Review Questions and Answers Chapters 13-15 9-13

Chapter 13: Asthma 1. Asthma is a chronic respiratory disease that is increasing in prevalence and is most commonly seen in children. A. The 1st phrase is correct and the 2nd incorrect B. The 1st phrase is incorrect and the 2nd correct C. Both phrases are correct D. Both phrases are incorrect 9-13

Answer…Ch 13 1. Asthma is a chronic respiratory disease that is increasing in prevalence and is most commonly seen in children. A. The 1st phrase is correct and the 2nd incorrect B. The 1st phrase is incorrect and the 2nd correct C. Both phrases are correct D. Both phrases are incorrect 9-13

Chapter 13: Asthma 2. Asthma is characterized by all of the following except which one. Which one is the exception? A. wheezing B. cough C. tightness in chest D. increased blood pressure 9-13

Answer… Ch 13 2. Asthma is characterized by all of the following except which one. Which one is the exception? A. wheezing B. cough C. tightness in chest D. increased blood pressure 9-13

Chapter 13: Asthma 3. The most common type of asthma is A. extrinsic asthma B. intrinsic asthma C. drug-induced asthma D. infectious asthma 9-13

Answer… Ch 13 3. The most common type of asthma is A. extrinsic asthma B. intrinsic asthma C. drug-induced asthma D. infectious asthma 9-13

Chapter 13: Asthma 4. Typical treatment of an asthmatic attack includes all of the following except which one. Which one is the exception? A. use of a bronchodilator inhaler B. breathing into a paper bag C. upright patient positioning D. administration of oxygen 9-13

Answer… Ch 13 4. Typical treatment of an asthmatic attack includes all of the following except which one. Which one is the exception? A. use of a bronchodilator inhaler B. breathing into a paper bag C. upright patient positioning D. administration of oxygen 9-13

Chapter 13: Asthma 5. An asthmatic condition that is life threatening is termed A. severe asthma B. asthmatic trauma C. status asthmaticus D. none of the above 9-13

Answer… Ch 13 5. An asthmatic condition that is life threatening is termed A. severe asthma B. asthmatic trauma C. status asthmaticus D. none of the above 9-13

Chapter 13: Asthma 6. What is the appropriate position for a patient having an asthma attack? A. supine B. semi-supine C. upright with arms forward D. Trendelenburg 9-13

Answer… Ch 13 6. What is the appropriate position for a patient having an asthma attack? A. supine B. semi-supine C. upright with arms forward D. Trendelenburg 9-13

Chapter 13: Asthma 7. The number of metered sprays that should initially be administered to a patient suffering from an asthma attack is A. 1 B. 2 C. 3 D. 4 9-13

Answer… Ch 13 7. The number of metered sprays that should initially be administered to a patient suffering from an asthma attack is A. 1 B. 2 C. 3 D. 4 9-13

Chapter 13: Asthma 8. An asthma attack in which the patient can speak only in phrases or partial sentences would be considered of ________ severity. A. mild B. Moderate C. severe 9-13

Answer… Ch 13 8. An asthma attack in which the patient can speak only in phrases or partial sentences would be considered of ________ severity. A. mild B. Moderate C. severe 9-13

Chapter 14: Obstructed Airway or Aspiration of a Foreign Object 1. If patients are experiencing a partially obstructed airway, they will not exhibit cyanosis, whereas if they are experiencing a completely obstructed airway, they will exhibit cyanosis. A. 1st phrase is true, 2nd is false B. 1st phrase is false, 2nd is true C. Both phrases are true D. Both phrases are false 9-13

Answer… Ch 14 1. If patients are experiencing a partially obstructed airway, they will not exhibit cyanosis, whereas if they are experiencing a completely obstructed airway, they will exhibit cyanosis. A. 1st phrase is true, 2nd is false B. 1st phrase is false, 2nd is true C. Both phrases are true D. Both phrases are false 9-13

Chapter 14: Obstructed Airway or Aspiration of a Foreign Object 2. The procedure used to remove an aspirated foreign object is A. bronchoscopy B. Heimlich maneuver C. curettage D. none of the above. 9-13

Answer… Ch 14 2. The procedure used to remove an aspirated foreign object is A. bronchoscopy B. Heimlich maneuver C. curettage D. none of the above. 9-13

Chapter 14: Obstructed Airway or Aspiration of a Foreign Object 3. You believe your patient is choking on a cotton roll you have placed in her mouth. She is vigorously coughing. What should you do? A. Perform the Heimlich maneuver B. Provide four strong back blows C. Call EMS so that the patient can be transported to the emergency department quickly D. Do nothing and let the patient continue coughing 9-13

Answer… Ch 14 3. You believe your patient is choking on a cotton roll you have placed in her mouth. She is vigorously coughing. What should you do? A. Perform the Heimlich maneuver B. Provide four strong back blows C. Call EMS so that the patient can be transported to the emergency department quickly D. Do nothing and let the patient continue coughing 9-13

Chapter 14: Obstructed Airway or Aspiration of a Foreign Object 4. All of the symptoms of an untreated aspirated object except one. Which one is the exception? A. weight loss B. fever C. tachypnea D. syncope 9-13

Answer… Ch 14 4. All of the symptoms of an untreated aspirated object except one. Which one is the exception? A. weight loss B. fever C. tachypnea D. syncope 9-13

Chapter 14: Obstructed Airway or Aspiration of a Foreign Object 5. Treatment for an ingested foreign object is A. Heimlich maneuver B. bronchoscopy C. endoscopy D. all of the above 9-13

Answer… Ch 14 5. Treatment for an ingested foreign object is A. Heimlich maneuver B. bronchoscopy C. endoscopy D. all of the above 9-13

Chapter 14: Obstructed Airway or Aspiration of a Foreign Object 6. All of the following are signs and symptoms of an ingested foreign object except one. Which one is the exception? A. cyanosis B. vomiting C. rectal bleeding D. dysphagia 9-13

Answer… Ch 14 6. All of the following are signs and symptoms of an ingested foreign object except one. Which one is the exception? A. cyanosis B. vomiting C. rectal bleeding D. dysphagia 9-13

Chapter 14: Obstructed Airway or Aspiration of a Foreign Object 7. Abdominal thrusts for a conscious patient suffering from a completely obstructed airway should be performed A. once every 5 seconds B. once every 10 seconds C. until the object is dispelled D. until the patient turns cyanotic 9-13

Answer… Ch 14 7. Abdominal thrusts for a conscious patient suffering from a completely obstructed airway should be performed A. once every 5 seconds B. once every 10 seconds C. until the object is dispelled D. until the patient turns cyanotic 9-13

Chapter 14: Obstructed Airway or Aspiration of a Foreign Object 8. If a victim of a foreign body airway obstruction becomes unconscious, the clinician would then A. perform abdominal thrusts B. start CPR beginning with chest compressions C. begin rescue breathing D. use the AED 9-13

Answer… Ch 14 8. If a victim of a foreign body airway obstruction becomes unconscious, the clinician would then A. perform abdominal thrusts B. start CPR beginning with chest compressions C. begin rescue breathing D. use the AED 9-13

Chapter 15: Allergic Reactions 1. The first time a person is exposed to an allergen, IgE antibodies are produced and attach to basophils and mast cells; upon reexposure the mast cells and basophils degranulate and release chemical mediators, causing the allergic reaction. A. The 1st phrase is correct, the 2nd incorrect B. The 1st phrase is incorrect, the 2nd is correct C. Both phrases are correct D. Both phrases are incorrect 9-13

Answer… Ch 15 1. The first time a person is exposed to an allergen, IgE antibodies are produced and attach to basophils and mast cells; upon reexposure the mast cells and basophils degranulate and release chemical mediators, causing the allergic reaction. A. The 1st phrase is correct, the 2nd incorrect B. The 1st phrase is incorrect, the 2nd is correct C. Both phrases are correct D. Both phrases are incorrect 9-13

Chapter 15: Allergic Reactions 2. Which type of allergic reaction is an immediate hypersensitivity caused by immunoglobulin E? A. Type I B. Type II C. Type III D. Type IV 9-13

Answer… Ch 15 2. Which type of allergic reaction is an immediate hypersensitivity caused by immunoglobulin E? A. Type I B. Type II C. Type III D. Type IV 9-13

Chapter 15: Allergic Reactions 3. What are the smooth, raised red lesions with central blanching that occur because of vasodilation of the capillaries during an allergic reaction? A. pruritus B. angioedema C. uriticaria D. none of the above 9-13

Answer… Ch 15 3. What are the smooth, raised red lesions with central blanching that occur because of vasodilation of the capillaries during an allergic reaction? A. pruritus B. angioedema C. uriticaria D. none of the above 9-13

Chapter 15: Allergic Reactions 4. Why should a patient be observed for quite some time even after his/her symptoms have abated following an allergic reaction? A. for liability reasons B. to administer enough oxygen for the mast cells to regranulate C. to ensure a biphasic reaction does not occur D. all of the above 9-13

Answer… Ch 15 4. Why should a patient be observed for quite some time even after his/her symptoms have abated following an allergic reaction? A. for liability reasons B. to administer enough oxygen for the mast cells to regranulate C. to ensure a biphasic reaction does not occur D. all of the above 9-13

Chapter 15: Allergic Reactions 5. What should the adult patient suffering from an allergic reaction with severe dyspnea, hypotension, and angioedema of the larynx be administered? A. Administer 10 mg of chlorpheneramine orally for 3 days. B. Administer 0.5 mg of 1:1000 epinephrine IM C. Administer 0.5 mg of 1:1000 epinephrine IV D. Administer epinephrine by inhalation until symptoms subside. 9-13

Answer… Ch 15 5. What should the adult patient suffering from an allergic reaction with severe dyspnea, hypotension, and angioedema of the larynx be administered? A. Administer 10 mg of chlorpheneramine orally for 3 days. B. Administer 0.5 mg of 1:1000 epinephrine IM C. Administer 0.5 mg of 1:1000 epinephrine IV D. Administer epinephrine by inhalation until symptoms subside. 9-13

Chapter 15: Allergic Reactions 6. All of the following are signs and symptoms of a moderate allergic reaction except one. Which one is the exception? A. localized urticaria B. systemic pruritus C. bronchospasm D. rhinitis 9-13

Answer… Ch 15 6. All of the following are signs and symptoms of a moderate allergic reaction except one. Which one is the exception? A. localized urticaria B. systemic pruritus C. bronchospasm D. rhinitis 9-13

Chapter 15: Allergic Reactions 7. What is the appropriate medication to be given to a patient experiencing a mild allergic reaction? A. diphenhydramine 50 mg IM B. epinephrine 0.3 mg 1:1000 IM C. chlorpheniramine 4 mg every four to six hours D. none of the above 9-13

Answer… Ch 15 7. What is the appropriate medication to be given to a patient experiencing a mild allergic reaction? A. diphenhydramine 50 mg IM B. epinephrine 0.3 mg 1:1000 IM C. chlorpheniramine 4 mg every four to six hours D. none of the above 9-13

Chapter 15: Allergic Reactions 8. The test used to determine an allergy wherby the amount of IgE antibodies in the blood is measured is a _______ test. A. RAST B. skin prick C. skin scratch D. antigen 9-13

Answer… Ch 15 8. The test used to determine an allergy wherby the amount of IgE antibodies in the blood is measured is a _______ test. A. RAST B. skin prick C. skin scratch D. antigen 9-13