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Question 1 of 30
1. Question
Clients with chronic illnesses are more likely to get pneumonia when which of the following situations is present?
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Question 2 of 30
2. Question
Which of the following pathophysiological mechanisms that occur in the lung parenchyma allow pneumonia to develop?
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Question 3 of 30
3. Question
Which of the following organisms most commonly causes community-acquired pneumonia in adults?
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Question 4 of 30
4. Question
An elderly client with pneumonia may appear with which of the following symptoms first?
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Question 5 of 30
5. Question
When auscultating the chest of a client with pneumonia, the nurse would expect to hear which of the following sounds over areas of consolidation?
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Question 6 of 30
6. Question
A diagnosis of pneumonia is typically achieved by which of the following diagnostic tests?
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Question 7 of 30
7. Question
A client with pneumonia develops dyspnea with a respiratory rate of 32 breaths/minute and difficulty expelling his secretions. The nurse auscultates his lung fields and hears bronchial sounds in the left lower lobe. The nurse determines that the client requires which of the following treatments first?
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Question 8 of 30
8. Question
A client has been treated with antibiotic therapy for right lower-lobe pneumonia for 10 days and will be discharged today. Which of the following physical findings would lead the nurse to believe it is appropriate to discharge this client?
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Question 9 of 30
9. Question
The right forearm of a client who had a purified protein derivative (PPD) test for tuberculosis is reddened and raised about 3mm where the test was given. This PPD would be read as having which of the following results?
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Question 10 of 30
10. Question
A client with primary TB infection can expect to develop which of the following conditions?
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Question 11 of 30
11. Question
A client was infected with TB 10 years ago but never developed the disease. He’s now being treated for cancer. The client begins to develop signs of TB. This is known as which of the following types of infection?
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Question 12 of 30
12. Question
A client has active TB. Which of the following symptoms will he exhibit?
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Question 13 of 30
13. Question
Which of the following diagnostic tests is definitive for TB?
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Question 14 of 30
14. Question
A client with a positive Mantoux test result will be sent for a chest x-ray. For which of the following reasons is this done?
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Question 15 of 30
15. Question
A chest x-ray showed a client’s lungs to be clear. His Mantoux test is positive, with a 10mm of induration. His previous test was negative. These test results are possible because:
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Question 16 of 30
16. Question
A client with a positive skin test for TB isn’t showing signs of active disease. To help prevent the development of active TB, the client should be treated with isoniazid, 300 mg daily, for how long?
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Question 17 of 30
17. Question
A client with a productive cough, chills, and night sweats is suspected of having active TB. The physician should take which of the following actions?
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Question 18 of 30
18. Question
A client is diagnosed with active TB and started on triple antibiotic therapy. What signs and symptoms would the client show if therapy is inadequate?
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Question 19 of 30
19. Question
A client diagnosed with active TB would be hospitalized primarily for which of the following reasons?
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Question 20 of 30
20. Question
A high level of oxygen exerts which of the following effects on the lung?
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Question 21 of 30
21. Question
A 24-year-old client comes into the clinic complaining of right-sided chest pain and shortness of breath. He reports that it started suddenly. The assessment should include which of the following interventions?
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Question 22 of 30
22. Question
A client with shortness of breath has decreased to absent breath sounds on the right side, from the apex to the base. Which of the following conditions would best explain this?
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Question 23 of 30
23. Question
Which of the following treatments would the nurse expect for a client with a spontaneous pneumothorax?
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Question 24 of 30
24. Question
Which of the following methods is the best way to confirm the diagnosis of a pneumothorax?
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Question 25 of 30
25. Question
A pulse oximetry gives what type of information about the client?
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Question 26 of 30
26. Question
What effect does hemoglobin amount have on oxygenation status?
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Question 27 of 30
27. Question
Which of the following statements best explains how opening up collapsed alveoli improves oxygenation?
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Question 28 of 30
28. Question
Continuous positive airway pressure (CPAP) can be provided through an oxygen mask to improve oxygenation in hypoxic patients by which of the following methods?A. The mask provides 100% oxygen to the client.
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Question 29 of 30
29. Question
Which of the following best describes pleural effusion?
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Question 30 of 30
30. Question
If a pleural effusion develops, which of the following actions best describes how the fluid can be removed from the pleural space and proper lung status restored?
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