NURS 8022 EXAM 3 NEWEST 2024
ACTUAL EXAM COMPLETE EXAM
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY
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A person has pneumoconiosis. Which information would the
nurse find in the history of this
person?
A. Inhaled inorganic dust particles, resulting in a change in the
lungs
B. Fractured ribs, causing paradoxical movement of the chest
with breathing
C. Ruptured visceral pleura, which allows air or gas into the
pleural space
D. Bronchial inflammation with a persistent abnormal dilation
of the bronchi - ANSWER- A. Inhaled inorganic dust particles,
resulting in a change in the lungs
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POPE? - ANSWER- Postobstructive pulmonary edema.
Negative pressure pulmonary edema; rare life threatening
complication after relief of upper airway obstruction
Acute lung injury (ALI)/Acute respiratory distress syndrome
(ARDS) - ANSWER- results from an acute, diffuse injury to the
alveolocapillary membrane and decreased surfactant production,
which increases membrane permeability and causes edema,
atelectasis, and hypoxemia.
ARDS process - ANSWER- - rapid onset
- fluid out of blood vessels into alveoli
- damage impairs gas exchange
- lung stiffens
- increased work of breath
- alveolar collapse
A child has asthma. Which pathophysiologic process occurs in
this disease?
1. Acute injury to the alveoli capillary membrane, producing
severe pulmonary edema and shunting
2. Chronic inflammatory disorder, causing mucosal edema and
reversible airflow obstruction
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3. Airway obstruction, increasing resistance to airflow and
decreasing flow rates, especially inspiratory flow - ANSWER-
2. Chronic inflammatory disorder, causing mucosal edema and
reversible airflow obstruction
Chronic bronchitis - ANSWER- hypersecretion of mucus and
chronic productive cough that lasts for at least 3 months of the
year and for at least 2 consecutive years
Two types of emphysema - ANSWER- centriacinar
(centrilobular) and panacinar (panlobular)
What ion is fundamentally affected in cystic fibrosis? -
ANSWER- Chloride
Four phases of pneumococcal pneumonia - ANSWER- 1.
Consolidation
2. Red hepatization
3. Gray hepatization
4. Resolution
What is pneumococcal pneumonia? - ANSWER- *Most
common and most lethal*
Intense inflammatory response that causes alveolar edema
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Understand the phases of pneumococcal - ANSWER- Bacteria
introduced causing inflammatory response. Release of cytokines
causes inflammatory response leading to alveolar edema.
Bacteria thrives in edema, lungs fill with blood. Neutrophils and
phagocytes win and clear everything out.
A person has pneumococcal pneumonia. Which
pathophysiologic process has occurred?
1. Continual bronchial inflammation causes bronchial edema
and increases the size and number of mucous glands and goblet
cells.
2. Abnormal permanent enlargement of the acini is accompanied
by the destruction of alveolar walls.
3. Inflammatory cytokines cause alveolar edema, which creates
a medium for microorganisms that leads to consolidation -
ANSWER- 3. Inflammatory cytokines causes alveolar edema,
which creates a medium for microorganisms that leads to
consolidation
A person has a pulmonary embolism. What will the NP find
upon assessment? - ANSWER- Sudden pleuritic chest pain,
dyspnea, unexplained anxiety
An NP recalls that cystic fibrosis is associated with
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