NSG 6020 WEEK 3 - CHAPTER 8. RESPIRATORY SYSTEM GRADED A

Chapter 8. Respiratory System Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. A 66-year-old patient presents to the clinic complaining of dyspnea and wheezing. T ...

Chapter 8. Respiratory System Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. A 66-year-old patient presents to the clinic complaining of dyspnea and wheezing. The patient reports a smoking history of 2 packs of cigarettes per day since age 16. This would be recorded in the chart as: A. 50 x 2-pack years B. 100-pack years C. 50-year, 2-pack history D. 100 pack history ____ 2. Which of the following is characteristic of COPD? A. Asymmetric chest expansion B. Increased lateral diameter C. Increased anterior-posterior diameter D. Pectus excavatum ____ 3. When palpating the posterior chest, the clinician notes increased tactile fremitus over the left lower lobe. This can be indicative of: A. Pneumonia B. Emphysema C. Pneumothorax D. Asthma ____ 4. During physical examination of a patient, you note resonance on percussion in the upper lung fields. This is consistent with: A. COPD B. Pneumothorax C. A normal finding D. Pleural effusion ____ 5. Which of the following imaging studies should be considered if a pulmonary malignancy is suspected? A. Computed tomography (CT) scan B. Chest xray with PA, lateral, and lordotic views C. Ultrasound D. Positron emission tomography (PET) scan ____ 6. Alpha-1 antitrypsin deficiency should be considered in patients diagnosed with: A. Exercise-induced cough B. Bronciectasis C. COPD D. Pericarditis ____ 7. Upon assessment of respiratory excursion, the clinician notes asymmetric expansion of the chest. One side expands greater than the other. This could be due to: A. Pneumothorax B. Pleural effusion C. Pneumonia D. Pulmonary embolism ____ 8. During auscultation of the chest, your exam reveals a loud grating sound at the lower anterolateral lung fields, at full inspiration and early expiration. This finding is consistent with: A. Pneumonia B. Pleuritis C. Pneumothorax D. A and B ____ 9. While assessing auscultated spoken sounds, the ausculated sound is heard as “a-a-a” when he is asked to repeat “e-e-e.” This is indicative of: A. Asthma B. Tumor C. Pneumonia D. Pleural effusion ____ 10. A cough is described as chronic if it has been present for: A. 2 weeks or more B. 8 weeks or more C. 3 months or more D. 6 months or more ____ 11. Which of the following medications are commonly associated with the side effect of cough? A. Beta blocker B. Diuretic C. ACE inhibitor D. Calcium antagonist ____ 12. Which of the following details are NOT considered while staging asthma? A. Nighttime awakenings B. Long-acting beta agonist usage C. Frequency of symptoms D. Spirometry findings ____ 13. When asthma is suspected, which of the following is NOT useful in making a diagnosis? A. Decreased FEV1/FVC ratio B. Decreased FEV1 C. Some reversibility with administration of bronchodilator D. Peak flow meter reading ____ 14. The following criterion is considered a positive finding when determining whether a patient with asthma can be safely monitored and treated at home: A. Age over 40 B. Fever greater than 101 C. Tachypnea greater than 30 breaths/minute D. Productive cough ____ 15. The most common etiologic organism for community-acquired pneumonia is: A. Streptococcus pneumoniae B. Beta hemolytic streptococcus C. Mycoplasma D. Methicillin resistant staphylococcus ____ 16. A 75-year-old patient with community-acquired pneumonia presents with temperature of 102.1, chills, productive cough, BP 90/5062, WBC 12,000, and blood urea nitrogen (BUN) 20 mg/dl. He has a history of mild dementia and his mental status is unchanged from his last visit. These findings indicate that the patient: A. Can be treated as an outpatient B. Requires hospitalization for treatment C. Requires a high dose of parenteral antibiotic D. Can be treated with oral antibiotics