75 FREE NCLEX QUESTIONS - C/O BRILLIANTNURSE.COM QUESTIONS AND ANSWERS WITH VERIFIED SOLUTIONS100%

NBME 14 SECTION 2 QUESTIONS AND
ANSWERS WITH VERIFIED SOLUTIONS 100%

What is the patient's chief complaint? - ANSWER
Progressive shortness of breath


What exacerbates the patient's shortness of breath?
- ANSWER Walking more than one city block and
walking up one flight of stairs


What does the patient feel during episodes of
shortness of breath? - ANSWER The need to
breathe rapidly


What other symptom does the patient have? -
ANSWER Dry cough


What symptoms does the patient not have? -
ANSWER Chest pain, diaphoresis, nocturnal
symptoms, worsening of symptoms when lying
down

,What is the patient's medical history? - ANSWER
Hypertension treated with enalapril and
hydrochlorothiazide


Has the patient ever smoked cigarettes? - ANSWER
No


What is the patient's temperature? - ANSWER
37°C (98.6°F)


What is the patient's pulse rate? - ANSWER
89/min


What is the patient's respiratory rate? - ANSWER
18/min


What is the patient's blood pressure? - ANSWER
145/82 mm Hg

, What is the patient's oxygen saturation on room
air? - ANSWER 90%


What is heard on auscultation of the lungs? -
ANSWER Crackles at both lung bases


What does the high-resolution CT scan of the chest
show? - ANSWER Reticulogranular appearance at
the bases bilaterally with minimal fibrosis


What is the result of the pulmonary function tests?
- ANSWER Moderately severe decreased diffusion
capacity


What is seen on examination of bronchoalveolar
lavage fluid? - ANSWER Many segmented
neutrophils that are negative for bacteria, fungi,
and acid-fast bacilli


What is the most appropriate next step in
management? - ANSWER Administration of
Prednisone