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NSG-530 Quiz 2 Questions And
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1.A patient has bulbous enlargement of the distal segments of the fingers. Which disease is
associated with this condition?



A.Cystic fibrosis

B.Acute pneumonia

C.Sickle cell disease

D.Acute myocardial infarction - correct answer A



This condition describes clubbing, in which there is enlargement of the distal segment of the
finger. It is associated with conditions of decreased oxygenation such as bronchiectasis, cystic
fibrosis, pulmonary fibrosis, lung abscess, and congenital heart disease.



Open pneumothorax - correct answer An open wound to the chest that allows air to enter the
pleural space and cause lung collapse



tension pneumothorax - correct answer a pneumothorax with rapid accumulation of air in the
pleural space causing severely high intrapleural pressures with resultant tension on the heart
and great vessels.



Spontaneous (primary) pneumothorax - correct answer Occurs in the absence of a traumatic
injury to the chest or a known lung disease

, secondary pneumothorax - correct answer Underlying lung disease leads to weakened small
airways which collapse with respirations.



Pleural effusion - correct answer fluid in pleural space

ØTransudative (watery)

ØExudative (WBCs and plasma proteins)

ØHemothorax (blood)

ØEmpyema (pus)

Chylothorax (chyle)



Acute respiratory distress syndrome (ARDS) - correct answer ØAcute lung inflammation and
diffuse alveolocapillary injury that results from injury or severe inflammation

•Bilateral infiltrates on chest radiograph

•Low ratio of PaO2 to FiO2

ØThree phases:

•Exudative (within 72 hours)

•Proliferative (4 to 21 days)

•Fibrotic (14 to 21 days)



2.Which of the following is TRUE regarding acute respiratory distress syndrome (ARDS)?



A.It is caused by injury to the bronchioles.

B.It can cause severe pulmonary edema.

C.It is most commonly caused by exposure to inhaled irritants.

D.Macrophages are not involved in response. - correct answer Correct Answer: B

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