NURS 620 EXAM II (Cardiovascular and Respiratory)
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Which of the following statements is true about pulmonary tuberculosis?
A. The disease manifestations are usually confined to the respiratory system.
B. Dyspnea is usually present early in the disease .
C. Crackles and bronchial breath sounds are usually present during all phases of the
disease.
D. Night sweats are often noted as a manifestation of fever. - ANSWER D. Night sweats
are often noted as a manifestation of fever.
You are teaching Holly, age 14, who has asthma, to use a home peak expiratory
flowmeter daily to measure gross changes in peak expiratory flow. Which "zone" would
rate her expiratory compliance as 50%-80% of her personal best?
A. White zone
B. Green zone
C. Yellow zone
D. Red zone - ANSWER C. Yellow zone
Sarah is a 25-year-old client who has allergic rhinitis and is presenting with nasal
congestion. Which of the following medications ordered for allergic rhinitis would be
most appropriate?
A. A decongestant and nasal spray
B. An antihistamine intranasal spray.
C. Ipratropium (Atrovent)
,D. Omalizumab (Xolair) - ANSWER A. A decongestant and nasal spray
What does one call an auscultation sound at the mediastinum in the presence of
mediastinal "crunch" that coincides with cardiac systole and diastole?
A. Homan's sign
B. Hamman's sign
C. Manubrium's sign
D. Louis sign - ANSWER B. Hamman's sign
What frequency should well persons be screened for tuberculosis?
A. Annually.
B. Biannually.
C. At age 1 year, again at entry to preschool or kindergarten, and then at some point
during adolescence.
D. Screening is not indicated.
Respiratory retraction most commonly occurs among which of the following age
groups?
A. newborns and infants.
B. School-age children
C. Young adults
D. Older adults - ANSWER A. newborns and infants.
Which of the following statements is true concerning the respiratory status of pregnant
women?
A. The thoracic cage may appear wider.
B. The costal angle may feel narrower
C. Respirations may be shallow.
,D. There may be a decrease in oxygenation. - ANSWER A. The thoracic cage may be
wider.
Which of the following differential diagnoses should be included when considering a
chief complaint of chronic cough in children between the ages of 1 and 5 years old when
the more common causes have been excluded?
A. Allergic rhinitis.
B. Chronic sinusitis
C. Enlarged adenoids
D. Cystic fibrosis - ANSWER D. Cystic fibrosis
Regarding inner-city children, which of the following is an important cause of
asthma-related illness and hospitalizations?
A. Heredity and genetics
B. Vitamin deficiencies.
C. Cockroaches
D. Playing on asphalt playgrounds. - ANSWER C. Cockroaches
The classic presentation of a child with epiglottitis shows a triad of three D's. Which of
the following does NOT belong to this triad?
A. Drooling
B. Dysphagia
C. Dyspnea
D. Distress - ANSWER C. Dyspnea
Persons requiring home oxygen will have an oxygen saturation level below:
, A. 90%
B. 85%
C. 80%
D. 75% - ANSWER B. 85%
Harvey is diagnosed with severe obstructive sleep apnea and you have ordered a CPAP
machine for him. Which of the following statements do you tell him about it?
A. You put it on at night after you've woken up several times
B. You must use it at least 5 nights during the week
C. You'll want to use it every night, all night long
D. "We'll discontinue the medication if you develop nasal dryness or rhinitis" - ANSWER
C. "You can use it every night, all night long"
Which of the following populations is most likely to have tuberculosis?
A. Racial and ethnic minorities
B. Foreign-born individuals
C. Substance abusers
D. Residents of nursing homes - ANSWER A. Racial and ethnic minorities
Which of the following statements is generally true about viral croup?
A. Children usually have a high fever.
B. A persistent cough is usually present.
C. It is usually preceded by a prodromal period of 12 to 72 hours.
D. There is usually no complaint of hoarseness. - ANSWER C. It is usually preceded by a
prodromal period of 12 to 72 hours.
Latest Update
Which of the following statements is true about pulmonary tuberculosis?
A. The disease manifestations are usually confined to the respiratory system.
B. Dyspnea is usually present early in the disease .
C. Crackles and bronchial breath sounds are usually present during all phases of the
disease.
D. Night sweats are often noted as a manifestation of fever. - ANSWER D. Night sweats
are often noted as a manifestation of fever.
You are teaching Holly, age 14, who has asthma, to use a home peak expiratory
flowmeter daily to measure gross changes in peak expiratory flow. Which "zone" would
rate her expiratory compliance as 50%-80% of her personal best?
A. White zone
B. Green zone
C. Yellow zone
D. Red zone - ANSWER C. Yellow zone
Sarah is a 25-year-old client who has allergic rhinitis and is presenting with nasal
congestion. Which of the following medications ordered for allergic rhinitis would be
most appropriate?
A. A decongestant and nasal spray
B. An antihistamine intranasal spray.
C. Ipratropium (Atrovent)
,D. Omalizumab (Xolair) - ANSWER A. A decongestant and nasal spray
What does one call an auscultation sound at the mediastinum in the presence of
mediastinal "crunch" that coincides with cardiac systole and diastole?
A. Homan's sign
B. Hamman's sign
C. Manubrium's sign
D. Louis sign - ANSWER B. Hamman's sign
What frequency should well persons be screened for tuberculosis?
A. Annually.
B. Biannually.
C. At age 1 year, again at entry to preschool or kindergarten, and then at some point
during adolescence.
D. Screening is not indicated.
Respiratory retraction most commonly occurs among which of the following age
groups?
A. newborns and infants.
B. School-age children
C. Young adults
D. Older adults - ANSWER A. newborns and infants.
Which of the following statements is true concerning the respiratory status of pregnant
women?
A. The thoracic cage may appear wider.
B. The costal angle may feel narrower
C. Respirations may be shallow.
,D. There may be a decrease in oxygenation. - ANSWER A. The thoracic cage may be
wider.
Which of the following differential diagnoses should be included when considering a
chief complaint of chronic cough in children between the ages of 1 and 5 years old when
the more common causes have been excluded?
A. Allergic rhinitis.
B. Chronic sinusitis
C. Enlarged adenoids
D. Cystic fibrosis - ANSWER D. Cystic fibrosis
Regarding inner-city children, which of the following is an important cause of
asthma-related illness and hospitalizations?
A. Heredity and genetics
B. Vitamin deficiencies.
C. Cockroaches
D. Playing on asphalt playgrounds. - ANSWER C. Cockroaches
The classic presentation of a child with epiglottitis shows a triad of three D's. Which of
the following does NOT belong to this triad?
A. Drooling
B. Dysphagia
C. Dyspnea
D. Distress - ANSWER C. Dyspnea
Persons requiring home oxygen will have an oxygen saturation level below:
, A. 90%
B. 85%
C. 80%
D. 75% - ANSWER B. 85%
Harvey is diagnosed with severe obstructive sleep apnea and you have ordered a CPAP
machine for him. Which of the following statements do you tell him about it?
A. You put it on at night after you've woken up several times
B. You must use it at least 5 nights during the week
C. You'll want to use it every night, all night long
D. "We'll discontinue the medication if you develop nasal dryness or rhinitis" - ANSWER
C. "You can use it every night, all night long"
Which of the following populations is most likely to have tuberculosis?
A. Racial and ethnic minorities
B. Foreign-born individuals
C. Substance abusers
D. Residents of nursing homes - ANSWER A. Racial and ethnic minorities
Which of the following statements is generally true about viral croup?
A. Children usually have a high fever.
B. A persistent cough is usually present.
C. It is usually preceded by a prodromal period of 12 to 72 hours.
D. There is usually no complaint of hoarseness. - ANSWER C. It is usually preceded by a
prodromal period of 12 to 72 hours.
