A 2 y/o diagnosed with otitis media with effusion. Which of the following might be found
in this condition?
a. fever
b. Pain
c. Rhinorrhea
d. fatigue - answerb (Rationale: the fluid build-up, in the middle ear, causes discomfort
and pain.)
When caring for a patient with Ménière Syndrome. How would you explain what is
causing the syndrome to occur?
a. "Fluid builds up in the inner ear, causing the structure in this area to affect other
structures including the cochlea and vestibule leading to the symptoms you are
experiencing."
b. "this is an autoimmune condition; it's not a big deal."
c. "You will never be able to swim again"
d. "Due to fluid build up, you should avoid water in your ears." - answera (Rationale:
Ménière disease/syndrome occurs due to fluid buildup in the inner ear causing pressure
to build on the *cochlea and vestibule*.)
Sensorineural hearing loss is:
a. caused by an autoimmune condition
b. a result of neurogenic shock
c. often permanent, resulting from disease, trauma, or genetic defect
d. untreatable - answerc (Rationale: Occurs due to permanent damage to the cochlea of
the inner ear. May occur due to disease, trauma, or genetic defect.)
Which of the following is caused by an irregular curvature of the cornea or lens?
a. myopia
b. hyperopia
c. amblyopia
d. diplopia - answerb (*Hyperopia*, farsightedness, relates to an abnormal curvature
that leads to the focal point being beyond the back of the eye.)
A patient presents with redness, itchiness and watering of his left eye. There is a mild
amount of clear drainage. This presentation is most consistent with:
,a. Typical bacterial conjunctivitis
b. Viral conjunctivitis
c. Chalmydia trachomatis conjunctivitis
d. retinal detachment - answerb
In a patient with macular degeneration, which of the following would you be concerned
for due to their loss of vision?
a. falls
b. increased intraocular pressure
c. vertigo
d. nausea - answera (Rationale: As the individual has central vision loss, they become a
higher fall risk.)
When explaining primary open angle glaucoma to an older adult with the disease, which
of the following would be a correct statement you could make to the patient regarding
the disease?
a. "This is not a big deal, no need to worry."
b. "You will need surgery immediately."
c. "Glasses should correct the issue."
d. "Increased pressure in your eye will slowly lead to a loss of vision if you do not
maintain your treatment regimen." - answerd (Treatment: Eye drops)
The amount of air remaining in the lungs after a maximal exhalation is called the
a. Residual volume
b. Tidal volume
c. Total Capacity
d. FEV - answera
The central chemoreceptors for respiratory control are:
a. Responsive to changes in bicarb
b. located in the brain
c. Responsive primarily to changes in pH and CO2
d. ineffective - answerc
A structure that participates in diffusion of respiratory gases is the:
a. bronchi
b. Alveolus
c. alveoli
d. trachea - answerb
Thick mucus in the airways would produce which adventitious breath sound?
,a. Wheezing
b. Rhonchi
c. Cheyne-stokes
d. Kussmaul - answerb
A patient with suspected narcotic overdose is breathing at 6 times a minute and very
shallow. How would you classify this breathing pattern?
a. hyperventilation
b. dead
c. hypoventilation
d. hyper activity - answerc
A 20 yo male presents to his PCP reporting difficulty breathing when lying down. What
term should the nurse use to document this condition?
a. Orthopnea
b. Dyspnea
c. Tachypnea
d. Myxedema - answera
Viral Pneumonia is characterized by:
A. A productive cough
B. A dry cough
C. Exudative consolidation
D. Significant ventilation-perfusion mismatch - answerB
A patient with a productive cough and a localized area of infiltrate or atelectasis on x-ray
probably has:
a. atypical pneumonia
b. typical pneumonia
c. c. Lobar pneumonia
d. bronchopneumonia - answerc
The organism that causes TB is a:
a. fungus
b. bacterium
c. plant
d. virus - answerb
Extrinsic asthma is associated with:
A. Decreased functional residual capacity
, B. Unknown precipitating factors
C. IgE mediated airway inflammation
D. Irreversible airway obstruction - answerc
All of the following changes occur during an acute asthma episode except:
A. Bronchoconstriction
B. Bronchial mucosal edema
C. Hypersecretion of mucus
D. Alveolar collapse - answerd
Pricking one's finger with a needle would cause minimal pain, whereas experiencing
abdominal surgery would produce more pain. his distinction is an example of which pain
theory?
a. Gate control theory
b. Intensity theory
c. Specificity theory
d. Pattern theory - answerC
(According to the specificity theory, a direct relationship exists between the intensity of
pain and the extent of tissue injury.)
Which pain theory proposes that a balance of impulses conducted from the spinal cord
to the higher centers in the central
nervous system (CNS) modulates the transmission of pain?
a. GCT
b. Pattern theory
c. Specificity theory
d. Neuromatrix theory - answerA
(Only the gate control theory (GCT) explains that a balance of impulses conducted to
the spinal cord, where cells in the substantia gelatinosa function as a spinal gate,
Regulates pain transmission to higher centers in the CNS.)
Which type of nerve fibers transmits pain impulses?
a. A-alpha (Aα) fibers
b. A-beta (Aβ) fibers
c. A-delta (Aδ) fibers
d. B fibers - answerC
Pinkeye is characterized by inflammation of which structure?
a.Eyelids
b. Sebaceous glands
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