Which of the following symptoms is typically associated with the prodromal stage of inhalation anthrax?

Mild chest pain, Low-grade fever, Dry, harsh cough

What is the primary goal of medication management in pulmonary hypertension?

To reduce pulmonary pressures and prevent clot formation

Which of the following is true about leukotriene modifiers?

They are most effective when taken on a scheduled basis.

In addition to airborne precautions, what is a critical environmental requirement for a room housing a patient with TB?

Room with at least 6 changes of fresh air per minute

What might the physical examination reveal in a patient with a peritonsillar abscess?

Swelling on one side of the throat

What does an absence of a skin response (anergy) to the TB skin test indicate?

Reduced immunity, even if infection is present

What is a major consequence of untreated pulmonary hypertension?

Cor pulmonale (right-sided heart failure)

What is a potential severe complication of a peritonsillar abscess that requires immediate attention?

Symptoms of airway obstruction such as drooling and stridor

What is a priority intervention for a patient with chronic bronchitis experiencing tachypnea?

Administering bronchodilators as prescribed

patient with chronic bronchitis, which intervention is important for promoting mucociliary clearance?

lossen mucous for airway cleaners, Encouraging hydration and increased fluid intake

first dose of antibiotics should be administered for a patient with community-acquired pneumonia

within 6 hours of presentation to the ED

Which of the following symptoms is typically associated with a peritonsillar abscess?

Severe throat pain radiating to the ear

What does localized swelling with hardness of the soft tissue indicate in the context of the TB skin test?

Possible infection with tuberculosis

What should a nurse do if a patient with facial trauma exhibits stridor?

Contact the primary healthcare provider and prepare for intubation

What is the primary reason for avoiding NG suctioning in patients at risk for epistaxis?

It may cause trauma to the nasal mucosa.

Which of the following are signs of potential airway obstruction in Pneumonia? (Select all that apply)

Pleuritic chest discomfort – pain on inspiration, Hypoxemia, Purulent, blood-tinged or rust colored sputum, Fever

Which of the following can act as triggers for asthma? (Select all that apply)

GERD, Cold air, dry air, Aspirins & other NSAIDs, Airborne particles, Exercise, specific allergens

Which of the following interventions is a priority for a patient with chronic bronchitis experiencing tachypnea?

Administering oxygen as prescribed

What is the primary goal of infection control teaching for patients diagnosed with influenza?

To prevent severe complications such as pneumonia

What should be done for a patient experiencing posterior nasal bleeding?

Use posterior packing or epistaxis catheters

What lifestyle modification should patients with pulmonary hypertension be encouraged to adopt?

Engage in regular, moderate exercise as tolerated

What should patients using Treprostinil be instructed to always have on hand?

Backup drug cassettes and battery packs

Which of the following is a critical sign indicating the need for intubation in a patient with facial trauma?

sternal retraction, restlessness, decreased oxygen sat, Tachypnea, shortness of breath, nasal flaring,, decreased LOC, stridor

What is a key indication that a patient might have impaired airway patency requiring intubation?

Decreased oxygen saturation levels

Which of the following factors increase the risk for community-acquired pneumonia? (Select all that apply)

Exposure to respiratory viral infections, Older adult age, Chronic health problems that reduce immunity, Did not receive flu vaccine in the previous year, tobacco or alcohol or is exposed to high amounts of secondhand smoke

Which assessment finding may suggest the presence of jugular vein distention (JVD) in a patient with chronic bronchitis?

Swelling in the neck veins when the patient is at a 45-degree angle

Which of the following is an appropriate nursing intervention for managing epistaxis?

Instruct the patient to lean forward and pinch the nose.

Treatment of r status asthmaticus

bronchodilators, epinephrine, oxygen, IV fluids, steroids

Which of the following is a significant risk factor for older adults taking first-generation antihistamines?

Reduced drug clearance and metabolism

key element of contact of airborne precautions?

keeping the door closed, negative pressure rooms,, N95. mask

What are key nursing intervention to prevent airway obstruction in patients with pneumonia?

Encourage the patient to drink 2L of fluid daily, Expectorants (guaifenesin), Bronchodilators (beta2 agonists), IV steroids

What intervention is appropriate if initial treatments for epistaxis fail to control the bleeding?

Silver nitrate or electrocautery

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Answers

1
What is a primary complication of a peritonsillar abscess?
Airway obstruction
Otitis media
Sinusitis
Laryngitis
2
What might a patient with a peritonsillar abscess exhibit during a physical examination?
Minimal swelling of lymph nodes
Halitosis (bad breath)
Normal breath odor
Clear and articulate speech
3
How do medications used to treat pulmonary hypertension primarily work?
By constricting pulmonary vessels
By reducing lung capacity
By increasing blood viscosity
By dilating pulmonary vessels
4
Which of the following symptoms is typically associated with the prodromal stage of inhalation anthrax?
Sore throat
Mild chest pain
Low-grade fever
Dry, harsh cough
5
What is the primary goal of medication management in pulmonary hypertension?
To eliminate all symptoms of the disease
To reduce pulmonary pressures and prevent clot formation
To decrease oxygen saturation levels
To increase the heart rate
6
Which of the following TB medications can cause liver damage? (Select all that apply)
Isoniazid
Ethambutol
Rifampin
Bedaquiline
7
Which of the following is true about leukotriene modifiers?
They work by relaxing the airway muscles immediately.
They should only be taken during an asthma attack.
They are most effective when taken on a scheduled basis.
They replace the need for other medications.
8
In addition to airborne precautions, what is a critical environmental requirement for a room housing a patient with TB?
Room with at least 6 changes of fresh air per minute
Ventilated room with no special requirements
Isolation room with no ventilation
Standard hospital room with windows open
9
What might the physical examination reveal in a patient with a peritonsillar abscess?
Swelling on one side of the throat
Absence of lymphadenopathy
Normal tonsil size
Pushing of the uvula towards the affected side
10
What does an absence of a skin response (anergy) to the TB skin test indicate?
Reduced immunity, even if infection is present
Active TB infection
Immunity from past TB exposure
A healthy immune response
11
What is a major consequence of untreated pulmonary hypertension?
Cor pulmonale (right-sided heart failure)
Systemic hypertension
Pulmonary edema
Left-sided heart failure
12
what do you do if Treprostinil drug therapy is interrupted
There are no significant side effects to worry about.
do nothing
restart drug theraphy from strach
go to the ER
13
What is a potential severe complication of a peritonsillar abscess that requires immediate attention?
Dysphagia
Mild throat pain
Trismus
Symptoms of airway obstruction such as drooling and stridor
14
Which finding suggests that a patient may require intubation due to compromised airway?
Ability to speak in full sentences
Restlessness and tachypnea
Oxygen saturation of 95%
Normal respiratory pattern
15
What is a priority intervention for a patient with chronic bronchitis experiencing tachypnea?
Administering bronchodilators as prescribed
Promoting bed rest
Initiating a high-calorie diet
Limiting fluid intake
16
What technique should be used during the administration of Treprostinil to prevent infection?
No special technique is required
Standard cleaning technique
Aseptic technique
Sterilization technique
17
What type of precautions should be used for a patient with tuberculosis (TB)?
Standard precautions
Droplet precautions
Contact precautions
Airborne precautions
18
Which of the following is a common cause of epistaxis due to loss of tissue integrity?
Proper nasal hygiene
Chronic hypertension
Increased humidity
Adequate hydration
19
Which of the following interventions can help improve mucociliary clearance in patients with chronic bronchitis?
Administering antibiotics
Encouraging hydration
Performing chest physiotherapy
Promoting smoking cessation
20
patient with chronic bronchitis, which intervention is important for promoting mucociliary clearance?
lossen mucous for airway cleaners
Encouraging hydration and increased fluid intake
Administering bronchodilators
Providing corticosteroids
21
first dose of antibiotics should be administered for a patient with community-acquired pneumonia
Only if the patient is admitted to the hospital
within 6 hours of presentation to the ED
After 24 hours of observation
As soon as the patient reports symptoms
22
Which of the following symptoms is typically associated with a peritonsillar abscess?
Severe throat pain radiating to the ear
A clear and strong voice
Absence of fever
Swelling on both sides of the throat
23
What does localized swelling with hardness of the soft tissue indicate in the context of the TB skin test?
Allergic reaction to the test
Normal immune response
Negative TB infection
Possible infection with tuberculosis
24
What is a common physical finding associated with chronic bronchitis due to long-term hypoxia?
Flushing
Pallor
Jaundice
Cyanosis
25
What should a nurse do if a patient with facial trauma exhibits stridor?
Encourage the patient to cough
Administer bronchodilators
Provide high-flow oxygen only
Contact the primary healthcare provider and prepare for intubation
26
What is the primary reason for avoiding NG suctioning in patients at risk for epistaxis?
It leads to increased heart rate.
It is often unnecessary.
It can cause dehydration.
It may cause trauma to the nasal mucosa.
27
Which of the following are signs of potential airway obstruction in Pneumonia? (Select all that apply)
Pleuritic chest discomfort – pain on inspiration
Hypoxemia
Purulent, blood-tinged or rust colored sputum
Fever
28
Which of the following can act as triggers for asthma? (Select all that apply)
GERD
Cold air, dry air
Aspirins & other NSAIDs
Airborne particles
Exercise
specific allergens
29
Which of the following interventions is a priority for a patient with chronic bronchitis experiencing tachypnea?
Encouraging strict bed rest
Administering oxygen as prescribed
Providing high-calorie snacks
Increasing fluid intake
30
What is the primary goal of infection control teaching for patients diagnosed with influenza?
To prevent severe complications such as pneumonia
To encourage social gatherings
To promote physical activity
To eliminate all flu symptoms
31
What should be done for a patient experiencing posterior nasal bleeding?
Use posterior packing or epistaxis catheters
Administer oral antihistamines
Perform anterior nasal packing
Provide saline nasal sprays
32
What lifestyle modification should patients with pulmonary hypertension be encouraged to adopt?
Increase fluid intake without restriction
Avoid all physical activity
Increase sodium intake
Engage in regular, moderate exercise as tolerated
33
What does stridor indicate in a patient with facial trauma?
Clear airway
Potential airway obstruction
Normal respiratory function
Adequate oxygenation
34
What side effect is associated with Ethambutol that patients should be aware of?
Tinnitus
Muscle cramps
Blurry vision
Nausea
35
What should patients using Treprostinil be instructed to always have on hand?
supply of water
A list of their medications
A thermometer
Backup drug cassettes and battery packs
36
Which of the following is a critical sign indicating the need for intubation in a patient with facial trauma?
sternal retraction
restlessness, decreased oxygen sat
Tachypnea
shortness of breath
nasal flaring,
decreased LOC, stridor
37
What is a key indication that a patient might have impaired airway patency requiring intubation?
Decreased oxygen saturation levels
Stable heart rate
No signs of distress
Regular breathing rhythm
38
Which of the following factors increase the risk for community-acquired pneumonia? (Select all that apply)
Exposure to respiratory viral infections
Older adult age
Chronic health problems that reduce immunity
Did not receive flu vaccine in the previous year
Received the pneumococcal vaccination within the last 5 years
tobacco or alcohol or is exposed to high amounts of secondhand smoke
39
Which assessment finding may suggest the presence of jugular vein distention (JVD) in a patient with chronic bronchitis?
Decreased heart rate
Elevated blood pressure
Swelling in the neck veins when the patient is at a 45-degree angle
Clear lung sounds
40
Which of the following is an appropriate nursing intervention for managing epistaxis?
Advise the use of hot compresses on the face.
Instruct the patient to lean backwards and pinch the nose.
Instruct the patient to lean forward and pinch the nose.
Encourage the patient to lay flat on their back.
41
Which of the following symptoms would warrant immediate intervention for airway management in a patient?
Mild anxiety
Absence of nasal flaring
Sternal retraction
Stable blood pressure
42
How often should sputum cultures be collected after the initiation of drug therapy for tuberculosis
Every 2 weeks
Once a month
Every week
Every 4 weeks
43
Treatment of r status asthmaticus
lay pt flat
bronchodilators
epinephrine
oxygen
IV fluids
steroids
44
Which of the following is a significant risk factor for older adults taking first-generation antihistamines?
Lower incidence of side effects
Reduced drug clearance and metabolism
ncreased tolerance to medications
Enhanced therapeutic effects
45
key element of contact of airborne precautions?
keeping the door closed
negative pressure rooms,
N95. mask
keep door open
46
What is a significant side effect of Bedaquiline that healthcare providers should monitor?
Severe fatigue
Respiratory distress
Prolonged QT interval
Hypotension
47
What lifestyle modification should be recommended to a patient with chronic bronchitis to help manage symptoms?
Smoking cessation
Increasing physical activity
Consuming high-fat foods
Reducing fluid intake
48
Which of the following is a potential complication of improper handling of Treprostinil equipment?
Reduced medication effectiveness
Enhanced patient comfort
Increased risk of sepsis
Improved medication absorption
49
What are key nursing intervention to prevent airway obstruction in patients with pneumonia?
Encourage the patient to drink 2L of fluid daily
Expectorants (guaifenesin)
Monitor for signs of hypoxemia and increased respiratory rate
Bronchodilators (beta2 agonists)
Administer IV fluids only
IV steroids
50
What intervention is appropriate if initial treatments for epistaxis fail to control the bleeding?
Silver nitrate or electrocautery
Increased fluid intake
Cold compress to the forehead
Over-the-counter antihistamines
51
Which symptom in a patient with chronic bronchitis indicates potential right-sided heart failure?
Elevated blood pressure
Peripheral edema
Chest pain
Finger clubbing
52
What should patients be instructed to report while taking Isoniazid and Rifampin?
Weight loss
Insomnia
Yellowing of the eyes and skin
increased appetite
53
Why should patients taking Isoniazid and Rifampin avoid alcohol?
Alcohol should be avoided only during the first week of treatment.
Alcohol can worsen side effects and increase the risk of liver damage.
Alcohol will increase the effectiveness of the medications.
Alcohol can cause the medications to become ineffective.
54
S/S of influenza
watery nasal discharge
diarrhea
vomiting
muscle aches,
Severe headache,
Sore throat
55
What is defined as pulmonary hypertension?
Chronic increase in pulmonary vascular pressures above 15-18 mmHg
Increase in systemic arterial pressures above 30 mmHg
Chronic increase in pulmonary vascular pressures above 25 mmHg
Normal pulmonary vascular pressures
56
What action does Montelukast (a leukotriene modifier) take in asthma management?
Increases mucus production
Blocks leukotriene receptors
Acts as a bronchodilator
Reduces inflammation only during acute attacks
57
Which of the following findings may indicate advanced emphysema
Hypertension
Increased appetite
Weight loss
Cyanosis
58
key element of contact precautions?
Individual stethoscopes in the room
gown
gloves
disposable blood pressure cuffs,
59
What does a positive reaction to the Mantoux skin test signify?
Exposure to TB or the presence of inactive disease
Immediate need for hospitalization
Complete immunity to tuberculosis
Active tuberculosis disease only
60
Which of the following complications can occur during the fulminant stage of inhalation anthrax?
Meningitis
Gastroenteritis
Conjunctivitis
Urinary tract infection
61
What medication may be used to help manage symptoms of pneumonia by thinning mucus?
Antibiotics
Bronchodilators (beta2 agonists)
IV steroids
Expectorants (guaifenesin)
62
Which of the following actions is essential for a nurse when caring for a patient with TB?
Ensure proper ventilation in the patient's room.
Allow visitors without any precautions.
Allow visitors without any precautions.
Encourage the patient to share a room with others.
63
After experiencing epistaxis, which of the following activities should patients avoid for at least one month?
strenuous activity
lifting heavy
Using saline nasal sprays
Drinking plenty of fluids
Vigorous nose blowing
use of aspirin or other NSAIDS
64
What symptom may indicate the involvement of the muscles used for chewing in a patient with a peritonsillar abscess
Trismus (spasms and pain)
Difficulty breathing
Clear throat
Hoarseness
65
What measurement on the Mantoux skin test indicates a possible infection with tuberculosis?
20mm or greater
10mm or greater
5mm or less
15mm or greater
66
Which medication may be indicated to help reduce swelling in patients with a peritonsillar abscess?
Steroids
Antibiotics
Antihistamines
Analgesics
67
What are the common imaging findings in a patient with inhalation anthrax?
Calcification of lung nodules
Presence of pleural effusion
Increased lung volume
Massive edema, hemorrhage, and destruction of lung cells
68
When using an IV pump for Treprostinil, what should the healthcare provider routinely check?
The pump's battery life and drug cassette
The patient's diet
The patient's vital signs
The patient's weight
69
Patients taking Rifampin should be advised that they might experience which of the following
Orange-reddish staining of urine and other secretions
Dark brown urine
No change in urine color
Greenish urine
70
In addition to aseptic technique, what should be monitored during Treprostinil administration?
Patient’s sleep patterns
Dietary intake
Skin integrity around the infusion site
Exercise regimen
71
S/SX of peritonsillar
severe throat pain radiating to the ear or teeth
pushing the uvula towards the unaffected side.
trismus
difficulty swallowing
muffled voice,
Swelling on one side of the throat
72
What occurs in asthma that leads to airway obstruction?
Decreased airway resistance
Bronchospasm, edema of the mucus membranes, and thick mucus production
Complete airway collapse
Increased alveolar expansion
73
purpose of strategies to prevent deep vein thrombosis (DVT) in patients with chronic bronchitis?
To promote effective gas exchange
To enhance respiratory function
To decrease inflammation in the lungs
To prevent complications associated with immobility
74
What are common expected finding in a patient with emphysema?
bradypnea
JVD
Barrel Chest
Dyspnea
Finger Clubbing
Cyanosis
75
Which of the following interventions helps to improve gas exchange in patients with pneumonia? (Select all that apply)
Restricting fluid intake to 1L daily
Administering oxygen therapy
Encouraging the patient to lie flat during the day
Coughing and deep breathing at least every 2 hours
Incentive spirometry 5-10 breaths every hour
position pt in high fowler position
76
How long may it take for symptoms of inhalation anthrax to develop after exposure
24 hours
1 week
4 weeks
up to 8 weeks
77
During which stage of inhalation anthrax do symptoms such as fatigue and mild chest pain typically appear?
Recovery Stage
Fulminant Stage
Latent Stage
Prodromal Stage
78
What intervention is commonly necessary for a patient with a significant peritonsillar abscess?
Antibiotic therapy only
Administration of steroids
Drainage of the abscess
Just watchful waiting
79
Which action should patients take to prevent rebleeding after an episode of epistaxis?
Engage in heavy lifting
Stop using nasal sprays
Avoid using petroleum jelly
Apply petroleum jelly to the nares
80
key element of contact of droplet precautions?
Goggles
Gloves
Gown
shields
81
In the context of airway management for facial trauma, what is a priority nursing intervention?
Encouraging deep breathing exercises
Assessing for signs of airway obstruction
Monitoring vital signs only
Initiating chest physiotherapy
82
What should be included in the education for patients regarding the Mantoux skin test results?
Negative results mean the patient has not been exposed to TB at any point.
positive result indicates exposure but not active disease.
A positive test result guarantees that the patient has active TB.
83
What indicates that a patient with tuberculosis is no longer contagious?
Symptoms have resolved
Three consecutive negative sputum cultures
Completion of the full course of antibiotics
A single negative sputum culture
84
Inhalation anthrax symptoms can often be mistaken for which of the following conditions?
Tuberculosis
Influenza or pneumonia
Asthma
COPD exacerbation
85
Which class of medications is generally contraindicated for older adults with rhinosinusitis
Second-generation antihistamines
Corticosteroids
Decongestants
First-generation antihistamines
86
For patients older than 65 years diagnosed with influenza, what is the recommended treatment?
Over-the-counter pain relievers
Antibiotics
Antiviral drugs with in 24-48hr of first s/sx
Bed rest only
87
What is the preferred method of delivery for Treprostinil?
Small IV pump or subcutaneous infusion
Intramuscular injection
Inhalation
Oral tablet

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