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Respiratory quiz

Total questions: 93

Worksheet time: 47mins

Name
Class
Date
1.

What is gas exchange?

a)

is the arterial blood flow through the tissues

b)

blood that is pumped by the heart

c)

oxygen is transported to cells and carbon dioxide transport away from the cells

d)

carbon dioxide transported to cells and oxygen transport away from the cells

2.

True or false. Perfusion is the arterial blood flow through the tissue

a)

true

b)

false

3.

True or false. Oxygen diffuses in blood and transported to all tissues and organ

a)

false

b)

true

4.

Co2, the waste gas created in the tissue, diffuses from the blood into the __________.

a)

Stomach

b)

Lungs

c)

Heart

d)

Toe

5.

Why are patients accidentally intubated in the right bronchus instead of the left bronchus?

a)

because it depends the person who intubates

b)

because the left bronchus have too many alveolars

c)

because the right bronchus is wider, shorter, more vertical

d)

because the right bronchus is perpendicular to trachea

6.

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

a)

Lung cancer

b)

COPD

c)

Atelectasis

d)

Heart failure

7.

The nurse and student nurse are discussing different chest x-ray images. Which of the statement indicates the student nurse needs more teaching?

a)

"The left hilum is higher than the right."

b)

"The left middle lobe has increased lung markings."

c)

"The right lung is larger and wider than left lung."

d)

"Atelectasis is in the right lower lung"

8.

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.

a)

Left, left

b)

Right, left

c)

Left, right

d)

Right, Right

9.

Is a part of the upper respiratory tract? Select all that applies

a)

nose, sinuses, pharynx,larynx

b)

Trachea, bronchi, bronchioles, alveolar ducts, alevoli

c)

diaphragm, scalene muscles, trapezius

d)

nasopharynx, oropharynx, larygngopharynx

10.

Blood flow through the lung through 2 separate systems?

a)

Bronchial and pulmonary

b)

Pulmonary and Perfusion

c)

Bronchial and Alveoli

11.

What is the function of the epiglottis?

a)

Epiglottis closes during speech to divert air movement into and through the vocal cords to produce sounds.

b)

Epiglottis opens while eating to prevent aspiration of food.

c)

Epiglottis is the opening between the true vocal cords

d)

Epiglottis opens during breathing and prevents food from entering the trachea.

12.

Accessory muscles are responsible for?

a)

relaxation and recoil of the diaphragm

b)

diverting muscle to anabolism and catabolism

c)

contraction and relaxation chest muscles

13.

True or false? Scalene ,Trapezius, sternocleidomastoid, pectoralis minor are considered accessory muscles

a)

True

b)

False

14.

The nasopharynx contains what structures? what are the functions?

a)

adenoids/ Eustachian tubes

trap organisms/ opens during swallowing to equalize pressure

b)

paranasal sinuses/turbinates

surround nasal passage/filters, warms and humidifiers air

c)

soft palate to the base of the tongue/ palatine tonsils

breathing and swallowing/protect against invading organism

15.

What are the three cartilages that makes of the larynx?(voice box)

a)

thyroid, cricoid, cricothyroid

b)

thyroid, thymus,glottis

c)

Cricothyroid, thyroid, Acinus

16.

This opening is made between the thyroid and cricoid cartilage and results in a tracheostomy?

a)

Thyroidectomy

b)

Cricothyroidotomy

c)

Laparotomy

d)

Appendectomy

17.

Each molecule of hgb, can bind how many oxygen molecules?

a)

2

b)

4

c)

6

d)

9

18.

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.

a)

left

b)

middle

c)

right

19.

What condition shifts the curve to the right? SELECT ALL THAT APPLY

a)

increased tissue temperature

b)

decreased tissue ph (acidosis)

c)

Increased ph (alkalosis)

d)

increased co2 concentration

e)

increased DPG and chronic hypoxia

20.

When the tissue need less oxygen the oxygen-hemoglobin curve dissociated to the _____________.

a)

left

b)

middle

c)

right

21.

What have lower levels of DPG? SELECT ALL THAT APPLY

a)

AGING BLOOD CELLS

b)

BANKED BLOOD

c)

MASSIVE BLOOD TRANSFUSION

22.

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?

a)

middle

b)

right

c)

left

23.

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?

a)

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.

b)

because the antacids increase the PH causing the curve to shift to the left. This will decrease the oxygen to the heart.

c)

because the antacids will decrease the PH then shift the curve to the left. This will decrease the oxygen to the heart.

24.

Which conditions are most likely to cause a left shift of the oxyhemoglobin dissociation curve? Select all that apply.

a)

Reduced DPG

b)

Reduced PH

c)

Increase metabolic demands

d)

Alkalosis

e)

Reduced blood and tissue level of oxygen

25.

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?

a)

Encourage health and fitness

b)

Have face-to-face conversation with the patient when possible

c)

Encourage cough, deep breathe, and incentive spirometery

d)

Encourage pulmonary hygiene and mechanical ventilation

26.

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?

a)

assess blood sugar

b)

assess for hypoxia

c)

assess for chest pain

d)

assess for psych evaluation

27.

What are respiratory-related changes with aging? Select all the apply

a)

decrease cough ability

b)

weakening vocal cords

c)

decreased respiratory muscle strength

d)

Increased risk for hypoxia

e)

Lung cancer

28.

The nurse is assessing a patient that smoked 2 pack of cigarettes per day for 20 years. What is the patient's pack-year?

a)

40

b)

55

c)

83

d)

39

29.

What are the three cartilages that makes of the larynx?(voice box)

a)

thyroid, cricoid, cricothyroid

b)

thyroid, thymus,glottis

c)

Cricothyroid, thyroid, Acinus

30.

True or false? Is inhaled toxins greater in hookah than cigarettes

a)

True

b)

False

31.

Vaping contains nicotine and lung toxic called diacetyl that causes?

a)

Bronchiolitis obliterans(popcorn lungs)

b)

Copd(hyperinflated lungs)

c)

Emphysema

d)

Ards(acute respiratory distress syndrome)

32.

Cigarette smoking is the highest among which group of people?

a)

Asian

b)

African Americans

c)

Native Americans

d)

Blue collar workers

33.

What would you recommend to help a patient with smoking cessation?Select all that apply

a)

nicotine-releasing patch

b)

bupropion(Zyban)

c)

Varenicline(Chantix)

d)

cynopril

e)

Cold turkey

34.

Zyban and Chantix has a black box warning. What are symptoms a nurse needs to watch for?

a)

chest pain and wheezing

b)

manic behavior and hallucinations

c)

respiratory distress

d)

Red man syndrome

35.

As a nurse, what would you teach a person who has workplace or home exposure to inhalation irritants. Select all that apply

a)

ensure well ventilated area

b)

quit the job

c)

wear a mask

d)

avoid working

e)

engage in heavy physical activites

36.

A patient comes to the emergency room and has a cough for 3 days. What is the nurse priority?

a)

start bronchodilation therapy

b)

Ask the patient is he or she taking any medications

c)

Ask the doctor for stat steroid and antibiotic order

d)

administer a cough suppressant

37.

When assessing a patient for a cough, what other drugs can stimulate a cough

a)

ACEIs

b)

cough syrup

c)

Atrovent

d)

Tyenol

38.

Chemotherapy medication(Bleomycin) and amiodarone can cause?

a)

COPD

b)

HIV AND AIDS

c)

PNEUMONIA

d)

PULMONARY FIBROSIS

39.

Travel and geographic area of residence may reveal exposure to certain diseases.What are some example of those diseases? Select all that apply

a)

Histoplasmosis

b)

Melanoma

c)

Pneumocystis carinii

d)

Cytomegalovirus

e)

Coccidioidomy

40.

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?

a)

Pneumonia

b)

Cancer

c)

chronic bronchitis

d)

Pulmonary edema

41.

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?

a)

Asthma

b)

Lung cancer

c)

Bacterial pneumonia

d)

esophageal varicies

42.

What is the difference between Cardiac and pulmonary chest pain

a)

Cardiac is intense, crushing, and radiates.

Pulmonary is varies, but can feel like something rubbing

b)

Cardiac varies but feels like something is rubbing

pulmonary intense, crushing, varies

c)

Cardiac tightness, crushing, remains stationary

Pulmonary varies and feels like a bee sting

43.

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

a)

orthopnea: right-sided heart failure

b)

Dyspnea related to COPD

c)

Dyspnea related to stridor

d)

Orthopnea; left-sided heart failure

44.

Which assessment finding is the most important for nurse to determine when assessing dyspnea? Select all that apply

a)

onset

b)

recent pulmonary function test

c)

conditions that relieve dyspnea sensation

d)

Is stridor presence with dyspnea

e)

whether or not dyspnea interferes with ADLs

45.

A bluish-gray nasal mucous indicates

a)

cocaine users

b)

Allergic rhinitis

c)

nasal polyps

d)

smokers

46.

What is a priority assessment for this patient?

a)

Tilt the head back to determine septal deviation

b)

Block one naris to determine air movement through unblocked side

c)

Block both naris to determine if the patient can vocalize

d)

Assess to determine if both sides are symmetrical

47.

how would you assess?

a)

tilt head toward one side or the other

b)

tell the patient to look toward the ground

c)

make a circular motion with head

d)

place the patient head in a sniffing position

48.

What conditons push the trachea away from the midline? select all that apply

a)

Tension pneumothorax

b)

large pleural effusion

c)

neck tumors

d)

mediastinal mass

e)

pneumonectomy

49.

What conditions pull the trachea toward the affected area?

a)

pneumonectomy

b)

fibrosis

c)

large pleural effusion

d)

neck tumor

e)

atelectasis

50.

What is the normal chest diameter

a)

1:1.5

b)

2:1.5

c)

1:1.3

d)

1:1

51.

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?

a)

Stat chest-x ray

b)

Metropolol IV stat

c)

Amiodarane IV stat

d)

Stat chest tube

52.

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.

a)

pneumothorax

b)

pneumonia

c)

pleural effusion

d)

obstruction of bronchus

53.

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

a)

pneumothorax

b)

pneumonia

c)

pleural effusion

d)

emphysema

e)

lung abscesses

54.

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?

a)

Pneumonia

b)

COPD

c)

pnemothorax

d)

pleural effusion

55.

The respiratory therapist is percussing the lung and noticing a high loud hypperesonance sound. For which possible respiratory problem should the therapist expect.

a)

asthma

b)

pleural effusion

c)

pneumonia

d)

Atelectasis

56.

The respiratory therapist is percussing the lung and noticing a soft flat sound. For which possible respiratory problem should the therapist expect?

a)

Pneumothorax

b)

Asthma

c)

Large Pleural effsuion

d)

Emphysema

57.

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

a)

Pneumonia

b)

Pneumothorax

c)

Atelectasis

d)

Asthma

e)

Emphysema

58.

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?

a)

"to assess the structure of the nose"

b)

"to assess the fluid levels in the cavities"

c)

"to assess for nasal fracture"

d)

"to help diagnose nasal deviated septum"

59.

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

a)

Are you allergic to shell fish?

b)

Do your family have a history of lung cancer?

c)

Are you a diabetic?

d)

Do your kidneys work ok?

e)

What was the last time you took metformin?

60.

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}

a)

Ask respiratory therapist to assess the patient

b)

Assess patient and ask patient to remove nail polish

c)

Assess the patient and call the rapid response team

d)

Place the patient on Nonrebreather mask.

61.

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

a)

COPD

b)

FEVER

c)

PLEURAL EFFUSION

d)

ACIDOSIS

62.

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?

a)

ACIDOSIS

b)

PULMONARY EMBOLUS

c)

AIRWAY OBSTRUCTION

d)

ANXIETY

e)

INSOMNIA

63.

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?

a)

" Well, ma'am some time is like that, just focus on breathing!"

b)

" Tell me more about your cystic fibrosis."

c)

"PFT are based on patient's age, gender, race, height,weight and smoking status."

d)

"I will talk to your doctor and he will explain PFT to you"

64.

What do the nurse need to teach before a PFT test? Select all that apply.

a)

NPO for 24 hours

b)

No smoking 6 to 8 hours before the test

c)

Heavily exercise 2 hours before the test

d)

Withheld bronchodilators 4 to 6 hours before the test

65.

The patient is scheduled for bronchoscopy. The patient asks how long I need to remain NPO before the procedure. The nurse should say:

a)

"12 to 24 hours"

b)

"1 to 2 hours"

c)

" 4 to 8 hours"

d)

"8 to 16 hours"

66.

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

a)

flu-like symptoms

b)

Sats less than 85%(hypoxia)

c)

blood is chocolate brown in color

d)

anxiety

e)

cyanosis

67.

What should the nurse recommend for the treatment of methemoglobinemia?

a)

oxygen and 1% methylene blue

b)

oxygen and 2% methylene blue

c)

oxygen and nitrogen wash-out

d)

nitrogen washout and 20%methylene blue

68.

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?

a)

Sure," What would you like to drink?"

b)

" Can you say ahh, I am checking to make sure your vocal cords are strong"

c)

"I can not give you anything to drink until you wake up and your gag reflex is present"

d)

" Ok, let me check with your doctor."

69.

After a bronchoscopy, the nurse monitor the patient every 15 minutes for the first 2 hours for what complications? Select all that apply

a)

pleural effusion

b)

bleeding

c)

pneumocytic carniii

d)

infection

e)

hypoxemia

70.

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?

a)

Tell the patient to lie on their left side with right arm above their head.

b)

Put the patient in reverse trenedelenburg with the both arms behind the head.

c)

Tell the patient to sit upright, with arms supported on pillows or over table

d)

Tell the patient to get in sims position,with arm wrapped around pillows.

71.

After thoracentesis, Why do the doctor order an chest x-ray?

a)

To rule out pneumothorax and mediastinal shift

b)

To rule out pleural effusion and pneumonia

c)

To rule percardial effusion

72.

what are signs of pneumothorax? select all that apply

a)

rapid heart rate

b)

rapid, shallow respirations

c)

cough

d)

air hunger

e)

trachea slant to unaffected side

73.

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?

a)

Impending respiratory failure

b)

exacerbation of COPD

c)

oxygen toxicity

d)

Pneumontitis

74.

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.

a)

Congestive heart failure

b)

absorptive atelectasis

c)

ARDS

d)

Asthma

75.

What are symptoms for the flu A select all that apply

a)

fever, chills, muscle aches

b)

sore throat, cough and watery nasal dishcharge

c)

muscle aches

d)

fatigue

e)

weakness/ anorexia

76.

When are patients considered most contagious for the flu?

a)

24 hours before symptoms occur and up to 5 days after they begin.

b)

12 hours before symptoms occur and up to 6 days after they begin.

c)

48 hours before symptoms occur and up to 7 days after they begin.

d)

36 hours before symptoms occur and up to 12 days after they begin.

77.

Flu strain B can lead to what symptoms?

a)

nausea, vomiting, diarrhea

b)

fever, chills, fatigue

c)

headache, arm weakness, vomiting

78.

When are adults considered most contagious for the flu?

a)

24 hours before symptoms occur and up to 5 days after they begin.

b)

12 hours before symptoms occur and up to 6 days after they begin.

c)

48 hours before symptoms occur and up to 7 days after they begin.

d)

36 hours before symptoms occur and up to 12 days after they begin.

79.

A bluish-gray nasal mucous indicates

a)

cocaine users

b)

Allergic rhinitis

c)

nasal polyps

d)

smokers

80.

CT scan assess for soft tissue with consecutive cross-sectional view of the chest. This imaging can verify the identity of what?

a)

lesion or clot

b)

Eosinophils

c)

sinus cavity fluid levels

d)

RBC

81.

A nurse assessed a dark skinned patient. She placed him on a pulse oximetry. What should the nurse expect?

a)

extremely high reading

b)

3-5% lower reading

c)

extremely lower reading

d)

5-10% higher reading

82.

When a patient have any degree of impaired peripheral blood flow, the most accurate place to test oxygen saturation is?

a)

ear lobe

b)

middle finger

c)

index finger

d)

forehead

83.

The most common reason for performing PFT's is to determine the cause of

a)

cardiac arrest

b)

dyspnea

c)

hgb saturation with oxygen

d)

oxygen dissociation curve

84.

FVC determines muscle strength and this test is reduced in what type of patient. select all that apply

a)

Copd

b)

Obstructive

c)

Pneumonia

d)

Restrictive

e)

Asthma

85.

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

a)

pneumonthorax

b)

Obstructive

c)

Copd

d)

Asthma

86.

After the respiratory therapist has completed the PFT's test. What do the nurse needs to assess for?

a)

dyspnea and bronchodilation

b)

catatonic

c)

dyspnea and brochospam

d)

confusion

87.

What is considered a priority before a brochoscopy?

a)

Document patient allergies

b)

Premedicate the patient versed

c)

verify consent

d)

Assess for pain

88.

The nurse needs to stress the importance of not moving, coughing or deep breathing during the Thoracentesis to avoid?

a)

puncturing the lung

b)

punching the lung

c)

needle sticks

d)

an infection

89.

To prevent re expansion during a Thoracentsis prodecure, how much fluid is removed?

a)

2000ml

b)

1000ml

c)

1500ml

d)

999ml

90.

After a thoracentesis, the nurse should encourage the patient to?

a)

Ask for pain medicine

b)

breathe deeply

c)

perform a PFT

d)

walk to prevent a pulmonary embolus

91.

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.

a)

"The biopsy may cause discomfort and pressure may be felt during the procedure"

b)

"The biopsy does not cause any discomfort, and you will be fine during the procedure."

c)

"The biopsy is the worst thing any one could go through, I am praying for you during the procedure!"

d)

"The biopsy may cause discomfort and disfigurement of the chest during the procedure."

92.

After the lung biopsy, how often are breath sounds and vitals signs are monitor.

a)

every 1hr every for 24 hours

b)

every 2 hours for 24 hours

c)

every 4 hours for 24 hours

d)

every now and then

93.

What are respiratory-related changes with aging? Select all the apply

a)

decrease cough ability

b)

weakening vocal cords

c)

decreased respiratory muscle strength

d)

Increased risk for hypoxia

e)

Lung cancer