NR-507 Advanced Pathophysiology
Midterm Exam
A patient with normal lungs should be able to exhale blank of the forced vital capacity within the first second.
Correct Answer:
80%
The NP is seeing a patient with chronic bronchitis that needs spirometry on today's visit. What pulmonary function test (PFT) findings are anticipated based on the diagnosis of chronic bronchitis?
Correct Answer:
Decreased forced expiratory flow (FEV1).
Chronic bronchitis will decrease which of the following parameters?
Correct Answer:
decreased forced expiratory flow (FEV1)
Which of the following spirometry results indicate restrictive lung disease?
Correct Answer:
FEV1, FVC, and total lung capacity reduced; FEV1/FVC ratio normal.
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The NP notes that a patient's FEV1/FVC ratio is normal. Which of the following conditions is most likely the patient's pulmonary issue?
Correct Answer:
pulmonary fibrosis
Simple spirometry includes a measure of residual capacity
Correct Answer:
false
Which of the following would indicate obstructive lung disease?
Correct Answer:
chronic asthma
Which of the following pulmonary function test results are expected in a patient with chronic bronchitis?
Correct Answer:
Decreased FEV1/FVC ratio.
The number one cause of chronic bronchitis is
Correct Answer:
cigarette smoking
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A patient with chronic bronchitis is most likely to experience:
Correct Answer:
Respiratory acidosis due to inability to exhale CO2.
The effects of an Alpha-antitrypsin 1 deficiency is:
Correct Answer:
inability to block the effects of proteolysis
Which of the following is considered a late effect of emphysema?
Correct Answer:
Hypoxemia and Hypercapnia.
Hyperresonance found on lung percussion with a patient with COPD is primarily due to
Correct Answer:
air trapping
A lung volume measurement that indicates air trapping in a COPD patient is:
Correct Answer:
increased residual volume
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An expected chest x-ray finding for a patient with COPD is a
Correct Answer:
flattened diaphragm
The NP is examining a patient with a longstanding history of chronic
bronchitis. Cor pulmonale is expected in the patient that presents with:
Correct Answer:
hepatomegaly
A patient with chronic bronchitis is at risk for developing pneumonia due to:
Correct Answer:
mucous plugs
In normal gas exchange, which of the following is correct?
Correct Answer:
After air is breathed in, it diffuses into the pulmonary veins.
Asthma results in
Correct Answer:
decreased alveolar ventilation
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