HCR 240 Final aCtual Exam QuEstions and answERs
PRaCtiCE QuEstions witH solutions nEwEst | alREady
GRadEd a+
A patient asks the nurse why they need to wear oxygen in the hospital and how it works with blood cells.
Which is the best response?
-Blood cells passing through the arteries in the lungs are oxygenated and then carry oxygen to the body
-When you take in a breath the blood cells in your nose takes in the oxygen
-The blood that pumps through the heart takes in oxygen
-The blood receives oxygen from the bone marrow and carries it to the tissues - answER-Blood cells
passing through the arteries in the lungs are oxygenated and then carry oxygen to the body
How does severe hypoxia develop with pneumonia?
-Inflammatory exudate absorbs oxygen from the alveolar air
-Infection reduces effective compensation by the heart
-Acidosis depresses respirations
-Oxygen diffusion is impaired by the congestion - answER-Oxygen diffusion is impaired by the
congestion
A 42-year-old presents with dyspnea, rapid shallow breathing, inspiratory crackles, decreased lung
compliance, and hypoxemia. Tests reveal a fulminant form of respiratory failure characterized by acute
lung inflammation and diffuse alveolocapillary injury. What is the most likely diagnosis supported by the
patient's condition?
-Sarcoidosis
-Acute respiratory distress syndrome (ARDS)
-Malignant respiratory failure
-Postoperative respiratory failure - answER-Acute respiratory distress syndrome (ARDS)
,Pneumonia is caused by?
-Chronic lung changes seen with aging
-Atelectasis
-Viral or bacterial infection
-Use of anesthetic agents in surgery - answER-Viral or bacterial infection
The incidents of fractures of the pelvis is highest in?
-Adolescent boys
-Adolescent girls
-Older adults
-Preadolescent boys - answER-Older adults
A 70-year-old female presents with a hip fracture secondary to osteoporosis. This condition is caused by
an increase in bone?
-Formation
-Resorption
-Density
-Mineralization - answER-Resorption
A 56-year-old male was admitted to the hospital with a diagnosis of osteomalacia. History reveals that he
underwent bariatric surgery 3 years earlier. What is the common link between the surgery and the
development of osteomalacia?
-Impaired vitamin C metabolism
-Impaired phosphate absorption
-Vitamin D deficiency
, -Increased calcium secretion - answER-Vitamin D deficiency
Osteoarthritis, a degenerative joint disease, is characterized by loss of?
-Articular cartilage
-The epiphyses
-Synovial fluid
-The joint capsule - answER-Articular cartilage
Researchers now believe that rheumatoid arthritis (RA) is a result of?
-An autoimmune disease
-A superficial joint injury
-A complication of rheumatic fever
-An ineffective antiviral agent - answER-An autoimmune diseaseThe nurse is discussing with the
student nurse a pulse oxygenation measurement. The student nurse knows what measurement is
acceptable for a pulse oxygenation reading in a healthy adult?
-92-95%
-89-92%
-97-100%
-90-93% - answER-97-100%
What causes the expanded anteroposterior (A-P) thoracic diameter (barrel chest) in patients with
emphysema?
-Persistent coughing to remove mucus
-Recurrent damage to lung tissues
-Dilated bronchi and increased mucus secretions
-Air trapping and hyperinflation - answER-Air trapping and hyperinflation
PRaCtiCE QuEstions witH solutions nEwEst | alREady
GRadEd a+
A patient asks the nurse why they need to wear oxygen in the hospital and how it works with blood cells.
Which is the best response?
-Blood cells passing through the arteries in the lungs are oxygenated and then carry oxygen to the body
-When you take in a breath the blood cells in your nose takes in the oxygen
-The blood that pumps through the heart takes in oxygen
-The blood receives oxygen from the bone marrow and carries it to the tissues - answER-Blood cells
passing through the arteries in the lungs are oxygenated and then carry oxygen to the body
How does severe hypoxia develop with pneumonia?
-Inflammatory exudate absorbs oxygen from the alveolar air
-Infection reduces effective compensation by the heart
-Acidosis depresses respirations
-Oxygen diffusion is impaired by the congestion - answER-Oxygen diffusion is impaired by the
congestion
A 42-year-old presents with dyspnea, rapid shallow breathing, inspiratory crackles, decreased lung
compliance, and hypoxemia. Tests reveal a fulminant form of respiratory failure characterized by acute
lung inflammation and diffuse alveolocapillary injury. What is the most likely diagnosis supported by the
patient's condition?
-Sarcoidosis
-Acute respiratory distress syndrome (ARDS)
-Malignant respiratory failure
-Postoperative respiratory failure - answER-Acute respiratory distress syndrome (ARDS)
,Pneumonia is caused by?
-Chronic lung changes seen with aging
-Atelectasis
-Viral or bacterial infection
-Use of anesthetic agents in surgery - answER-Viral or bacterial infection
The incidents of fractures of the pelvis is highest in?
-Adolescent boys
-Adolescent girls
-Older adults
-Preadolescent boys - answER-Older adults
A 70-year-old female presents with a hip fracture secondary to osteoporosis. This condition is caused by
an increase in bone?
-Formation
-Resorption
-Density
-Mineralization - answER-Resorption
A 56-year-old male was admitted to the hospital with a diagnosis of osteomalacia. History reveals that he
underwent bariatric surgery 3 years earlier. What is the common link between the surgery and the
development of osteomalacia?
-Impaired vitamin C metabolism
-Impaired phosphate absorption
-Vitamin D deficiency
, -Increased calcium secretion - answER-Vitamin D deficiency
Osteoarthritis, a degenerative joint disease, is characterized by loss of?
-Articular cartilage
-The epiphyses
-Synovial fluid
-The joint capsule - answER-Articular cartilage
Researchers now believe that rheumatoid arthritis (RA) is a result of?
-An autoimmune disease
-A superficial joint injury
-A complication of rheumatic fever
-An ineffective antiviral agent - answER-An autoimmune diseaseThe nurse is discussing with the
student nurse a pulse oxygenation measurement. The student nurse knows what measurement is
acceptable for a pulse oxygenation reading in a healthy adult?
-92-95%
-89-92%
-97-100%
-90-93% - answER-97-100%
What causes the expanded anteroposterior (A-P) thoracic diameter (barrel chest) in patients with
emphysema?
-Persistent coughing to remove mucus
-Recurrent damage to lung tissues
-Dilated bronchi and increased mucus secretions
-Air trapping and hyperinflation - answER-Air trapping and hyperinflation
