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WorksheetsRespiratory quiz
Total questions: 93
Worksheet time: 47mins
What is gas exchange?
is the arterial blood flow through the tissues
blood that is pumped by the heart
oxygen is transported to cells and carbon dioxide transport away from the cells
carbon dioxide transported to cells and oxygen transport away from the cells
True or false. Perfusion is the arterial blood flow through the tissue
true
false
True or false. Oxygen diffuses in blood and transported to all tissues and organ
false
true
Co2, the waste gas created in the tissue, diffuses from the blood into the __________.
Stomach
Lungs
Heart
Toe
Why are patients accidentally intubated in the right bronchus instead of the left bronchus?
because it depends the person who intubates
because the left bronchus have too many alveolars
because the right bronchus is wider, shorter, more vertical
because the right bronchus is perpendicular to trachea
The patient lab results are ready for view. The nurse sees the patient has decreased amount of type II pneumocytes cell. This patient is at risk for
Lung cancer
COPD
Atelectasis
Heart failure
The nurse and student nurse are discussing different chest x-ray images. Which of the statement indicates the student nurse needs more teaching?
"The left hilum is higher than the right."
"The left middle lobe has increased lung markings."
"The right lung is larger and wider than left lung."
"Atelectasis is in the right lower lung"
About 60 to 65% lung function occur in the _______lung. Any problem with the _______ lung interferes with gas exchange and perfusion to a greater degree.
Left, left
Right, left
Left, right
Right, Right
Is a part of the upper respiratory tract? Select all that applies
nose, sinuses, pharynx,larynx
Trachea, bronchi, bronchioles, alveolar ducts, alevoli
diaphragm, scalene muscles, trapezius
nasopharynx, oropharynx, larygngopharynx
Blood flow through the lung through 2 separate systems?
Bronchial and pulmonary
Pulmonary and Perfusion
Bronchial and Alveoli
What is the function of the epiglottis?
Epiglottis closes during speech to divert air movement into and through the vocal cords to produce sounds.
Epiglottis opens while eating to prevent aspiration of food.
Epiglottis is the opening between the true vocal cords
Epiglottis opens during breathing and prevents food from entering the trachea.
Accessory muscles are responsible for?
relaxation and recoil of the diaphragm
diverting muscle to anabolism and catabolism
contraction and relaxation chest muscles
True or false? Scalene ,Trapezius, sternocleidomastoid, pectoralis minor are considered accessory muscles
True
False
The nasopharynx contains what structures? what are the functions?
adenoids/ Eustachian tubes
trap organisms/ opens during swallowing to equalize pressure
paranasal sinuses/turbinates
surround nasal passage/filters, warms and humidifiers air
soft palate to the base of the tongue/ palatine tonsils
breathing and swallowing/protect against invading organism
What are the three cartilages that makes of the larynx?(voice box)
thyroid, cricoid, cricothyroid
thyroid, thymus,glottis
Cricothyroid, thyroid, Acinus
This opening is made between the thyroid and cricoid cartilage and results in a tracheostomy?
Thyroidectomy
Cricothyroidotomy
Laparotomy
Appendectomy
Each molecule of hgb, can bind how many oxygen molecules?
2
4
6
9
When the need for oxygen is greater in the tissues the curve shifts to the ___________ which means that hemoglobin will dissociate oxygen faster even when the tissue oxygen tension levels are greater than 26 mmhg.
left
middle
right
What condition shifts the curve to the right? SELECT ALL THAT APPLY
increased tissue temperature
decreased tissue ph (acidosis)
Increased ph (alkalosis)
increased co2 concentration
increased DPG and chronic hypoxia
When the tissue need less oxygen the oxygen-hemoglobin curve dissociated to the _____________.
left
middle
right
What have lower levels of DPG? SELECT ALL THAT APPLY
AGING BLOOD CELLS
BANKED BLOOD
MASSIVE BLOOD TRANSFUSION
A person is having a heart attack, blood flow is reduced and the heart muscle is metabolizing under hypoxic conditions, which creates more carbon dioxide in the tissue and shift the oxygen-hemoglobin to the?
middle
right
left
What if a person believes he or she is having indigestion, but is actually having a heart attack. The person tries to correct the problem by taking large amount of bicarbonate-based antacids? Why is the oxygen dissociation curve shifted to the left?
because the antacids helps relieve the chest pain which cause the curve to shift to the right. This will allow more oxygen to the heart.
because the antacids increase the PH causing the curve to shift to the left. This will decrease the oxygen to the heart.
because the antacids will decrease the PH then shift the curve to the left. This will decrease the oxygen to the heart.
Which conditions are most likely to cause a left shift of the oxyhemoglobin dissociation curve? Select all that apply.
Reduced DPG
Reduced PH
Increase metabolic demands
Alkalosis
Reduced blood and tissue level of oxygen
An older woman had appendectomy surgery one day ago. She has a weak cough and will not get out of bed. What pulmonary hygiene should the nurse recommend for this patient?
Encourage health and fitness
Have face-to-face conversation with the patient when possible
Encourage cough, deep breathe, and incentive spirometery
Encourage pulmonary hygiene and mechanical ventilation
The patient is more confused than she was on yesterday. The Patient is not oriented to time, place and situation. What is a priority assessment for this patient?
assess blood sugar
assess for hypoxia
assess for chest pain
assess for psych evaluation
What are respiratory-related changes with aging? Select all the apply
decrease cough ability
weakening vocal cords
decreased respiratory muscle strength
Increased risk for hypoxia
Lung cancer
The nurse is assessing a patient that smoked 2 pack of cigarettes per day for 20 years. What is the patient's pack-year?
40
55
83
39
What are the three cartilages that makes of the larynx?(voice box)
thyroid, cricoid, cricothyroid
thyroid, thymus,glottis
Cricothyroid, thyroid, Acinus
True or false? Is inhaled toxins greater in hookah than cigarettes
True
False
Vaping contains nicotine and lung toxic called diacetyl that causes?
Bronchiolitis obliterans(popcorn lungs)
Copd(hyperinflated lungs)
Emphysema
Ards(acute respiratory distress syndrome)
Cigarette smoking is the highest among which group of people?
Asian
African Americans
Native Americans
Blue collar workers
What would you recommend to help a patient with smoking cessation?Select all that apply
nicotine-releasing patch
bupropion(Zyban)
Varenicline(Chantix)
cynopril
Cold turkey
Zyban and Chantix has a black box warning. What are symptoms a nurse needs to watch for?
chest pain and wheezing
manic behavior and hallucinations
respiratory distress
Red man syndrome
As a nurse, what would you teach a person who has workplace or home exposure to inhalation irritants. Select all that apply
ensure well ventilated area
quit the job
wear a mask
avoid working
engage in heavy physical activites
A patient comes to the emergency room and has a cough for 3 days. What is the nurse priority?
start bronchodilation therapy
Ask the patient is he or she taking any medications
Ask the doctor for stat steroid and antibiotic order
administer a cough suppressant
When assessing a patient for a cough, what other drugs can stimulate a cough
ACEIs
cough syrup
Atrovent
Tyenol
Chemotherapy medication(Bleomycin) and amiodarone can cause?
COPD
HIV AND AIDS
PNEUMONIA
PULMONARY FIBROSIS
Travel and geographic area of residence may reveal exposure to certain diseases.What are some example of those diseases? Select all that apply
Histoplasmosis
Melanoma
Pneumocystis carinii
Cytomegalovirus
Coccidioidomy
A patient comes in the emergency room with a cough and has excessive amount of pink frothy sputum. What diagnose who you expect from the doctor?
Pneumonia
Cancer
chronic bronchitis
Pulmonary edema
The patient in room 347 is coughing up frank bloody secretions. The doctor orders different test to find out the patient's problem. What could the nurse infer the problem is from the assessment?
Asthma
Lung cancer
Bacterial pneumonia
esophageal varicies
What is the difference between Cardiac and pulmonary chest pain
Cardiac is intense, crushing, and radiates.
Pulmonary is varies, but can feel like something rubbing
Cardiac varies but feels like something is rubbing
pulmonary intense, crushing, varies
Cardiac tightness, crushing, remains stationary
Pulmonary varies and feels like a bee sting
A patient comes in the emergency room and has a difficult time breathing while lying down. However, his breathing gets better when he sits up. What should the nurse suspect the problem is? Select all that apply
orthopnea: right-sided heart failure
Dyspnea related to COPD
Dyspnea related to stridor
Orthopnea; left-sided heart failure
Which assessment finding is the most important for nurse to determine when assessing dyspnea? Select all that apply
onset
recent pulmonary function test
conditions that relieve dyspnea sensation
Is stridor presence with dyspnea
whether or not dyspnea interferes with ADLs
A bluish-gray nasal mucous indicates
cocaine users
Allergic rhinitis
nasal polyps
smokers
What is a priority assessment for this patient?
Tilt the head back to determine septal deviation
Block one naris to determine air movement through unblocked side
Block both naris to determine if the patient can vocalize
Assess to determine if both sides are symmetrical
how would you assess?
tilt head toward one side or the other
tell the patient to look toward the ground
make a circular motion with head
place the patient head in a sniffing position
What conditons push the trachea away from the midline? select all that apply
Tension pneumothorax
large pleural effusion
neck tumors
mediastinal mass
pneumonectomy
What conditions pull the trachea toward the affected area?
pneumonectomy
fibrosis
large pleural effusion
neck tumor
atelectasis
What is the normal chest diameter
1:1.5
2:1.5
1:1.3
1:1
When assessing a patient, you palpate the skin and noticed crackling sensation, HR 140, BP 88/50, and diminished breath sounds noticed on the right side. As a nurse, what would you expect the doctor to order?
Stat chest-x ray
Metropolol IV stat
Amiodarane IV stat
Stat chest tube
Tactile Fremitus is felt as vibrating of the chest wall ;produced when the patient speaks. Which conditions cause a decrease in fremitus? Select all that apply.
pneumothorax
pneumonia
pleural effusion
obstruction of bronchus
The nurse assessing the respiratory status of a client and discovers that tactile fremitus has increased from the assessment performed on yesterday. For which possible respiratory problem should the nurse assess further? select all that apply
pneumothorax
pneumonia
pleural effusion
emphysema
lung abscesses
The respiratory therapist is percussing the lung and noticing a high pitch tympanic sound(like a drum). For which possible respiratory problem should the therapist expect?
Pneumonia
COPD
pnemothorax
pleural effusion
The respiratory therapist is percussing the lung and noticing a high loud hypperesonance sound. For which possible respiratory problem should the therapist expect.
asthma
pleural effusion
pneumonia
Atelectasis
The respiratory therapist is percussing the lung and noticing a soft flat sound. For which possible respiratory problem should the therapist expect?
Pneumothorax
Asthma
Large Pleural effsuion
Emphysema
The respiratory therapist is percussing the lung and noticing a dull sound (thud like). For which possible respiratory problem should the therapist expect? Select all that apply
Pneumonia
Pneumothorax
Atelectasis
Asthma
Emphysema
A patient comes in the emergency room with sinusitis. The nurse recommends a facial x-ray to the doctor? The doctor wants to know why the nurse recommends facial x-ray. The nurse should say?
"to assess the structure of the nose"
"to assess the fluid levels in the cavities"
"to assess for nasal fracture"
"to help diagnose nasal deviated septum"
The doctor ordered a CT of the chest with IV contrast. What are some important assessment question to ask before the CT? Select all that apply
Are you allergic to shell fish?
Do your family have a history of lung cancer?
Are you a diabetic?
Do your kidneys work ok?
What was the last time you took metformin?
An lady comes in the emergency room with wheezes. The CNA placed the patient in triage and obtained vitals. The CNA reported the vital signs to the nurse. She stated that the patient is reading 89% on the pulse ox. How should the nurse intervene? [ hint: look at the picture to help assess}
Ask respiratory therapist to assess the patient
Assess patient and ask patient to remove nail polish
Assess the patient and call the rapid response team
Place the patient on Nonrebreather mask.
A patient is one day post-op. She has a morphine pump and Petco2 monitor in her room. The Petco2 is alarming and the reading on the monitor is 72. What could be possibly cause this problem? SELECT ALL THAT APPLY
COPD
FEVER
PLEURAL EFFUSION
ACIDOSIS
A patient is one day post-op. She has a morphine pump and Petco2 monitor in her room. The Petco2 is alarming and the reading on the monitor is 10. What could be possibly cause this problem?
ACIDOSIS
PULMONARY EMBOLUS
AIRWAY OBSTRUCTION
ANXIETY
INSOMNIA
A female patient asked the nurse "Why does my PFT's test differ from my father's test because we both have cystic fibrosis." What should the nurse say to the patient?
" Well, ma'am some time is like that, just focus on breathing!"
" Tell me more about your cystic fibrosis."
"PFT are based on patient's age, gender, race, height,weight and smoking status."
"I will talk to your doctor and he will explain PFT to you"
What do the nurse need to teach before a PFT test? Select all that apply.
NPO for 24 hours
No smoking 6 to 8 hours before the test
Heavily exercise 2 hours before the test
Withheld bronchodilators 4 to 6 hours before the test
The patient is scheduled for bronchoscopy. The patient asks how long I need to remain NPO before the procedure. The nurse should say:
"12 to 24 hours"
"1 to 2 hours"
" 4 to 8 hours"
"8 to 16 hours"
The nurse is preparing Benzocaine spray to numb the oropharynx. When using Benzocaine, what are some complications the nurse need to watch for? Select all that apply
flu-like symptoms
Sats less than 85%(hypoxia)
blood is chocolate brown in color
anxiety
cyanosis
What should the nurse recommend for the treatment of methemoglobinemia?
oxygen and 1% methylene blue
oxygen and 2% methylene blue
oxygen and nitrogen wash-out
nitrogen washout and 20%methylene blue
The patient is in post-op recovery after a bronchoscopy, the patient is drowsy, and has a decrease gag reflex. The patient asked for water because her throat is dry. What should the nurse say to the patient?
Sure," What would you like to drink?"
" Can you say ahh, I am checking to make sure your vocal cords are strong"
"I can not give you anything to drink until you wake up and your gag reflex is present"
" Ok, let me check with your doctor."
After a bronchoscopy, the nurse monitor the patient every 15 minutes for the first 2 hours for what complications? Select all that apply
pleural effusion
bleeding
pneumocytic carniii
infection
hypoxemia
A patient came into the emergency room with a cough, chest pain, and shortness of breath. The emergency room doctor obtained a chest x-ray and the chest revealed a large right pleural effusion. How would the nurse prepare the patient for thoracentesis?
Tell the patient to lie on their left side with right arm above their head.
Put the patient in reverse trenedelenburg with the both arms behind the head.
Tell the patient to sit upright, with arms supported on pillows or over table
Tell the patient to get in sims position,with arm wrapped around pillows.
After thoracentesis, Why do the doctor order an chest x-ray?
To rule out pneumothorax and mediastinal shift
To rule out pleural effusion and pneumonia
To rule percardial effusion
what are signs of pneumothorax? select all that apply
rapid heart rate
rapid, shallow respirations
cough
air hunger
trachea slant to unaffected side
A patient in room 347 is requiring 100% oxygen. He has been on oxygen for 36 hours. He starts having dyspnea, nonproductive cough, chest pain beneath the sternum,GI upset and crackles. What's the possible problem?
Impending respiratory failure
exacerbation of COPD
oxygen toxicity
Pneumontitis
The patient is receiving 100% oxygen. The nurse is doing her rounds and noticed that patient has crackles in the lung field. The nurse notified the doctor, she should suggested what possible diagnoses to the doctor.
Congestive heart failure
absorptive atelectasis
ARDS
Asthma
What are symptoms for the flu A select all that apply
fever, chills, muscle aches
sore throat, cough and watery nasal dishcharge
muscle aches
fatigue
weakness/ anorexia
When are patients considered most contagious for the flu?
24 hours before symptoms occur and up to 5 days after they begin.
12 hours before symptoms occur and up to 6 days after they begin.
48 hours before symptoms occur and up to 7 days after they begin.
36 hours before symptoms occur and up to 12 days after they begin.
Flu strain B can lead to what symptoms?
nausea, vomiting, diarrhea
fever, chills, fatigue
headache, arm weakness, vomiting
When are adults considered most contagious for the flu?
24 hours before symptoms occur and up to 5 days after they begin.
12 hours before symptoms occur and up to 6 days after they begin.
48 hours before symptoms occur and up to 7 days after they begin.
36 hours before symptoms occur and up to 12 days after they begin.
A bluish-gray nasal mucous indicates
cocaine users
Allergic rhinitis
nasal polyps
smokers
CT scan assess for soft tissue with consecutive cross-sectional view of the chest. This imaging can verify the identity of what?
lesion or clot
Eosinophils
sinus cavity fluid levels
RBC
A nurse assessed a dark skinned patient. She placed him on a pulse oximetry. What should the nurse expect?
extremely high reading
3-5% lower reading
extremely lower reading
5-10% higher reading
When a patient have any degree of impaired peripheral blood flow, the most accurate place to test oxygen saturation is?
ear lobe
middle finger
index finger
forehead
The most common reason for performing PFT's is to determine the cause of
cardiac arrest
dyspnea
hgb saturation with oxygen
oxygen dissociation curve
FVC determines muscle strength and this test is reduced in what type of patient. select all that apply
Copd
Obstructive
Pneumonia
Restrictive
Asthma
RV is the amount of air remaining in the lungs at the end of full forced exhalation. The test is increased in what type of patients. Select all that apply
pneumonthorax
Obstructive
Copd
Asthma
After the respiratory therapist has completed the PFT's test. What do the nurse needs to assess for?
dyspnea and bronchodilation
catatonic
dyspnea and brochospam
confusion
What is considered a priority before a brochoscopy?
Document patient allergies
Premedicate the patient versed
verify consent
Assess for pain
The nurse needs to stress the importance of not moving, coughing or deep breathing during the Thoracentesis to avoid?
puncturing the lung
punching the lung
needle sticks
an infection
To prevent re expansion during a Thoracentsis prodecure, how much fluid is removed?
2000ml
1000ml
1500ml
999ml
After a thoracentesis, the nurse should encourage the patient to?
Ask for pain medicine
breathe deeply
perform a PFT
walk to prevent a pulmonary embolus
Lung biopsy is performed to obtain diagnose cancer, infection, inflammation and lung disease. What will you as nurse explain to the patient about the percutaneous biopsy.
"The biopsy may cause discomfort and pressure may be felt during the procedure"
"The biopsy does not cause any discomfort, and you will be fine during the procedure."
"The biopsy is the worst thing any one could go through, I am praying for you during the procedure!"
"The biopsy may cause discomfort and disfigurement of the chest during the procedure."
After the lung biopsy, how often are breath sounds and vitals signs are monitor.
every 1hr every for 24 hours
every 2 hours for 24 hours
every 4 hours for 24 hours
every now and then
What are respiratory-related changes with aging? Select all the apply
decrease cough ability
weakening vocal cords
decreased respiratory muscle strength
Increased risk for hypoxia
Lung cancer
