DISEASE NCLEX PN QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
PulmonaryYValveYStenosisY-
YANSWERYisYaYconditionYinYwhichYaYdeformityYonYorYnearYyourYpulmonaryYvalve,YtheYvalveYthatYinfluencesYt
heYbloodYflowYfromYyourYheartYtoYyourYlungs,YslowsYtheYbloodYflow.
Cx:YCOngenital,Yendocarditis,YrheumaticYfeverY(AYdiseaseYthatYcanYresultYfromYinadequatelyYtreatedYstrepYt
hroatYorYscarletYfever)
Sx:Yfainting,YSOB,YPalpitations,Ycuanosis,YpoorYwtYgain
Tests:YcardiacYcath,YECG,YCXR,YEchocardiogram
Tx:Yprostaglandins,Ydieuretics,Yanti-arrythimics,YbloodYthinners,Yvalvuloplasty
ARDSY(AcuteYrespYdistressYsyndrome)Y-
YANSWERYLowYO2YlevelsYcxYbyYbuildYupYofYfluidYinYtheYlungsYandYinflammationYofYlungYtissue
Cx:YTrauma,YchemicalYinhalation,Ypneumonia,YsepticYshock
Sx:YLowYBP,YrapidYbreathing,YSOB,Ycyanosis
Tests:YABG,YCBC,YCulturesYCXR
Tx:YEchocardiogram,YAuscultation,YMechanicalYVentilation,YtxYunderlyingYproblem
MonitorYptYfor:YpulmonaryYfibrosis,YmultipleYsystemYorganYfailure,YVantilatorYassociatedYpneumonia,Yacido
sis,YrespYfailure
,RespYAcidosisY-YANSWERYBuild-upYofYcarbonYdioxideYinYtheYlungsYthatYcausesYacid-
baseYimbalancesYandYtheYbodyYbecomesYacidic
Cx:YCOPD,YAirwayYobstruction,YhypoventilationYsyndrome,YsevereYscoliosis,YsevereYasthma
Sx:YChronicYcough,Ywheezing,YSOB,YConfusion,YFatigue
Tests:YCATYscan
ABG
PulmonaryYFunctionYTest
Tx:YMechanicalYvent,Ybronchodilators
ChartY-YANSWERY
RespiratoryYAlkalosisY-YANSWERYCx:YAnxiety,Yfever,Yhyperventilation
Sx:YDizziness,Ynumbness
Tests:YABG,YCXR,YPulmonaryYfunctionYtest
Sx:YDizziness,Ynumbness
Tx:YPaperYbagYtech,YIncreaseYCO2Ylevels
RSVY-YANSWERYspreadYbyYcontact,YvirusYcanYsurviveYforYvariousYtimeYperiodsYonYdifferentYsurfaces
Cx:YCOPD,YpanicYattacks,Ystree
Sx:YFever,YSOB,YCyanosis,YWheezing,YnasalYcongestion,YcroupyYcough
Tx:YRibvirin,YVentYinYsevereYcases,YIVYfluids,YBronchodilators
,Tests:YABG,YCXR-------aYmedicationYcalledYPALIVIZUMABYmayYpreventYRSVYinfectionsYandYprotectYhigh-
riskYbabiesYfromYseriousYcomplicationsYofYRSVYinfection
MonitorYfor:Ypneumonia,YrespYfailure,YotitisYmedia
PneumothoraxY-YANSWERYCollapsedYlungYdueYtoYairYinYpleuralYspace.Ybuild-
upYofYaYgasYinYtheYpleuralYcavities
Sx:YSOB,YTachycardia,YHypotension,YAnxiety,YCXR,YPoorYbreathYsounds
Tests:YABG
Tx:YChestYtubeYinsertion,YadminYofYO2
HyperventilationY-YANSWERYCx:YCOPD,YpanicYattacks,Ystress,Yketoacidosis,YaspirinYoverdose,Yanxiety
ApneaY-YANSWERYNoYspontaneousYbreathing
Cx:YObstructiveYspeepYapnea,Yseizures,YcariacYarrhythmias,YbrainYinjury,YnervousYsystemYdysfunction,Ydrug
Yoverdose,Yprematurity,Ybronchospasm,Yencephalitis,Ychoking
LungYSurgeryY-
YANSWERYCx:YCancer,YlungYabscesses,Yatelectasis,Yemphysema,Ypneumothorax,Ytumors,Ybronchiectasis
PneumoniaY-
YANSWERYvirusesYtheYprimaryYcauseYinYyoungYchildren,YbacteriaYtheYprimaryYcxYinYadults.YBacteria:YStrepto
coccusYpneumonia,YmycoplasmaYpneumonia
Sx:Yfever,Yheadache,Yribavirin,YSOB,YCOugh,YchestYpain
Tests:YCXR,YPulmonaryYperfusionYscan,YCBC,YculturesYofYsputum,Ycrackles
Tx:YantibioticsY(bacterial),YrespYtx,Ysteroids,YIVYfluids,YvaccineYTx
, PulmonaryYactinomycosisY-
YANSWERYbacteriaYinfectionYofYtheYlungsYcausedYbyY(propionbacteriaYorYactinomyces)Y
Cx:YMicroorganisms
Sx:YPleuralYeffusions,YFavialYlesions,YChestYpain,Ycough,YwtYloss,Yfever
Tests:YCBC,YLungYbiopsy,Ythoracentesis,YCTYscan,Ybronchoscopy
MonitorYfor:YEmphysema,YMeningitis,YOsteomyelitis
AlveolarYproteinosisY-YANSWERYaYbuild-upYofYaYphospholipidYinYtheYlungsYwereYCO2YandYO2YareYtransferred
Cx:YmayYbeYassociatedYwithYinfection,YGeneticYdisorderY30-50Yyrs.Yold
Sx:YwtYloss,Yfatigue,Ycough,Yfever,YSOB
Tests:YCXR,YpresenceYofYcrackles,YCTYscan,Ybronchoscopy,YABG-YlowYO2Ylevels,YPulmonaryYfunctionYtests
Tx:YLungYtransplant,YspecialYlavageYofYtheYlungs
PulmonaryYhypertensionY-YANSWERYelevatedYBPYinYtheYlungYarteries
Cx:YmayYbeYgeneticallyYlinked,YmoreYpredominantYinYwomen
Sx:Yfainting,Yfatigue,YchestYpain,YSOBYcYactivity,YLEYedema,Yweakness
Tests:YPulmonaryYarteriogram,YCXR,YECG,YPulmonaryYfunctionYtests,YCTYscan,YcardiacYcath