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ynares post-test

Total questions: 18

Worksheet time: 29mins

Name
Class
Date
1.

Which symptom is indicative of advanced emphysema?

a)

A. Cyanosis and pallor

b)

B. Frequent productive cough

c)

C. Flattened diaphragm on chest X-ray

d)

D. Blood-tinged sputum

2.

The peak flow meter measures which parameter in asthma patients?

a)

A. Total lung capacity

b)

B. Peak expiratory flow rate

c)

C. Residual volume

d)

C. Residual volume

3.

What is the most common causative agent of respiratory infections in COPD patients?

a)

S. Aureus

b)

P. Aeruginosa

c)

H. Influenzae

d)

S. Pneumoniae

4.

In patients with chronic bronchitis, which physiological change primarily contributes to hypoxemia?

a)

A. Decreased lung compliance

b)

B. Mucus hypersecretion and airway obstructioN

c)

C. Destruction of alveolar walls

d)

D. Loss of elastic recoil

5.

Which of the following ABG findings is most likely in a severe asthma exacerbation?

a)

A. pH 7.50, PaCO2 30 mmHg, PaO2 80 mmHg

b)

B. pH 7.35, PaCO2 45 mmHg, PaO2 90 mmHg

c)

C. pH 7.30, PaCO2 55 mmHg, PaO2 60 mmHg

d)

D. pH 7.45, PaCO2 35 mmHg, PaO2 100 mmHg

6.

What is the rationale for using beta-agonists as a first-line treatment in acute asthma exacerbations?

a)

A. They decrease mucus production in the airways

b)

B. They suppress the immune response to allergens

c)

C. They cause bronchodilation by relaxing smooth muscle

d)

D. They reduce airway inflammation directly

7.

11. Which aspect of asthma management is most effective in preventing exercise-induced bronchospasm?

a)

A. Use of a long-acting beta-agonist 5 minutes before exercise

b)

B. Pre-exercise administration of a leukotriene receptor antagonist

c)

C. Taking a short-acting beta-agonist 30 minutes before exercise

d)

D. Increasing fluid intake prior to exercise

8.

A key nursing intervention for bronchiectasis includes:

a)

A. Administering corticosteroids long-term

b)

B. Teaching postural drainage techniques

c)

C. Avoiding antibiotics to prevent resistance

d)

D. Limiting fluid intake

9.

Which of the following medications is commonly used as a bronchodilator in asthma management?

a)

Prednisone

b)

Albuterol

c)

Beclomethasone

d)

Acetylcysteine

10.

What condition is characterized by permanent dilatation of the bronchi and bronchioles?

a)

Emphysema

b)

Chronic Bronchitis

c)

Pneumonia

d)

Bronchiectasis

11.

The hallmark sign of a tension pneumothorax is:

a)
  • Bilateral chest pain

b)

Sputum production

c)

Mediastinal shift to the unaffected side

d)

Inreased respiratory volume

12.

Which diagnostic test is considered the standard for detecting pulmonary embolism?

a)

CXR

b)

ABG analysis

c)

MDCTA

d)

Pulmonary function test

13.

Which type of chest tube management step indicates proper function?

a)

Fluctuation in the water-seal chamber with respiration

b)

Continuous bubbling in the water-seal chamber

c)

Constant high drainage output without fluctuationConstant high drainage output without fluctuation

d)

Absence of fluctuation in the early postoperative period

14.

primary characteristic of lobar pneumonia is

a)

Patchy, diffuse infection throughout both lungs

b)

Infection confined to one or more lobes

c)

Associated with chronic lung disease

d)

Involves all areas of the bronchi

15.

Order: 5 mg/kg/day in two doses
Patient weight: 18 kg

(a)  

16.

Order: Administer 15 mg/kg of vancomycin every 8 hours. The patient weighs 22 kg, and vancomycin is available as a solution with a concentration of 250 mg/5 mL.
Question: Calculate the volume (in mL) needed for one dose

(a)  

17.

Order: Administer a loading dose of phenytoin at 18 mg/kg to a 60 kg patient. The available solution contains 50 mg/mL.
Question: Calculate the volume (in mL) required for the loading dose.

(a)  

18.

Order: Administer Levophed at 0.08 mcg/kg/min for a patient weighing 68 kg. The pharmacy prepared 4 mg of Levophed in 250 mL of D5W.
Question: Calculate the infusion rate in mL/hr.

(a)