NCM 112

LESSON 1
LEARNING ACTIVITY 1
A. TONSILLECTOMY AND ADENOIDECTOMY

1. D.
2. C.
3. A.
4. C.
B. EPISTAXIS

1. The nurse should tell Gilberta and her mother to apply direct pressure on the nose. She must sit upright with
the head tilted forward to prevent swallowing and aspiration of blood and is directed to pinch the soft outer
portion of the nose against the midline septum for 5 or 10 minutes continuously.

2. D.
3. B.
4. D.
C. CANCER OF THE LARYNX

1. Risk factors associated with cancer of the larynx

 Tobacco (smoke, smokeless)  Cement dust
 Combined effects of alcohol and tobacco  Chemicals
 Secondhand smoke  Asbestos
 Paint fumes  Mustard gas
 Wood dust  Leather and metals
2. Squamous cell carcinoma
3. B.
4. 60%, 75-95%
5. Radiotherapy or surgery
6. 2 to 3 years
D. LARYNGECTOMY

1. B. 5. D.

2. D. 6. increase in temperature, tachycardia, purulent

drainage, odor, redness or tenderness at the surgical
3. D.
site, and increased WBCs.
4. respiratory distress, hypoxia, hemorrhage, infection,
7. D.
wound breakdown, and aspiration
8. carotid artery rupture
SELF-ASSESSMENT
1. A. 6. A. 11. D. 16. B.
2. D. 7. D. 12. A. 17. B.
3. A. 8. D. 13. A. 18. A.
4. B. 9. A. 14. D. 19. D.
5. D. 10. C. 15. B. 20. D.

LESSON 2
LEARNING ACTIVITY 1
A. COMMUNITY-ACQUIRED PNEUMONIA
1. D.
2. B.
3. D.
4. D.
5. B.
6. D.
B. TUBERCULOSIS
1. B.
2. B.
3. D.
4. B.
5. C.
C. ACUTE RESPIRATORY DISTRESS SYNDROME
1. D.
2. B.
3. D.
4. B.
5. C.
D. PULMONARY EMBOLISM
1. C.
2. A.
3. B.
4. A.
5. B.
6. C.
7. D.
SELF-ASSESSMENT
1. D. 11. D. 21. D.
2. A. 12. D. 22. C.
3. C. 13. A. 23. C.
4. D. 14. A. 24. A.
5. D. 15. D. 25. A.
6. C. 16. C. 26. A.
7. A. 17. A. 27. B.
8. A. 18. D. 28. A.
9. C. 19. B. 29. B.
10. D. 20. B. 30. C.

LESSON 3
LEARNING ACTIVITY 1
EMPHYSEMA
1. C.
2. B.
3. A.
4. D.
5. B.
6. D.

LEARNING ACTIVITY 2
1. increased goblet cells and enlarged submucosal glands (proximal airways), inflammation and airway
narrowing (peripheral airways), and narrowing of the airway lumen.
2. Emphysema is an abnormal distention of the air spaces, beyond the terminal bronchioles, that results in
destruction of the walls of the alveoli.
3. a deficiency in alpha-antitrypsin, an enzyme inhibitor that protects the lungs
4. chronic cough, sputum production, and dyspnea on exertion
5. history of cigarette smoking, passive smoking exposure, age, weightloss, and hypoxemia
6. cessation of smoking
7. alter smooth muscle tone, reduce airway obstruction, and improve alveolar ventilation
8. tracheobronchial infection and air pollution
9. Streptococcus pneumoniae and Haemophilus influenzae
10. allergy; cough, wheezing, and dyspnea
11. status asthmaticus, respiratory failure, pneumonia, and atelectasis
12. 37 years
SELF-ASSESSMENT
1. C. 11. D. 21. A. 31. D. 41. C.
2. D. 12. C. 22. B. 32. D. 42. D.
3. D. 13. B. 23. D. 33. A. 43. C.
4. D. 14. A. 24. D. 34. C. 44. C.
5. B. 15. C. 25. B. 35. A. 45. B.
6. B. 16. C. 26. C. 36. D. 46. D.
7. D. 17. C. 27. D. 37. B. 47. D.
8. D. 18. D. 28. A. 38. D.
9. B. 19. A. 29. C. 39. C.
10. B. 20. B. 30. D. 40. A.

VIDEO ANALYSIS
“How Coronavirus (COVID-19) Invades the Lungs”

The COVID-19 virus is not just some ordinary cough. It is dangerous, especially for those with weak
immune systems, underlying illnesses, and old age. As student nurses, we must be aware of how the virus is
transmitted, not only to protect ourselves but also to protect the lives that surround us. The virus has already
taken millions of lives, let us be careful and not let it take any more precious lives.