2026 Update) Advanced Acute Care
Management Exam |Week 1-4| Questions with
Verified Answers| 100% Correct- Chamberlain.
Question:
Which of the following exam findings would be expected in percussing
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the chest of a client with a pneumothorax?
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a. Hyper-resonance
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b. Hypo-resonance
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c. Normal sounds
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c. Crepitus?
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Answer:
Answer: a. hyper-resonance
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Rationale: Air in the pleural space will result in hyper-resonance with
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percussion of the chest. Fluid in the pleural space would cause hypo-
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resonance.
Question:
The client is undergoing a thoracentesis for pleural effusion. After the
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procedure, the client should be monitored for the development of which
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of the following:
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,a. Pulmonary Embolism
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b. Pneumothorax
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c. Coagulopathy
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d. Pulmonary Contusion?
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Answer:
Answer: b. Pneumothorax
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Rationale: A complication associated with thoracentesis is a
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pneumothorax. This complication can be minimized by performing the
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procedure under ultrasound guidance.
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Question:
pleural fluid analysis consist of?
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Answer:
Answer: protein lactate dehydrogenase level (LDH) gram stain culture
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cytology pH level i,- i,-
Question:
A pleural effusion is likely exudative if at least one of the following exists :-
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?
Answer:
Answer: the ratio of pleural fluid protein to serum protein is greater than
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0.5 the ratio of pleural fluid LDH and serum LDH is greater than 0.6
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pleural fluid LDH >2/3 serum LDH
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,Question:
Type 1 respiratory failure?
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Answer:
Type I respiratory failure involves low oxygenation and a normal or low
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carbon dioxide level. hypoxia without hypercapnia
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Question:
Type 2 respiratory failure?
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Answer:
Type II respiratory failure involves low oxygen, with high carbon dioxide
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(CO2). hypoxia with hypercapnia
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Question:
pericardial effusion? i,-
Answer:
a collection of fluid between the pericardial sac and the myocardium
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Question:
, shock?
Answer:
Shock is characterized by a systemic reduction in tissue perfusion which
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results in an imbalance between oxygen consumption and oxygen delivery
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(supply and demand). This imbalance can lead to ischemia, necrosis, and
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organ failure if not reversed.
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Question:
Compensated shock? i,-
Answer:
Compensated shock: Body's own attempts to correct the metabolic i,- i,- i,- i,- i,- i,- i,- i,- i,-
imbalance of oxygen supply and demand i,- i,- i,- i,- i,-
Question:
Where do you insert a chest tube??
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Answer:
4th or 5th intercostal space at the midclavicular line
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Question:
A hallmark s/s of a pneumothorax includes:?
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Answer:
recalled using the acronym P-THORAX:
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