NURS 313R Exam 2 Questions With Complete Solutions
A pt comes into the ED with chest pain and dyspnea. She is
admitted for observation. 42 hours after admission, the chest
pain and dyspnia is being treated, but pneumonia is confirmed.
What type of pneumonia is this?
1. Community acquired
2. Hospital acquired
3. Aspiration pneumonia
4. Opportunistic pneumonia Correct Answers 1. Community
acquired
If pneumonia is confirmed within 48 hours of admission to the
hospital, it is community acquired.
A pt enters the hospital with COPD as a preexisting condition
that is being treated with long term steroids. What type of
pneumonia does this pt have the most potential of developing?
1. Community acquired
2. Hospital acquired
3. Aspiration pneumonia
4. Opportunistic pneumonia Correct Answers 4. Opportunistic
pneumonia
Effects the immunocompromised including HIV/AIDS pts,
organ transplant pts, chemo pts, long term steroid users, and pts
with chronic disease (CHF, DM, renal failure).
,A pt has been in the hospital for 3 days due to a fracture of the
tibia when they have a confirmed case of pneumonia. They have
not been intubated. What type of pneumonia is this?
1. Community acquired
2. Hospital acquired
3. Aspiration pneumonia
4. Opportunistic pneumonia Correct Answers 2. Hospital
acquired
The pneumonia occurred more than 48 hours after admission to
the hospital. The scenario does not state that the pt was
immunocompromised or had aspirated.
A pt was dropped off at the ED after he was found unconscious
on the strip at 3 in the morning. He smells heavily of alcohol and
a blood alcohol screening shows he has a very high alcohol level
in his body. The pt vomits while waiting to be evaluated by the
doctor. He is admitted to correct his fluid and electrolytes. What
type of pneumonia does this pt have the most potential of
developing?
1. Community acquired
2. Hospital acquired
3. Aspiration pneumonia
4. Opportunistic pneumonia Correct Answers 3. Aspiration
pneumonia
Risk factors for aspiration pneumonia include decreased level of
consciousness which depress the gag and cough reflexes and
vomiting which is the material that he could have aspirated.
,The scenario does not state when the pneumonia presented.
Although he could develop an opportunistic pneumonia due to
malnutrition from alcohol, the scenario does not state anything
about his immune system being compromised.
Always check a pts mouth with _______________ for gingival
bleeding. Position them side lying to drain blood and avoid
aspiration. Correct Answers Cirrhosis
An RN is cleaning a tracheostomy when it is dislodged and falls
out. What should the RN do first?
1. Use a hemostat to keep the stoma open and call the physician.
2. Apply a dressing that has been taped over three sides to the
stoma.
3. Assess the stoma and the pts reaction to the removed tube.
4. Attempt to reinsert the tube. Correct Answers 4. Attempt to
reinsert the tube.
Insert the obturator when reinserting. Use a tube of the same or
smaller size. Use a hemostat to open the stoma. Whether you
can or cannot reinsert, assess the pts response after attempting to
reinsert.
Answer either gastritis or PUD:
1. Which is typically more painful?
2. Which is painful 1-2 hours after a meal?
3. Which is associated with pernicious anemia?
4. Which is associated with back pain?
, 5. Which may have dark coffee ground stool?
6. Which is associated with H. pylori? Correct Answers 1.
Which is typically more painful? GASTRITIS
2. Which is painful 1-2 hours after a meal? PUD
3. Which is associated with pernicious anemia? GASTRITIS
4. Which is associated with back pain? PUD (DUODENAL)
5. Which may have dark coffee ground stool? PUD
6. Which is associated with H. pylori? BOTH
Answer either ulcerative colitis or Crohn's disease:
1. Bloody stool
2. Fever, weight loss, anorexia
3. Anemia
4. Diarrhea, malnutrition
5. Tachycardia
6. Skip lesions Correct Answers 1. Bloody stool -
ULCERATIVE COLITIS (from ulcers)
2. Fever, weight loss, anorexia - BOTH
3. Anemia - ULCERATIVE COLITIS (from blood loss)
4. Diarrhea, malnutrition - BOTH
5. Tachycardia - ULCERATIVE COLITIS (compensation for
blood loss/hypovolemia)
6. Skip lesions - CROHN'S DISEASE
Complications of cirrhosis include: SELECT ALL THAT
APPLY:
1. Hyperkalemia
2. Portal HTN
3. Hepatic encephalopathy
A pt comes into the ED with chest pain and dyspnea. She is
admitted for observation. 42 hours after admission, the chest
pain and dyspnia is being treated, but pneumonia is confirmed.
What type of pneumonia is this?
1. Community acquired
2. Hospital acquired
3. Aspiration pneumonia
4. Opportunistic pneumonia Correct Answers 1. Community
acquired
If pneumonia is confirmed within 48 hours of admission to the
hospital, it is community acquired.
A pt enters the hospital with COPD as a preexisting condition
that is being treated with long term steroids. What type of
pneumonia does this pt have the most potential of developing?
1. Community acquired
2. Hospital acquired
3. Aspiration pneumonia
4. Opportunistic pneumonia Correct Answers 4. Opportunistic
pneumonia
Effects the immunocompromised including HIV/AIDS pts,
organ transplant pts, chemo pts, long term steroid users, and pts
with chronic disease (CHF, DM, renal failure).
,A pt has been in the hospital for 3 days due to a fracture of the
tibia when they have a confirmed case of pneumonia. They have
not been intubated. What type of pneumonia is this?
1. Community acquired
2. Hospital acquired
3. Aspiration pneumonia
4. Opportunistic pneumonia Correct Answers 2. Hospital
acquired
The pneumonia occurred more than 48 hours after admission to
the hospital. The scenario does not state that the pt was
immunocompromised or had aspirated.
A pt was dropped off at the ED after he was found unconscious
on the strip at 3 in the morning. He smells heavily of alcohol and
a blood alcohol screening shows he has a very high alcohol level
in his body. The pt vomits while waiting to be evaluated by the
doctor. He is admitted to correct his fluid and electrolytes. What
type of pneumonia does this pt have the most potential of
developing?
1. Community acquired
2. Hospital acquired
3. Aspiration pneumonia
4. Opportunistic pneumonia Correct Answers 3. Aspiration
pneumonia
Risk factors for aspiration pneumonia include decreased level of
consciousness which depress the gag and cough reflexes and
vomiting which is the material that he could have aspirated.
,The scenario does not state when the pneumonia presented.
Although he could develop an opportunistic pneumonia due to
malnutrition from alcohol, the scenario does not state anything
about his immune system being compromised.
Always check a pts mouth with _______________ for gingival
bleeding. Position them side lying to drain blood and avoid
aspiration. Correct Answers Cirrhosis
An RN is cleaning a tracheostomy when it is dislodged and falls
out. What should the RN do first?
1. Use a hemostat to keep the stoma open and call the physician.
2. Apply a dressing that has been taped over three sides to the
stoma.
3. Assess the stoma and the pts reaction to the removed tube.
4. Attempt to reinsert the tube. Correct Answers 4. Attempt to
reinsert the tube.
Insert the obturator when reinserting. Use a tube of the same or
smaller size. Use a hemostat to open the stoma. Whether you
can or cannot reinsert, assess the pts response after attempting to
reinsert.
Answer either gastritis or PUD:
1. Which is typically more painful?
2. Which is painful 1-2 hours after a meal?
3. Which is associated with pernicious anemia?
4. Which is associated with back pain?
, 5. Which may have dark coffee ground stool?
6. Which is associated with H. pylori? Correct Answers 1.
Which is typically more painful? GASTRITIS
2. Which is painful 1-2 hours after a meal? PUD
3. Which is associated with pernicious anemia? GASTRITIS
4. Which is associated with back pain? PUD (DUODENAL)
5. Which may have dark coffee ground stool? PUD
6. Which is associated with H. pylori? BOTH
Answer either ulcerative colitis or Crohn's disease:
1. Bloody stool
2. Fever, weight loss, anorexia
3. Anemia
4. Diarrhea, malnutrition
5. Tachycardia
6. Skip lesions Correct Answers 1. Bloody stool -
ULCERATIVE COLITIS (from ulcers)
2. Fever, weight loss, anorexia - BOTH
3. Anemia - ULCERATIVE COLITIS (from blood loss)
4. Diarrhea, malnutrition - BOTH
5. Tachycardia - ULCERATIVE COLITIS (compensation for
blood loss/hypovolemia)
6. Skip lesions - CROHN'S DISEASE
Complications of cirrhosis include: SELECT ALL THAT
APPLY:
1. Hyperkalemia
2. Portal HTN
3. Hepatic encephalopathy
