Atelectasis and Pneumonia Quiz

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Questions and Answers

What are some common signs that indicate the severity of atelectasis?

  • Chest pain and palpitations
  • Tachypnea and dyspnea (correct)
  • Coughing and wheezing
  • Fever and chills

Which of the following is NOT a recommended preventative measure for atelectasis?

  • Encouraging deep breathing and coughing
  • Immediate placement of a chest tube (correct)
  • Frequent position changes
  • Judicious administration of opioids

What is the primary aim of treatment for atelectasis?

  • To prevent microbial invasion
  • To improve ventilation and remove secretions (correct)
  • To reduce inflammation in lung tissue
  • To administer antibiotics early

Pneumonia can be caused by which of the following microorganisms?

<p>Bacteria, mycobacteria, fungi, and viruses (D)</p>
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Pneumonitis can predispose a patient to which potential complication?

<p>Microbial invasion (D)</p>
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What distinguishes community-acquired pneumonia (CAP) from other types of pneumonia?

<p>It occurs outside of a hospital setting. (B)</p>
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Which of the following is NOT a criterion for classifying pneumonia as health care–associated pneumonia (HCAP)?

<p>Infection acquired through person-to-person contact. (B)</p>
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What is a defining feature of hospital-acquired pneumonia (HAP)?

<p>It occurs more than 48 hours after hospital admission. (B)</p>
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Which of the following pathogens is most commonly associated with community-acquired pneumonia in those younger than 60 years without comorbidity?

<p>Streptococcus pneumoniae (B)</p>
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What type of pneumonia is classified as ventilator-associated pneumonia (VAP)?

<p>A type of HAP developing while on a ventilator. (C)</p>
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Which of the following risk factors is associated with an increased likelihood of infection with penicillin-resistant and drug-resistant pneumococci?

<p>Structural lung disease. (D)</p>
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What common risk factor is linked to infection with enteric Gram-negative bacteria?

<p>Recent antibiotic therapy. (D)</p>
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Which of the following best describes 'health care-associated pneumonia' in terms of its occurrence?

<p>Occurs in a patient with substantial healthcare exposure outside of a hospital. (B)</p>
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What does whispered pectoriloquy allow a clinician to assess?

<p>The ability to hear whispered sounds clearly (A)</p>
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What is the primary purpose of Arterial Blood Gas (ABG) studies?

<p>To reflect the lungs' ability to provide oxygen and remove carbon dioxide (D)</p>
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What SpO2 value indicates that tissues may not be receiving sufficient oxygen?

<p>Less than 90% (D)</p>
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When should sputum samples ideally be collected for analysis?

<p>Early in the morning before eating or drinking (B)</p>
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What is a critical step regarding patient positioning for a chest X-ray?

<p>Patient should be sitting or standing comfortably (C)</p>
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Which imaging study requires the patient to remain supine for less than 30 minutes?

<p>Computed Tomography (CT) (B)</p>
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What can affect the accuracy of SpO2 readings?

<p>Presence of bright light or patient movement (A)</p>
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What technique can be utilized if a patient cannot expel sufficient sputum?

<p>Use aerosolized hypertonic solution via nebulizer (A)</p>
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What are the signs of severe pneumonia as described?

<p>Flushed cheeks and central cyanosis (C)</p>
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Which of the following is an appropriate method to obtain a sputum sample?

<p>Rinsing the mouth to minimize contamination (B)</p>
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Which is a primary pharmacologic therapy for pneumonia?

<p>Antibiotics (B)</p>
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What nursing diagnosis is related to copious tracheobronchial secretions?

<p>Ineffective airway clearance (A)</p>
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What should be encouraged to promote airway patency in patients with severe pneumonia?

<p>Hydration and effective coughing (D)</p>
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What position should a patient assume to promote breathing and rest?

<p>Semi-Fowler’s position (B)</p>
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What is recommended for patients to maintain nutrition during severe pneumonia?

<p>A minimum of 2 L/day of fluids with electrolytes (D)</p>
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Which of the following is NOT a supportive treatment for pneumonia?

<p>Intravenous narcotics (B)</p>
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What symptom commonly indicates exercise-induced asthma?

<p>Choking sensation during exercise (B)</p>
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Which class of medication is known for quick relief of asthma symptoms?

<p>Short-acting beta2-adrenergic agonists (B)</p>
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Which of these reactions may be associated with asthma?

<p>Eczema and rashes (C)</p>
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What is a hallmark feature of bronchiectasis?

<p>Irreversible dilation of bronchi (B)</p>
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Which assessment method is essential during an acute asthma episode?

<p>Pulmonary function tests (B)</p>
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What is a common clinical manifestation of bronchiectasis?

<p>Production of copious purulent sputum (C)</p>
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Which of the following is a primary cause of bronchiectasis?

<p>Genetic disorders (D)</p>
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How should a nurse assess a patient with asthma before medication administration?

<p>Assess for a history of allergic reactions (D)</p>
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