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RESPIRATORY

Total questions: 15

Worksheet time: 8mins

Name
Class
Date
1.

A parent calls 911 and states her child is having trouble breathing. The child is rushed to the ED. Upon assessment, the child appears pale, toxic, and lethargic and assumes a distinctive position -- sitting up with the mouth open and the chin thrust forward. The parent states that the child just developed a sore throat and fever today. The health care provider determines that the child is experiencing:

a)

tracheobronchitis

b)

bronchitis

c)

epiglottitis

d)

pneumonitis

2.

A 3-year-old boy has been diagnosed with croup (acute laryngotracheobronchitis). The nurse anticipates the plan of care to include:

a)

chest physiotherapy to loosen secretions

b)

cool, humidified air to relieve airway spasms

c)

antibiotics to decrease the infection

d)

bronchodilating agents to open bronchioles

3.

A nurse is caring for a child with an airway obstruction. It is most important for the nurse to avoid:

a)

use a tongue depressor to assess the child's tonsils

b)

positive pressure though a face mask

c)

oxygen administration using a humidifier

d)

pacing an artificial airway in the child

4.

The nurse needs to assess the oxygen status of a client who is suddenly experiencing shortness of breath. The most appropriate noninvasive measurement techniques would be:

a)

pulmonary function test (PFT)

b)

pulse oximetry (SpO2)

c)

arterial blood gas analysis (ABG)

d)

nebulizer

5.

A nurse is assessing a client for cyanosis. The most appropriate areas for the nurse to assess would be: SATA

a)

ears

b)

lips

c)

nails

d)

cheeks

e)

temperature

6.

A patient is reporting difficulty breathing when walking to the bathroom. The nurse documents this as:

a)

angina

b)

dyspnea

c)

hyperventilation

d)

tachypnea

7.

Non-small cell lung cancers (NSCLCs) mimic small cell lung cancers (SCLCs) through their abilities to do what?

a)

synthesize bioactive products and produce pan-neoplastic syndromes

b)

neutralize bioactive products, which produce paraneoplastic syndromes

c)

produce paraneoplastic syndromes and synthesize adrenocorticotropic hormone

d)

synthesize bioactive products and produce paraneoplastic syndromes

8.

Premature infants who are treated with mechanical ventilation, mostly for respiratory distress syndrome, are at risk for developing bronchopulmonary dysplasia (BPD), a chronic lung disease. What are the signs and symptoms of BPD?

a)

rapid, shallow breathing and chest retractions

b)

weight loss and a barrel chest

c)

tachycardia and slow, shallow breathing

d)

a barrel chest and rapid weight gain

9.

Which of the following is/are a lower airway disease?

a)

epiglottitis

b)

acute bronchiolitis

c)

asthma

d)

spasmodic croup

e)

laryngotracheobronchitis

10.

What is the underlying cause of respiratory failure in a child with bronchiolitis?

a)

obstructive process

b)

impaired gas exchange

c)

ischemia

d)

metabolic acidosis

11.

______ is characterized by inspiratory stridor, hoarseness, and a barking cough

a)

croup

b)

asthma

c)

bronchitis

d)

respiratory distress syndrome

12.

The __________ include squamous cell carcinomas, adenocarcinomas, and large cell carcinomas

a)

non-small cell lung cancers

b)

small cell lung cancers

c)

acute respiratory distress syndrome

d)

upper airway infections

13.

Cigarette smoking causes more than _____% of cases of lung cancer in those over 65 yr of age.

a)

3%

b)

30%

c)

60%

d)

90%

14.

The ________ are small, round to oval cells that are approximately the size of a lymphocyte and grow in clusters that exhibit neither glandular nor squamous organization

a)

non-small cell lung cancers

b)

small cell lung cancers

c)

cysts

d)

petechiae

15.

Which statement best describes small cell lung cancers?

a)

"This type of cancer has the strongest association with cigarette smoking and is rarely observed in someone who has not smoked"

b)

"This type of cancer is most commonly found in men"

c)

"This type of cancer tends to occur in the central bronchi as an intraluminal growth"

d)

"This type of cancer is most common in woman and nonsmokers"