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NUR 111 Oxygenation

Total questions: 45

Worksheet time: 31mins

Name
Class
Date
1.
The primary function of the bronchi is to carry
a)
air into the lungs.
b)
carbon dioxide into the lungs.
c)
hemoglobin to the arteries.
d)
hemoglobin to the veins.
2.
The alveoli are lined with membranes that allow passage of
a)
oxygen into the blood.
b)
carbon dioxide into the blood.
c)
air into the lungs.
d)
carbon dioxide into the lungs.
3.
Age-related changes that affect the respiratory system include
a)
increased ciliary action in the airways.
b)
osteoporosis causing lordosis.
c)
increased immune system response.
d)
decreased elasticity of the lungs resulting from changes in connective tissue.
4.
Hypoxia is defined as
a)
deficient oxygenation of the blood.
b)
diminished availability of oxygen to the body tissues.
c)
abnormality of oxygen-carbon dioxide gas exchange.
d)
movement of oxygen and carbon dioxide across the alveolar-capillary membrane.
5.
During periods of dyspnea, the nurse would expect which findings during assessment of the patient?
a)
Decreased pulse and respirations with mental confusion
b)
Decreased pulse and respirations with increased blood pressure (BP)
c)
Increased pulse and respirations with mental confusion
d)
Increased pulse and respirations with decreased BP
 
6.

For nasal prongs or cannula oxygen delivery should be higher than 6 liters

a)

True

b)

False

7.

Up to 60 % oxygen can be supplied through the oxygen port at 6-10 LPM for a face mask

a)

True

b)

False

8.

What is the primary reason to teach pursed-lip breathing to clients with chronic obstructive pulmonary disease?

a)

To promote carbon dioxide elimination

b)

To promote oxygen intake

c)

To strengthen the diaphragm

d)

To strengthen the intercostal muscles

9.

Which physical assessment finding would the nurse expect to find in a client with advanced chronic obstructive pulmonary disease?

a)

Underdeveloped neck muscles

b)

Collapsed neck veins

c)

Increased anteroposterior chest diameter

d)

Increased chest excursions with respirations

10.

An order is written for oxygen for a client with respiratory distress. Which diagnostic test most accurately evaluates the effectiveness of oxygen therapy?

a)

Pulmonary function tests

b)

Peak flow reading

c)

Ventilation perfusion scan

d)

Arterial blood gases

11.

The nurse is providing care to a patient with COPD. Which is the appropriate intervention when the patient complains of a frequent need to cough?

a)

Monitor I/O and decrease oral fluid intake

b)

Administer an antihistamine as needed

c)

Instruct on effective coughing techniques

d)

Request a cough suppressant be ordered

12.

Which nursing action is appropriate for the client with a history of chronic obstructive pulmonary disease (COPD) who presents with bilateral crackles in the lower lung fields?

a)

Encourage deep breathing and coughing

b)

Encourage client to consume 5-6 high carbohydrate meals per day

c)

Administer oxygen as ordered

d)

Encourage client to maintain bedrest

13.

Which oxygen delivery device has an attached reservoir to administer 60-80% of high concentrations of oxygen?

a)

Simple face mask

b)

Venturi mask

c)

nasal cannula

d)

Non rebreather mask

14.

Nurse Grim knows that which of the following results warrant a nursing intervention? Select all that apply

a)

SpO2 reading of 90%

b)

SpO2 reading of 92%

c)

SpO2 reading of 95%

d)

SpO2 reading of 99%

15.

Which of the following Oxygenation therapy provides accurate percentage of Oxygen to the patient?

a)

Nasal cannula

b)

Venturi mask

c)

Non-rebreather mask

d)

Partial-rebreather mask

16.

Define Hypoxemia

a)

Decreased tissue oxygenation

b)

Low levels of oxygen in the blood

c)

Increased tissue oxygenation

d)

High levels of oxygen in the blood

17.

Hyperventilation is the state of ventilation in which the lungs remove carbon dioxide faster than it is produced by cellular metabolism

a)

True

b)

False

18.

Which oxygen delivery system would you use for the LOWEST flow of oxygen?

a)

Simple face mask

b)

Nasal cannula

c)

Non-rebreather

d)

Partial non-rebreather

19.

What is the nursing role in patient education? (Select all that apply)

a)

Teach the importance and rationale for oxygen therapy

b)

Make the patient a "going away" kit

c)

Demonstrate the use of oxygen delivery device

d)

Provide safety precautions for oxygen use

20.

Pulmonary Ventilation is described as

a)

The movement of air into and out of the lungs

b)

Gas exchange between the alveoli and the blood

c)

The process by which oxygenated blood passes through the bodies tissues

21.

Respiration is described as

a)

Process by which oxygenated blood passes through the body's tissues

b)

Movement of air into and out of the lungs

c)

Gas exchange between the alveoli and blood

22.

Perfusion is described as

a)

Movement of air into and out of the lungs

b)

The process by which oxygenated blood passes through the body's tissues

c)

Gas exchange between the alveoli and blood

23.

Hypoxia can occur when problems exit in which of the following (Select all that apply)

a)

Ventilation

b)

Respiration

c)

Perfusion

24.

Signs and symptoms of hypoxia include (Select all that apply)

a)

Dyspnea

b)

Decreased BP

c)

Increased Pulse

d)

Decreased Respiratory Rate

e)

Confusion

25.

True or False: Hypoxia is often caused by hypoventilation

a)

True

b)

False

26.

Signs and Symptoms of chronic hypoxia include (Select all that apply)

a)

Angina

b)

Clubbed fingers

c)

Cyanosis

d)

Decreased pulse

e)

Urinary Retention

27.

What disorders would you expect patients to have compromised respiratory functioning (Select all that apply)

a)

Cardiac Disorders

b)

Hepatic Disorders

c)

GI disorders

d)

Renal disorders

28.

What disorder impaired respiratory functioning due to a decreased number of RBC's

a)

COPD

b)

Anemia

c)

Hypokalemia

d)

Angina

29.

What are potential considerations when assessing an infants respiratory functioning (Select all that apply)

a)

Small chest size

b)

Increased risk for aspiration

c)

Respiratory rate is rapid

d)

Respiratory rate is slower

e)

Shorter airway

30.

When an infant is exposed to second hand smoke, they are more likely to develop what type of diseases (Select all that apply)

a)

COPD

b)

Asthma

c)

Upper respiratory infections

d)

Lower respiratory infections

31.

What considerations does the nurse need to take when assessing the respiratory function of an older patient's (Select all that apply)

a)

The tissues and the airway become less elastic

b)

The power of the respiratory and abdominal muscles is reduced

c)

There is an increase in the maximum inspiration and expiration due to the chest being able to stretch

d)

The airway is more prone to collapse

e)

Increased risk for disease such as pneumonia and lower respiratory tract infections.

32.

What type of medication causes the rate and depth of respirations to decrease

a)

NSAIDS

b)

Sympathomimetics

c)

Opioids

d)

Expectorants

33.

True or False: People who exercise regularly respond better to stressors to respiratory health

a)

True

b)

False

34.

Smoking is a risk factor for the development of which of the following diseases (Select all that apply)

a)

Lung Disease

b)

Respiratory distress

c)

Heart Disease

d)

Lung Cancer

35.

What is the most important risk factor for the development of COPD

a)

Age

b)

Activity

c)

Genetics

d)

Smoking

36.

Which of the following are nursing interventions for respiratory disorders (Select all that apply)

a)

Promote bed rest

b)

Reduce anxiety

c)

Encourage vaccination

d)

Maintain balanced nutrition

37.

Patients with dyspnea and orthopnea are most comfortable in which bed position?

a)

High Fowlers

b)

Semi Fowlers

c)

Prone

d)

Supine

38.

A patient comes into the clinic complaining of a persistent cough. The nurse recommends that the patient increase their fluid intake. What is the best explanation as to why the nurse recommended this?

a)

increased fluid intake reduces the risk of pulmonary edema

b)

increased fluid intake reduces inflammation

c)

Increased fluid intake reduces the viscosity of lung secretions

d)

Increased fluid intake increases productive cough

39.

What breathing exercises would the nurse implement to a patient with a respiratory disorder (Select all that apply)

a)

Deep breathing exercises

b)

Incentive spirometry

c)

Pursed lip breathing

d)

Diaphragmatic breathing

e)

Costal breathing

40.

A patient comes into the clinic with the chief complaint of a non-productive cough and complaints of excess mucous What medication would the nurse administer to make their cough more productive?

a)

Expectorants

b)

Cough suppressants

c)

Decongestant

d)

Lozenges

41.

True or False: Oxygen is considered a medication and must be ordered by the provider

a)

True

b)

False

42.

Oxygen can use used without an order in the following situations (Select all that apply)

a)

Emergency situations (Code blue)

b)

Decreased O2 Sat

c)

Tachypnea

d)

Bradypnea

43.

True or False: The flow rate reflects the oxygen concentration actually being inspired by the patient

a)

True

b)

False

44.

Which of the following is the BEST way to control SOB

a)

Diaphragmatic breathing

b)

Pursed lip breathing

c)

Deep breathing exercises

d)

Costal breathing exercises

45.

What are some of the major risk factors for children and infants for the development of respiratory disorders (Select all that apply)

a)

Upper respiratory tract infections

b)

Lower respiratory tract infections

c)

Increased secretions

d)

Obstruction of foreign objects