MN551 Unit 4 Quiz / MN 551 Unit 4 Quiz / MN551 Week 4 Quiz / MN 551 Quiz 4: Kaplan University (Questions With 100% Correct Answers, 2 Latest Versions, 2020)
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MN551 Unit 4 Quiz/ MN 551 Unit 4 Quiz/ MN551 Week 4 Quiz/ MN 551 Week 4 Quiz (Latest) : Kaplan University
Question 1.1. Which of the following patients who presented to a walk-in medical clinic is most likely to be diagnosed with a rhinosinusitis rather than a common cold? Fever and facial pain ar...
mn551 unit 4 quiz mn 551 unit 4 quiz mn551 week 4 quiz mn 551 week 4 quiz latest kaplan university question 11 which of the following patients who presented to a walk in medical clinic is mo
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MN551 Unit 4 Quiz: Kaplan University
Question 1.1. Which of the following patients who presented to a walk-in medical clinic is
most likely to be diagnosed with a rhinosinusitis rather than a common cold? Fever and facial
pain are more commonly associated with rhinosinusitis rather than the common cold. The other
noted symptoms are indicative of the common cold rather than rhinosinusitis.
A man complaining of general fatigue, a headache, and facial pain with a
temperature of 100.9°pg 929-930
A woman presenting with malaise, lethargy, and copious nasal secretions
A man with a dry, stuffy nasopharynx, a sore throat, and temperature of 98.9°F
A woman complaining of generalized aches who has a hoarse voice and reddened,
painful upper airways
Question 2.2. A 44-year-old woman developed calf pain during a transatlantic flight followed by
acute shortness of breath upon arrival at her destination. She was subsequently diagnosed with a
pulmonary embolism (PE), which resolved with anticoagulant therapy. Which of these
statements best characterizes the underlying problem of her PE? Ventilation was occurring, but
perfusion was inadequate causing shortness of breath. Impaired blood flow to a portion of the
lung, such as with a PE, is associated with ventilation without perfusion, rather than perfusion
without ventilation. The situation is not related to an anatomic shunt or impaired diffusion
across alveolar membranes.
She was short of breath because ventilation was occurring but perfusion was
inadequate.Pg 984-985
The combination of normal perfusion but compromised ventilation caused hypoxia.
She developed a transient anatomic shunt resulting in impaired oxygenation.
Impaired gas diffusion across alveolar membranes resulted in dyspnea and hypoxia.
Question 3.3. A premature infant on mechanical ventilation has developed
bronchopulmonary dysplasia (BPD) and is showing signs and symptoms of hypoxemia, low lung
compliance, and respiratory distress syndrome (RDS). Which of the following is the most likely
contributor to the infant's present health problem? (Despite the administration of corticosteroids
in utero to hasten alveolar maturation, premature infants suffering respiratory distress syndrome
often must be treated with supplemental oxygen and mechanical ventilation. However, overly
1
,forceful positive-pressure ventilation (barotrauma) can lead to the chronic lung impairment of
BPD. Surfactant therapy is a first-line defense against the development of RDS and is also used
to treat cases of BPD; additional time on a ventilator is often required as well.
High inspired oxygen concentration and injury from positive-pressure ventilation. Pg 952
Failure to administer corticosteroids to the infant in utero
Insufficient surfactant production and insufficient surfactant therapy
Insufficient supplemental oxygen therapy
Question 4.4. Which of the following residents of a long-term care facility is most likely
to be exhibiting the signs and symptoms of chronic obstructive pulmonary disease (COPD)?
Productive cough and recurrent respiratory infections are associated with COPD, while pain,
fever, and increased white cells are not common signs and symptoms of COPD. Acute shortness
of breath and bronchoconstriction are associated with asthma.
A 79-year-old lifetime smoker who is complaining of shortness of breath and pain on
deep inspiration
An 81-year-old smoker who has increased exercise intolerance, a fever, and increased
white blood cells
An 81-year-old male who has a productive cough and recurrent respiratory infections. pg
975
An 88-year-old female who experiences acute shortness of breath and airway
constriction when exposed to tobacco smoke/
Question 5.5. A 66-year-old male presents to the emergency department accompanied by his wife
who claims that he has been acting confused. The man is complaining of a sudden onset of
severe weakness and malaise and has a dry cough and diarrhea. His temperature is 102.8°F and
his blood work indicates his sodium level is 126 mEq/L (normal is 135 to 145 mEq/L). What will
be the assessing nurse practitioner's most likely suspicion? Confusion, dry cough, diarrhea, and
hyponatremia are associated with Legionnaire disease and less so with bronchopneumonia,
Mycoplasma pneumonia, or pneumococcal pneumonia.
Question 6.6. A 51-year-old female patient who is 2 days postoperative on a surgical unit of a
hospital is at risk for developing atelectasis as a result of being largely immobile. Which of the
following teaching points by her nurse practitioner is most appropriate? (Atelectasis is
characterized by incomplete lung expansion and can often be prevented by deep breathing and
coughing. Pleural effusion, not atelectasis, is associated with fluid accumulation between the
lungs and their lining, and neither chest tube insertion nor bronchodilators are common
treatments for atelectasis.
“Being in bed increases the risk of fluid accumulating between your lungs and their
lining, so it's important for you to change positions often.”
“You should breathe deeply and cough to help your lungs expand as much as
possible while you're in bed.”
“Make sure that you stay hydrated and walk as soon as possible to avoid our having
to insert a chest tube.”
“I'll prescribe bronchodilator medications that will help open up your airways and
allow more oxygen in.”
Question 7.7. Due to complications, a male postoperative patient has been unable to
mobilize for several days following surgery and has developed atelectasis. Which of the
following processes would his care team anticipate with relation to his health problem?
Regional hypoxia, such as with a diagnosis of atelectasis, is associated with vasoconstriction
and redirection of blood away from, not toward, the affected area of the lung. This also
contributes to an increased workload for the right side of the heart.
Vasodilation in the alveolar vessels in the affected region of his lung
Increased workload for the left side of the patient's heart
Increased blood flow to the area of atelectasis
Redirection of blood flow away from the lung regions that are hypoxic
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