Respiratory System Quiz

The nurse teaches her patient ways to promote respiratory health and includes which of the following? Select all that apply.

• Do not smoke.

• Avoid exposure to secondhand smoke, air pollutants, and chemicals.

• Perform good hand and oral hygiene to prevent infection.

• Get vaccinated every 5 years against influenza.

• Avoid going outside as much as possible.

Which of the following is true of the Mantoux tuberculin skin test? Select all that apply.

• It is performed by injecting 0.1 mL of tuberculin-purified protein derivative (PPD) under the top layer of skin.

• The skin is assessed for a reaction within 24 hours after administration.

• The PPD is injected under the top layer of skin, usually of the forearm.

• This test is usually performed while the patient is under conscious sedation.

• The radial artery is the most common site.

You are inspecting the thoracic cage of a middle-aged male. He does not have a history of smoking or chronic pulmonary disease. Which of the following are normal findings? Select all that apply.

• AP-to-lateral ratio approximately 1:2

• AP-to-lateral ratio approximately 1:1

• Costal angle greater than 90 degrees

• Conical shape

• Accessory muscle retractions

The serous membrane that lines and adheres to the thoracic wall and produces pleural fluid is the:

• Surfactant.

• Parietal pleura.

• Visceral pleura.

• Pulmonary pleura.

The nurse asks the patient about his smoking history. He has smoked one-half pack of cigarettes daily for the past 20 years. You document his pack-year smoking history as:

• 5 pack-year.

• 10 pack-year.

• 15 pack-year.

• 20 pack-year.

The nurse assesses that the patient is frequently coughing up sputum and documents this as a:

• Hacking cough.

• Chronic cough.

• Productive cough.

• Dry cough.

When percussing the lungs, the nurse hears a soft muffled sound over an area normally filled with air and recognizes that this indicates:

• An area of consolidation.

• Overinflation of the lungs.

• Pneumothorax.

• Crepitus.

During the assessment, patients in respiratory distress may assume which position?

• Sitting on the side of the examining table

• Lying supine

• Assuming the tripod position

• Standing and leaning on a chair for support

Arrange the assessment techniques of the chest in the proper sequence. (Enter the number of each step in the proper sequence; do not use punctuation or spaces. Example: 1234.) 1. Palpation 2. Inspection 3. Auscultation 4. Percussion

• 2143

• 1234

• 3412

• 4321

You are performing a respiratory assessment on a patient with complaints of wheezing and productive cough. Arrange the steps in assessing symmetrical expansion of the thoracic cage in proper sequence. (Enter the number of each step in the proper sequence; do not use punctuation or spaces. Example: 1234.) 1. Observe chest expansion and the expansion of your hands and thumbs. 2. Repeat on the anterior thorax. 3. Pinch up a small fold of skin between your fingers. 4. Document your findings. 5. Place the patient in the sitting position. 6. Place your warmed hands on the posterior chest wall with thumbs at level T (thoracic) 9 or T10. 7. Instruct the patient to inhale deeply through the nose and to exhale through the mouth.

• 5637124

• 5736124

• 5763124

• 5736124