NURS MISC PNEUMONIA AND TUBERCULOSIS QUIZ - Ana G. Mendez University System
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Course
NURS MISC
Institution
NURS MISC
NURS MISC
PNEUMONIA AND TUBERCULOSIS
QUIZ
Clients with chronic illnesses are more likely to get pneumonia when which of the following situations is present?
Group living
Severe periodontal disease
Which of the following pathophysiological mechanisms that occurs in the lung pa...
NURS MISC
PNEUMONIA AND TUBERCULOSIS
QUIZ
Question 1
CORRECT
Clients with chronic illnesses are more likely to get pneumonia
when which of the following situations is present?
Dehydration
Group living
Severe periodontal disease
Malnutrition
Question 1 Explanation:
Clients with chronic illnesses generally have poor immune systems.
Often, residing in group living situations increases the chance of
disease
transmission.
Question 2
CORRECT
Which of the following pathophysiological mechanisms that occurs
in the lung parenchyma allows pneumonia to develop?
Atelectasis
Bronchiectasis
Inflammation
Effusion
Question 2 Explanation:
,The common feature of all type of pneumonia is an inflammatory
pulmonary response to the offending organism or agent. Atelectasis
and bronchiectasis indicate a collapse of a portion of the airway
that doesn’t occur in pneumonia. An effusion is an accumulation of
excess pleural fluid in the
pleural space, which may be a secondary response to pneumonia.
Question 3
CORRECT
Which of the following organisms most commonly causes
community- acquired pneumonia in adults?
Haemiphilus influenzae
Klebsiella pneumoniae
Staphylococcus aureus
Streptococcus pneumoniae
Question 3 Explanation:
Pneumococcal or streptococcal pneumonia, caused by streptococcus
pneumoniae, is the most common cause of community-acquired
pneumonia.
H. influenzae is the most common cause of infection in children.
Klebsiella species is the most common gram-negative organism found
in the hospital setting. Staphylococcus aureus is the most common
cause of hospital-
acquired
Question 4 pneumonia.
CORRECT
An elderly client with pneumonia may appear with which of the
following symptoms first?
Altered mental status and dehydration
, Fever and chills
Pleuritic chest pain and cough
Hemoptysis and dyspnea
Question 4 Explanation:
Fever, chills, hemoptysis, dyspnea, cough, and pleuritic chest pain are
common symptoms of pneumonia, but elderly clients may first appear
with only an altered mental status and dehydration due to a blunted
immune
response.
Question 5
WRONG
When auscultating the chest of a client with pneumonia, the nurse
would expect to hear which of the following sounds over areas of
consolidation?
Bronchial
Bronchovesicular
Vesicular
Tubular
Question 5 Explanation:
Chest auscultation reveals bronchial breath sounds over areas of
consolidation. Bronchovesicular are normal over midlobe lung regions,
tubular sounds are commonly heard over large airways, and vesicular
breath
sounds are commonly heard in the bases of the lung fields.
Question 6
CORRECT
, A diagnosis of pneumonia is typically achieved by which of the
following diagnostic tests?
ABG analysis
Chest x-ray
Sputum culture and sensitivity
Blood cultures
Question 6 Explanation:
Sputum C & S is the best way to identify the organism causing the
pneumonia. Chest x-ray will show the area of lung consolidation. ABG
analysis will determine the extent of hypoxia present due to the
pneumonia,
and blood cultures will help determine if the infection is systemic.
Question 7
WRONG
A client with pneumonia develops dyspnea with a respiratory rate
of 32 breaths/minute and difficulty expelling his secretions. The
nurse auscultates his lung fields and hears bronchial sounds in the
left lower lobe. The nurse determines that the client requires
which of the following treatments first?
Antibiotics
Bed rest
Nutritional intake
Oxygen
Question 7 Explanation:
The client is having difficulty breathing and is probably becoming
hypoxic. As
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