NURSING 1234 500 Page NCLEX Exam Questions And Answers
Attained Guaranteed Success Latest Update 2023/2024 Grade A+
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Airway – Obstruction and Asthma
• An elderly client with pneumonia may appear with which of the following symptoms
first?
A. Altered mental status and dehydration
B. fever and chills
C. Hemoptysis and dyspnea
D. Pleuretic chest pain and cough
Ans-1. 1. Fever, chills, hemoptysis, dyspnea, cough, and pleuric chest pain are the common
symptoms of pneumonia, but elderly clients may first appear with only an altered mental status
and dehydration due to a blunted immune response.
• Which of the following pathophysiological mechanisms that occurs in the lung
parenchyma allows pneumonia to develop?
1. Atelectasis
2. Bronchiectasis
3. Effusion
4. Inflammation
Ans-2. 4. the most common feature of all types of pneumonia is an inflammatory pulmonary
response to the offending organism or agent. Atelectasis and bronchiectasis indicate a collapse of
a portion of the airway that doesn’t occur with pneumonia. An effusion is an accumulation of
excess pleural fluid in the pleural space, which may be a secondary response to pneumonia.
,NURSING 1234 500 Page NCLEX Exam Questions And Answers
Attained Guaranteed Success Latest Update 2023/2024 Grade A+
download and score clean A.
3. A 7-year-old client is brought to the E.R. He’s tachypneic and afebrile and has a
respiratory rate of 36 breaths/minute and a nonproductive cough. He recently had a cold.
From his history, the client may have which of the following?
,NURSING 1234 500 Page NCLEX Exam Questions And Answers
Attained Guaranteed Success Latest Update 2023/2024 Grade A+
download and score clean A.
Ans-3. 1. Based on the client’s history and symptoms, acute asthma is the most likely diagnosis.
He’s unlikely to have bronchial pneumonia without a productive cough and fever and he’s too
young to have developed COPD or emphysema.
4. Which of the following assessment findings would help confirm a diagnosis of asthma in a
client suspected of having the disorder?
1. Circumoral cyanosis
2. Increased forced expiratory volume
3. Inspiratory and expiratory wheezing
4. Normal breath sounds
Ans-4. 3. Inspiratory and expiratory wheezes are typical findings in asthma. Circumoral cyanosis
may be present in extreme cases of respiratory distress. The nurse would expect the client to have
a decreased forced expiratory volume because asthma is an obstructive pulmonary disease.
Breath sounds will be “tight” sounding or markedly decreased; they won’t be normal.
5. Which of the following types of asthma involves an acute asthma attack brought on by an
upper respiratory infection?
,NURSING 1234 500 Page NCLEX Exam Questions And Answers
Attained Guaranteed Success Latest Update 2023/2024 Grade A+
download and score clean A.
Ans-5. 1. Intrinsic asthma doesn’t have an easily identifiable allergen and can be triggered by the
common cold. Asthma caused be emotional reasons is considered to be in the extrinsic category.
Extrinsic asthma is caused by dust, molds, and pets; easily identifiable allergens. Mediated
asthma doesn’t exist.
6. A client with acute asthma showing inspiratory and expiratory wheezes and a decreased
expiratory volume should be treated with which of the following classes of medication right
away?
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