REVIEWED QUESTIONS AND ANSWERS
RECENTLY UPDATED 2025-2026.GRADE
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c. "The coughing up of blood is caused by a worsening of a disease you've had for a long time, plus a
new problem-- lung cancer." - answer ✔✔-A 55-year-old man with emphysema (a type of chronic lung
disease) who has smoked 2 packs of cigarettes per day for 40 years is hospitalized for acute onset of
cough productive of bloody sputum (sputum=secretions from deep in the lungs). After a few days of
testing and treatment, the patient's nurse reads a physician's note on the chart: "I have told the patient
that the etiologies of his hemoptysis are: 1) exacerbation of his chronic emphysema and 2) the new
diagnosis of lung cancer. The onsets of both were contributed to by his longstanding smoking."
1. The patient asks the nurse for more information. Which of the following explanations to the patient
best indicates a full understanding of the patient's situation?
a. "You have a disease process that was iatrogenically caused by cigarette smoking."
b. "You have a sudden onset of a chronic lung disease that was brought on by lung cancer."
c. "The coughing up of bloo
d. Heavy cigarette smoking was a risk factor in the patient's developing emphysema and lung cancer. -
answer ✔✔-A 55-year-old man with emphysema (a type of chronic lung disease) who has smoked 2
packs of cigarettes per day for 40 years is hospitalized for acute onset of cough productive of bloody
sputum (sputum=secretions from deep in the lungs). After a few days of testing and treatment, the
patient's nurse reads a physician's note on the chart: "I have told the patient that the etiologies of his
hemoptysis are: 1) exacerbation of his chronic emphysema and 2) the new diagnosis of lung cancer. The
onsets of both were contributed to by his longstanding smoking."
Based on all the information you have on the patient, which statement is most likely correct?
a. The patient has a poor prognosis because of the comorbidities of lung cancer and cigarette smoking.
, b. Lung cancer was a sequela of the bloody sputum.
c. A precipitating factor for the acute hospitalization was overexertion when the patient started an
exercise class.
d. Hea
b. due to the patient's heart compensating for low blood volume by pumping faster. - answer ✔✔-An
80-year-old patient is in shock from loss of blood following an accident. His vital signs are: BP 80/50
(normal ~ 120/80), HR 120 (norm = 60-100), RR 20 (norm = 12 to 20), T 98.6 (norm ~ 98.6).
In assessing this patient, the nurse understands that the abnormal HR is
a. probably the etiology for the patient's low BP.
b. due to the patient's heart compensating for low blood volume by pumping faster.
c. the normal compensatory response of shunting blood volume to the periphery.
d. due to multiple risk factors.
c. a risk factor of shock - answer ✔✔-An 80-year-old patient is in shock from loss of blood following an
accident. His vital signs are: BP 80/50 (normal ~ 120/80), HR 120 (norm = 60-100), RR 20 (norm = 12 to
20), T 98.6 (norm ~ 98.6).
The patient would also most likely have all of the following EXCEPT
a. S&S of cool feet and hands from the body's compensatory response to shock.
b. S&S of feeling faint and weak from blood loss.
c. a risk factor of shock.
d. a more guarded (ie, "poorer") prognosis because of his age.
b. idiopathic - answer ✔✔-A young, otherwise healthy patient is admitted to the hospital with a
diagnosis of heart failure of unknown cause. The etiology of the heart failure would be termed
a. iatrogenic.
b. idiopathic.
c. nosocomial.
d. acute.