VSIM Vincent Brody Quiz Questions with Answers
1. The nurse understands that the pathophysiol-
ogy of chronic obstructive pulmonary disease
(COPD) is related to which of the following?
2. The nurse recognizes that risk factors
for chronic obstructive pulmonary disease
(COPD) include which of ...
VSIM Vincent Brody Quiz Questions with Answers
1. The nurse understands that the pathophysiol- Chronic inflammation and
ogy of chronic obstructive pulmonary disease narrowing of airways
(COPD) is related to which of the following? (rationale: COPD is a slow-
ly progressive disease in-
volving airway obstruction
related to changes and
narrowing of airways re-
sulting from chronic in-
flammation and the body's
attempt to repair it.)
2. The nurse recognizes that risk factors Smoking tobacco, Expo-
for chronic obstructive pulmonary disease sure to dust, Secondhand
(COPD) include which of the following? (Select smoke, Air pollution
all that apply.) (rationale: Risk factors in-
clude environmental ex-
posures such as ciga-
rette smoking, increased
age, occupational expo-
sure (dust and chemicals),
air pollution, and genetic
abnormalities including al-
pha1-antitrypsin deficien-
cy.)
3. What deficiency is a risk factor for COPD? alpha1-antitrypsin defi-
ciency
4. The nurse understands that, for a patient Pulmonary hypertension
with chronic obstructive pulmonary disease (rationale: Pulmonary hy-
(COPD), chronic hypoxemia and thickening of pertension may occur from
the walls of the pulmonary vasculature can thickening of the lining,
lead to which complication? smooth muscle hypertro-
phy of the pulmonary vas-
culature, and chronic hy-
poxemia, which causes
the pulmonary arteries to
constrict.)
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, VSIM Vincent Brody Quiz Questions with Answers
5. In COPD patients, the loss of protective mech- pneumonia
anisms of the airways and increased mucus
can lead to which complication?
6. Which complication occurs from the alveolar atelectasis
wall destruction and loss of recoil?
7. Patients can develop large bullae, which may pneumothorax
rupture and cause a .
8. In a patient with chronic obstructive pul- Likely asymptomatic
monary disease (COPD), the nurse would ex- (rationale: The patient's
pect to observe which of the following clini- values are not severe
cal manifestations based on the arterial blood enough at this moment to
gas (ABG) results below? pH: 7.33 PaCO2: 55 cause symptoms.)
mmHg HCO3: 22 mEq/L PaO2: 78 mmHg
9. What is the normal range of PaO2 in most 80-100 mmHg
healthy adults?
10. Arterial blood gas (ABG) levels may be ob- Respiratory acidosis with
tained when the patient is experiencing ex- no compensation and mild
acerbations of chronic obstructive pulmonary hypoxemia
disease (COPD). How would the nurse interpret (rationale: Respiratory aci-
the following ABG levels? pH: 7.33 PaCO2: 55 dosis is the result of de-
mmHg HCO3: 22 mEq/L PaO2: 78 mmHg creased pH from an in-
crease in PaCO2. The
bicarbonate (HCO3) lev-
els would only increase
if compensation (either
full or partial) is present.
There is currently no com-
pensation, as the HCO3
is currently normal. The
below-normal PaO2 indi-
cates that hypoxemia is
present.)
11. When assessing breath sounds in a patient Dyspnea with a chronic
experiencing chronic obstructive pulmonary cough
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