Chapter 22: Pulmonary Infections

Chapter 22: Pulmonary Infections

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Which of the following is true concerning pneumonia?

ANS:  D

Pneumonia is the seventh leading cause of death in the United States and the most common cause of infection-related mortality.

DIF:    Application    REF:   p. 506            OBJ:   2

2. A patient comes into the emergency department presenting with signs and symptoms of pneumonia. While taking the patient’s history, it is determined that 2 months ago the patient spent 3 days in the hospital for acute angina. Since then the patient has been stable on medication. What type of pneumonia is this patient most likely to have?

ANS:  C

HCAP is defined as pneumonia occurring in any patient hospitalized for 2 or more days in the past 90 days in an acute care setting or who, in the past 30 days, has resided in a long-term care or nursing facility, attended a hospital or hemodialysis clinic, or who has received intravenous antibiotics, chemotherapy or wound care.

DIF:    Application    REF:   p. 506            OBJ:   2

3. Which of the following types of pneumonia suggests that the patient acquired it through inhalation of infectious particles?

ANS:  C

Six pathogenetic mechanisms may contribute to the development of pneumonia (Table 22-2). Histoplasmosis is one of those caused by inhalation of infectious particles.

DIF:    Recall             REF:   p. 507            OBJ:   2

4. Via what route is tuberculosis spread?

ANS:  D

Tuberculosis is acquired by inhalation of infectious particles is the basis for a policy whereby patients with suspected or proven tuberculosis who are coughing are placed in respiratory isolation, thereby minimizing the risk of disease transmission within the hospital setting.

DIF:    Recall             REF:   p. 507            OBJ:   2

5. Which group of patients is most likely to develop pneumonia subsequent to large volume aspiration?

ANS:  B

Certain patient populations are at risk of large-volume aspiration, such as those with impaired gag reflexes from narcotic use, alcohol intoxication, or prior stroke.

DIF:    Recall             REF:   p. 507            OBJ:   3