Question

Which type of sleep apnea is characterized by lack of airflow due to pharyngeal occlusion?

Answer 1

Correct Answers:

Obstructive

Rationale :

😴Obstructive sleep apnea (OSA) occurs when the pharyngeal muscles collapse during sleep, leading to physical occlusion of the upper airway and complete airflow blockage.

🛏️This results in intermittent hypoxia, fragmented sleep, and frequent nighttime awakenings, even though the respiratory drive remains intact.

📉Unlike central sleep apnea, where the brain fails to signal the muscles to breathe, OSA is strictly a mechanical obstruction.

💁‍♂️This type is the most common form of sleep apnea and is often associated with obesity, enlarged tonsils, and nasal obstruction.

📌Core Message

Obstructive sleep apnea is caused by pharyngeal occlusion, resulting in lack of airflow despite intact respiratory effort.

Answer 2

Correct Answers:

Redness and induration

Rationale :

💉The Mantoux test is used to screen for tuberculosis (TB) and is evaluated by observing induration, not just redness, at the site.

🧬Induration represents an immune response, signifying the presence of sensitized T-cells that react to the purified protein derivative (PPD).

🧪Erythema (redness) may occur, but only raised, hardened swelling (induration) is considered a positive reaction.

📏The size of the induration (in mm) determines positivity based on risk factors, such as HIV status or recent TB exposure.

📌Core Message

A Mantoux test reaction is identified by induration at the site, indicating cell-mediated immune sensitivity to TB antigen.

Answer 3

Correct Answers:

Barrel-shaped chest

Rationale :

👤A barrel-shaped chest results from chronic air trapping in emphysema, causing hyperinflation of the lungs and a change in the thoracic shape.

📏The anteroposterior diameter of the chest increases, altering the normal chest ratio, a classic sign of advanced COPD/emphysema.

😮This hyperinflation is due to the destruction of alveolar walls, leading to reduced elastic recoil and air retention.

🧓Over time, the chest wall adapts to the chronic overexpansion, resulting in a rounded, barrel-like appearance.

📌Core Message

A barrel-shaped chest reflects chronic lung hyperinflation from air trapping in advanced emphysema.

Answer 4

Correct Answers:

Hemoptysis

Rationale :

🩸Hemoptysis is the term for coughing up blood, which can be a sign of serious respiratory infection like tuberculosis (TB).

🌍Travel to Southeast Asia, a region with higher TB prevalence, increases the client's risk of exposure.

🤒The history of malaise and cough progressing to blood is classic for pulmonary TB, necessitating urgent evaluation and isolation.

📓The documentation of hemoptysis is critical for diagnosis, infection control, and treatment planning.

📌Core Message

Hemoptysis is the clinical term for coughing up blood, often associated with infectious or serious pulmonary conditions like TB.

Answer 5

Correct Answers:

Epistaxis

Rationale :

🩸Epistaxis refers specifically to nosebleeds, which can be caused by trauma, dry air, or bleeding disorders.

👃Profuse bleeding from the nasal cavity indicates a rupture of nasal vessels, often in Kiesselbach’s plexus.

🛑Prompt documentation of epistaxis is important for evaluating bleeding severity and guiding interventions.

💊Monitoring is essential, especially if the patient is on anticoagulants or has hypertension, which increases the risk.

📌Core Message

Epistaxis is the correct medical term for active nasal bleeding, often requiring prompt intervention.

Answer 6

Correct Answers:

acute respiratory distress syndrome (ARDS).

Rationale :

🔥Aspiration of stomach contents, especially after trauma and fluid resuscitation, can trigger inflammatory lung injury leading to ARDS.

💁‍♂️ARDS is a form of non-cardiogenic pulmonary edema, characterized by severe hypoxemia, bilateral infiltrates, and refractory oxygenation issues.

⚠️The inflammation from acidic gastric contents damages the alveolar-capillary membrane, impairing gas exchange.

🚑Trauma, sepsis, or massive fluid shifts increase capillary permeability and exacerbate the risk of developing ARDS.

📌Core Message

Aspiration following trauma can precipitate ARDS, a severe form of lung inflammation and hypoxemia due to alveolar injury.

Answer 7

Correct Answers:

Chest pain and dyspnea

Rationale :

🧨Pulmonary embolism (PE) occurs when a thrombus lodges in the pulmonary arteries, impairing oxygenation and perfusion.

💔Sudden chest pain and shortness of breath are hallmark signs due to blocked blood flow in the lungs.

🚨These symptoms may be accompanied by tachypnea, tachycardia, or hemoptysis, depending on embolus size.

🧠Early recognition is vital, as PE can be fatal if untreated and often originates from deep vein thrombosis (DVT).

📌Core Message

Chest pain and dyspnea are classic signs of pulmonary embolism, resulting from circulatory obstruction in the lungs.

Answer 8

Correct Answers:

Wheezes

Rationale :

🎶Wheezes are high-pitched, musical sounds typically heard on expiration due to airway narrowing or bronchospasm.

🌀They are common in asthma as the bronchioles constrict, impeding airflow and producing turbulent vibrations.

📋This sound indicates obstruction in the lower airways, and severity correlates with degree of airflow limitation.

🩺Wheezing often guides treatment decisions such as administering bronchodilators or corticosteroids.

📌Core Message

Wheezes are continuous, high-pitched sounds heard in asthma due to narrowed airways during expiration.

Answer 9

Correct Answers:

chronic bronchitis

Rationale :

💨Chronic bronchitis is defined by a productive cough lasting at least 3 months in 2 consecutive years.

🌬️It is a form of chronic obstructive pulmonary disease (COPD) and results from chronic inflammation and mucus production.

😷The “winter cough” described is a classic patient phrase for the persistent cough and sputum seen in chronic bronchitis.

🧪Prompt identification aids in reducing exacerbation risk and initiating therapies like bronchodilators or steroids.

📌Core Message

A chronic productive cough suggests chronic bronchitis, a major subtype of COPD.

Answer 10

Correct Answers:

Apply ice and tell the patient to keep his head elevated

Rationale :

🧊Ice application reduces swelling and pain after nasal trauma by constricting blood vessels.

🛌Head elevation promotes drainage and reduces pressure, minimizing further bleeding or edema.

🔥Heat would increase swelling, and saline lavage may risk further injury or aspiration if not indicated.

🩹Initial care for nasal fracture includes cold compresses, positioning, and pain control, with follow-up for deformity or obstruction.

📌Core Message

Immediate care for nasal fracture includes ice application and head elevation to reduce swelling and bleeding.

NURS 230 Exam-1

No.

1 :
Which type of sleep apnea is characterized by lack of airflow due to pharyngeal occlusion?

2 :
When interpreting the results of a Mantoux test, the nurse explains to the client that a reaction occurs when the intradermal injection site shows:

3 :
Which assessment finding would be most consistent with advanced emphysema?

5 :
The nurse assesses a client who is bleeding profusely from the nose. The nurse documents this finding as which condition?

6 :
A client admitted with multiple traumatic injuries receives massive fluid resuscitation. Later, the physician suspects that the client has aspirated stomach contents. The nurse knows that this client is at highest risk for:

7 :
A nurse caring for a client with deep vein thrombosis must be especially alert for complications such as pulmonary embolism. Which findings suggest pulmonary embolism?

8 :
While auscultating the lungs of a client with asthma, the nurse hears a continuous, high-pitched whistling sound on expiration. The nurse will document this sound as which of the following?

9 :
A resident in the long-term care facility has been experiencing a chronic, productive cough for the last 3 months. The client tells the nurse “This is just my winter cough." This client most likely has which condition?

10 :
A 13-year-old boy has been brought to the emergency department by his mother after he took a powerful blow to his nose during a volleyball game. Preliminary examination suggests a nasal fracture, which should prompt the nurse to:

NURS 230 Exam-1

No.

1 : Which type of sleep apnea is characterized by lack of airflow due to pharyngeal occlusion?

2 : When interpreting the results of a Mantoux test, the nurse explains to the client that a reaction occurs when the intradermal injection site shows:

3 : Which assessment finding would be most consistent with advanced emphysema?

5 : The nurse assesses a client who is bleeding profusely from the nose. The nurse documents this finding as which condition?

6 : A client admitted with multiple traumatic injuries receives massive fluid resuscitation. Later, the physician suspects that the client has aspirated stomach contents. The nurse knows that this client is at highest risk for:

7 : A nurse caring for a client with deep vein thrombosis must be especially alert for complications such as pulmonary embolism. Which findings suggest pulmonary embolism?

8 : While auscultating the lungs of a client with asthma, the nurse hears a continuous, high-pitched whistling sound on expiration. The nurse will document this sound as which of the following?

9 : A resident in the long-term care facility has been experiencing a chronic, productive cough for the last 3 months. The client tells the nurse “This is just my winter cough." This client most likely has which condition?

10 : A 13-year-old boy has been brought to the emergency department by his mother after he took a powerful blow to his nose during a volleyball game. Preliminary examination suggests a nasal fracture, which should prompt the nurse to:

1 :
Which type of sleep apnea is characterized by lack of airflow due to pharyngeal occlusion?

2 :
When interpreting the results of a Mantoux test, the nurse explains to the client that a reaction occurs when the intradermal injection site shows:

3 :
Which assessment finding would be most consistent with advanced emphysema?

5 :
The nurse assesses a client who is bleeding profusely from the nose. The nurse documents this finding as which condition?

6 :
A client admitted with multiple traumatic injuries receives massive fluid resuscitation. Later, the physician suspects that the client has aspirated stomach contents. The nurse knows that this client is at highest risk for:

7 :
A nurse caring for a client with deep vein thrombosis must be especially alert for complications such as pulmonary embolism. Which findings suggest pulmonary embolism?

8 :
While auscultating the lungs of a client with asthma, the nurse hears a continuous, high-pitched whistling sound on expiration. The nurse will document this sound as which of the following?

9 :
A resident in the long-term care facility has been experiencing a chronic, productive cough for the last 3 months. The client tells the nurse “This is just my winter cough." This client most likely has which condition?

10 :
A 13-year-old boy has been brought to the emergency department by his mother after he took a powerful blow to his nose during a volleyball game. Preliminary examination suggests a nasal fracture, which should prompt the nurse to: