NSG Focused on Respiratory Exam Review Questions and A Level Marking Scheme Latest 2024/2025
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Course
NSG
Institution
NSG
NSG Focused on Respiratory Exam Review Questions and A Level Marking Scheme Latest 2024/2025
When asthma is suspected, which of the following is NOT useful in making a diagnosis?
Decreased FEV1/FVC ratio
Decreased FEV1
Some reversibility with administration of bronchodilator
Peak flow meter ...
NSG6021-6020 Focused on Respiratory Exam
Review Questions and A Level Marking Scheme
Latest 2024/2025
When asthma is suspected, which of the following is NOT useful in making a
diagnosis?
Decreased FEV1/FVC ratio
Decreased FEV1
Some reversibility with administration of bronchodilator
Peak flow meter reading - correct answer Peak flow meter reading
The following criterion is considered a positive finding when determining whether
a patient with asthma can be safely monitored and treated at home:
Age over 40
Fever greater than 101
Tachypnea greater than 30 breaths/minute
Productive cough - correct answer Tachypnea greater than 30 breaths/minute
The most common etiologic organism for community-acquired pneumonia is:
Streptococcus pneumoniae
Beta hemolytic streptococcus
Mycoplasma
Methicillin resistant staphylococcus - correct answer Streptococcus pneumoniae
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:
Can be treated as an outpatient
Requires hospitalization for treatment
Requires a high dose of parenteral antibiotic
Can be treated with oral antibiotics - correct answer Can be treated as an
outpatient
Your patient with community-acquired pneumonia shows a pleural effusion on
chest x-ray, indicating the need for:
Immediate endotracheal intubation
Broad spectrum intravenous antibiotics
Thoracentesis to rule out empyema
Gram stain and culture of sputum - correct answer Thoracentesis to rule out
empyema
If on physical examination the clinician auscultates rhonchi, the clinician should
ask the patient to take a deep breath and cough in order to:
Mobilize secretions
Diagnose pleural effusion
Accurately distinguish lung sounds
A & C - correct answer A & C
Which of the following is considered a "red flag" when diagnosing a patient with
pneumonia?
, Fever of 102
Infiltrates on chest x-ray
Pleural effusion on chest x-ray
Elevated white blood cell count - correct answer Pleural effusion on chest x-ray
A 23-year-old patient who has had bronchiectasis since childhood is likely to have
which of the following:
Barrel-shaped chest
Clubbing
Pectus excavatum
Prolonged capillary refill - correct answer Clubbing
A 76-year-old patient with a 200-pack year smoking history presents with
complaints of chronic cough, dyspnea, fatigue, hemoptysis, and weight loss over
the past 2 months. The physical exam reveals decreased breath sounds and
dullness to percussion over the left lower lung field. The chest x-ray demonstrates
shift of the mediastinum and trachea to the left. These are classic signs of:
Lung cancer
Tuberculosis
Pneumonia
COPD - correct answer Lung cancer
Causes of pleural effusions include:
Malignancy
Pneumonia
Cardiomegaly
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