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A&EII Exam 1.
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Exam of 13 pages for the course ARRT CI Exam Study Guide at ARRT CI Exam Study Guide (A&EII Exam 1.)
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A&EII Exam 1A 45 year old man was diagnosed with GERD. Which type of pneumonia is he most at
risk for?
a) community-acquired pneumonia
b) hospital acquired pneumonia
c) ventilator-associated pneumonia
d) aspiration pneumonia - ANS-D
A nurse examines a patient's chest x-ray and discovers the patient has poor ventilation.
What did he/she likely see on the x-ray? - ANS-white cloudy areas (means no
ventilation)
A patient experienced an acute MI, and the occluded vessel was the left anterior
descending artery. Which of the following symptoms did he most likely present with?
a) abdominal pain
b) crackles in lungs
c) peripheral edema
d) nausea - ANS-B
A patient has contracted tuberculosis, and is being educated about the drug regimen he
must follow. He asks, "Why can't I just take more medications over a shorter time? Why
do I have to take them for so long?" What is the BEST response by the nurse?
a) "If you don't complete your drug regimen, the bacteria may develop drug resistance."
b) "These antibiotics are very strong, and you will have poor side effects if you take
them in a more concentrated manner."
c) "The bacteria you are infected with replicate very slowly, so the only way to fully
eliminate the infection is with this long-term therapy."
d) "Although a shorter time frame could rid you of your symptoms, you would still be
able to transmit the disease to other people until the full treatment is completed." -
ANS-C
A patient is admitted to the hospital following a stroke, and is intubated. The next day,
she develops symptoms of pneumonia. She most likely has...
a) community-acquired pneumonia
b) hospital acquired pneumonia
c) ventilator-associated pneumonia
d) aspiration pneumonia - ANS-A
- developed symptoms within 1 day, so acquired in community
, A patient is having a heart attack, but his cardiac enzymes do not show elevated
troponin. Why is this? - ANS-Troponin peaks within 24 hours; might have been caught
early enough that troponin levels aren't significantly elevated
A patient is in post-op after abdominal surgery. Why does the nurse instruct him to use
an incentive spirometer? - ANS-Because he is probably breathing shallowly, and
therefore at risk for atelectasis. Incentive spirometer can help maintain pressure
a patient is scheduled for a cardiac catheterization procedure. Which of the following
indicates further teaching?
a) I will need to be on aspirin and clopidogrel for 1 year
b) I will not take metformin for 2 days after my procedure
c) I will take my warfarin as scheduled in the morning
d) a balloon stent will be placed in my occluded artery to keep it open - ANS-C: hold
anticoagulants pre-cath
a- yes, dual anti platelet therapy for 1 year to prevent re-stenosis
b- yes, this med is renally cleared and the dye is hard on the kidneys
d- yes
A patient presented with acute chest pain, shortness of breath, and his condition is
rapidly deteriorating. What is the most important action the nurse should take?
a) get an ECG
b) test heart enzymes
c) administer aspirin
d) start CPR - ANS-C
A patient walks into the emergency room and tells you he is having chest pain. What do
you do FIRST? - ANS-attach to ECG - misses up to 50% of MI's, but it's the fastest
A patient with no known risk factors for TB returns to the clinic to have his PPD test
read. The nurse notices it is 10mm. How would you interpret the results? -
ANS-negative test (>15mm is positive if no known risk factors)
A patient worries she has TB. She received a kidney transplant last year. Her PPD test
measured 6mm. How would you interpret these test results? - ANS-Positive test
(>5mm) but doesn't mean she has active disease
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