Pneumonia Final Review Questions And All Correct Answers.
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Course
Pneumonia
Institution
Pneumonia
The nurse is auscultating lung sounds. What lung sound is associated with narrowing of the airway?
A. Bronchophony
B. Wheezes
C. Crackles
D. Egophony - Answer B. Wheezing
Rationale: Wheezing is a high-pitched, musical sound associated with airway narrowing. Crackles are described as a pop...
Pneumonia Final Review Questions And
All Correct Answers.
The nurse is auscultating lung sounds. What lung sound is associated with narrowing of the airway?
A. Bronchophony
B. Wheezes
C. Crackles
D. Egophony - Answer B. Wheezing
Rationale: Wheezing is a high-pitched, musical sound associated with airway narrowing. Crackles are
described as a popping sound heard during inspiration from fluid or delayed opening of collapsed alveoli.
Bronchophony or egophony can be auscultated when there is increased lung density from pneumonia
and pulmonary edema.
A patient experiencing respiratory distress at home from pneumonia is brought to the hospital and upon
presentation requires intubation. How would the nurse classify this type of pneumonia?
A. Ventilator-associated pneumonia
B. Health care-associated pneumonia
C. Community-acquired pneumonia
D. Hospital-acquired pneumonia - Answer C. Community-acquired pneumonia
Rationale: Community-acquired pneumonia (CAP) is pneumonia occurring in the community or within
less than 48 hours of hospital admission. Health care-associated pneumonia (HCAP) occurs in a
nonhospitalized patient with extensive health care contact. Hospital-acquired pneumonia (HAP) occurs
48 hours or more after hospital admission. Ventilator-associated pneumonia (VAP) is a type of HAP that
develops 48 hours or more after intubation.
Which of the following represent initial signs and symptoms of a patient in respiratory distress? (Select
all that apply.)
A. Dyspnea
B. Fever
, C. Tachypnea
D. Hypoxemia
E. Cyanosis - Answer A. Dyspnea
C. Tachypnea
D. Hypoxemia
Rationale: Dyspnea and tachypnea accompanied by low oxygen in the blood are associated with
respiratory distress. Cyanosis is a very late indicator of hypoxia to the tissues. Fever is an indication of
infection.
The patient experiencing an anaphylactic reaction may experience which of the following signs and
symptoms? (Select all that apply.)
A. Bronchospasm
B. Pallor
C. Pruritus
D. Dyspnea
E. Laryngeal edema - Answer A. Bronchospasm
C. Pruritus
D. Dyspnea
E. Laryngeal edema
Rationale: Mild systemic reactions consist of peripheral tingling, warmth, a sensation of fullness in the
mouth and throat, nasal congestion, periorbital swelling, pruritus, sneezing, and tearing of the eyes.
Moderate systemic reactions may include flushing and anxiety in addition to any of the milder
symptoms. More serious reactions include bronchospasm, laryngeal edema, severe dyspnea, cyanosis,
and hypotension. Dysphagia (difficulty swallowing), abdominal cramping, vomiting, diarrhea, and
seizures can also occur. Cardiac arrest and coma may follow.
What is the priority action by the nurse when a patient experiences sudden respiratory distress?
A. Place an intravenous line
B. Assess the airway
C. Call the provider
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