- antibiotics, bronchodilators, anti-inflammatory
Leukotriene modifiers - ANSWER- Montelukast, Zafirlukast, Zileuton
Interferes with __ & __ diffusion - ANSWER- oxygen , CO2
Inflammatory reaction in the ____ - ANSWER- alveoli
Indication of pneumonia in patient with COPD - ANSWER- purulent sputum or changes
in respiratory pattern
Increased CO2 tension in the arterial blood leads to: - ANSWER- Respiratory Acidosis
Hypertrophy of smooth muscle can lead to - ANSWER- pulmonary hypertension
Hospitalization required if - ANSWER- severe dyspnea, confusion/lethargy, respiratory
muscle failure, paradoxical chest wall movement, peripheral edema, increased central
cyanosis, need for ventilation support
Hospital Acquired Pneumonias - ANSWER- Enterobacter, E. Coli, Klebsiella, Proteus,
Serratia marcescens, P. aeruginosa
-gastric contents
-gases
Exacerbation Management - ANSWER- Bronchodilators, antibiotics, corticosteroids, O2
Diagnostics of Aspiration Pneumonia - ANSWER- Chest x-ray, sputum culture, blood
culture, bronchoscopy
Diagnostics for Pneumonia - ANSWER- ABG, chest x-ray, sputum culture and
sensitivity, pulse ox
Complications of COPD - ANSWER- pneumonia, chronic atelectasis, pneumothorax,
pulmonary artery hypertenion (cor pulmonale)
Complications of Aspiration Pneumonia - ANSWER- shock/respiratory failure, cardiac
dysrhythmias, pericarditis, myocarditis
Community Acquired Pneumonias - ANSWER- S. Pneumoniae, H. Influenza, M.
Pneumoniae, Viral
Common trigger of asthma - ANSWER- esophageal reflux
Clinical Manifestations of emphysema - ANSWER- chronic cough, sputum production,
dyspnea on exertion
