NR511 Nursing Diagnosis Midterm Exam With Answers (401 Solved Questions)
NR511 Nursing Diagnosis Midterm Exam With Answers helps you track your progress with real past exam questions.
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Q bank questions
Respiratory
An adult has upper respiratory symptoms and cough for the past 14 days. What should be considered?
(Pertussis)
Pertussis should always be considered in adults who present with acute cough of greater than 5 days’
duration. The incubation period for pertussis is about 7-10 days. Patients present with URI symptoms for
1-2 weeks. The classic paroxysmal cough usually begins in the second week of the illness. The duration of
symptoms and cough are about 3 months even when treated with antibiotics. This is highly infectious
and is a reportable disease.
Mycoplasma pneumoniae is: (a disease with extrapulmonary manifestations)
Mycoplasma is an atypical pathogen and produces atypical pneumonia. It can be difficult to diagnose
because symptoms can be varied and involve multiple body systems (extrapulmonary manifestations).
Infection with Mycoplasma may present with a normal white blood cell count, maculopapular rash, GI
symptoms, tender joints and aches, and, though rare, cardiac rhythm disturbances. Respiratory
symptoms may not be pronounced. On chest X-ray there are some unique findings (peribronchial
pattern) with Mycoplasma. These include thickened bronchial shadow, streaks of interstitial infiltration,
and atelectasis. These are more likely to occur in the lower lobes.
Which medication below is contraindicated in an asthma patient because it may increase risk of
sudden death if used alone? (Long-acting bronchodilator)
A long-acting bronchodilator can be used to treat asthma when it is used in combination with an inhaled
Q bank questions
Respiratory
An adult has upper respiratory symptoms and cough for the past 14 days. What should be considered?
(Pertussis)
Pertussis should always be considered in adults who present with acute cough of greater than 5 days’
duration. The incubation period for pertussis is about 7-10 days. Patients present with URI symptoms for
1-2 weeks. The classic paroxysmal cough usually begins in the second week of the illness. The duration of
symptoms and cough are about 3 months even when treated with antibiotics. This is highly infectious
and is a reportable disease.
Mycoplasma pneumoniae is: (a disease with extrapulmonary manifestations)
Mycoplasma is an atypical pathogen and produces atypical pneumonia. It can be difficult to diagnose
because symptoms can be varied and involve multiple body systems (extrapulmonary manifestations).
Infection with Mycoplasma may present with a normal white blood cell count, maculopapular rash, GI
symptoms, tender joints and aches, and, though rare, cardiac rhythm disturbances. Respiratory
symptoms may not be pronounced. On chest X-ray there are some unique findings (peribronchial
pattern) with Mycoplasma. These include thickened bronchial shadow, streaks of interstitial infiltration,
and atelectasis. These are more likely to occur in the lower lobes.
Which medication below is contraindicated in an asthma patient because it may increase risk of
sudden death if used alone? (Long-acting bronchodilator)
A long-acting bronchodilator can be used to treat asthma when it is used in combination with an inhaled
2
Which of the following medications should be used cautiously in a patient who has asthma? (Timolol
ophthalmic drops)
Timolol is a beta blocker. This class of medications can precipitate bronchoconstriction in patients who
have asthma. Even though timolol is being administered in the eye, it is absorbed through mucous
membranes and can exert systemic effects. Beta blockers should be avoided in patients with asthma and
used cautiously in patients with COPD. The other medications listed have no specific contraindications
for patients with asthma.
The most common symptom associated with acute bronchitis is: (Cough)
Fever (temp > 101°F) is an unusual symptom associated with acute bronchitis. Cough is the most
common symptom associated with acute bronchitis. Purulent sputum is identified in more than 50% of
patients with acute bronchitis. The color imparted to the sputum is usually due to sloughing of epithelial
cells, not bacterial infection. Concurrent upper respiratory symptoms are typical of acute bronchitis.
Pharyngitis is common.
Mild persistent asthma is characterized by: (symptoms
Which of the following medications should be used cautiously in a patient who has asthma? (Timolol
ophthalmic drops)
Timolol is a beta blocker. This class of medications can precipitate bronchoconstriction in patients who
have asthma. Even though timolol is being administered in the eye, it is absorbed through mucous
membranes and can exert systemic effects. Beta blockers should be avoided in patients with asthma and
used cautiously in patients with COPD. The other medications listed have no specific contraindications
for patients with asthma.
The most common symptom associated with acute bronchitis is: (Cough)
Fever (temp > 101°F) is an unusual symptom associated with acute bronchitis. Cough is the most
common symptom associated with acute bronchitis. Purulent sputum is identified in more than 50% of
patients with acute bronchitis. The color imparted to the sputum is usually due to sloughing of epithelial
cells, not bacterial infection. Concurrent upper respiratory symptoms are typical of acute bronchitis.
Pharyngitis is common.
Mild persistent asthma is characterized by: (symptoms
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Document Details
University
Chamberlain College of Nursing
Subject
Nursing