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Respiratory Quiz #3

Total questions: 30

Worksheet time: 34mins

Name
Class
Date
1.

A flail chest occurs when a person suffers a double fracture of at least:

a)

Two adjacent ribs

b)

Three adjacent ribs

c)

Four adjacent ribs

d)

Five adjacent ribs

2.

When a patient named Arjun is put on mechanical ventilation to stabilize a flail chest, how much time generally is needed for adequate bone healing to occur?

a)

5 to 10 days

b)

10 to 15 days

c)

15 to 20 days

d)

20 to 25 days

3.

Which of the following are the clinical manifestations of a flail chest?

  1. During inspiration the fractured ribs are pushed inward
  2. During expiration the ribs bulges outward
  3. During inspiration the fractured ribs are pushed outward
  4. During expiration the ribs bulges inward
a)

1 and 2

b)

3 and 4

c)

2 and 3

d)

1 and 4

4.

Which of the following may cause a pneumothorax?

1. Pneumonia

2. Tuberculosis

3. Chronic obstructive pulmonary disease

4. Blebs

a)

1 and 2 only

b)

2 and 3 only

c)

2, 3, and 4 only

d)

1, 2, 3, and 4

5.

The physician usually elects to evacuate the intrathoracic gas when the pneumothorax is greater than:

a)

5%

b)

10%

c)

15%

d)

20%

6.

When gas moves between the pleural space and the atmosphere during a ventilatory cycle, the patient is said to have a(n):

a)

Closed pneumothorax

b)

Iatrogenic pneumothorax

c)

Sucking chest wound

d)

Valvular pneumothorax

7.

When gas enters the pleural space during inspiration but is unable to leave during expiration, the patient is said to have a(n):

1. Iatrogenic pneumothorax

2. Valvular pneumothorax

3. Tension pneumothorax

4. Open pneumothorax

a)

1 only

b)

3 only

c)

2 and 3 only

d)

3 and 4 only

8.

Continuous bubbling in which chamber is indicative of an air leak?

a)

Vacuum chamber

b)

Tension chamber

c)

Water-seal chamber

d)

Suction control chamber

9.

For a pneumothorax, a chest tube is inserted where?

a)

The eighth intercostal space

b)

The second intercostal space.

c)

On the proximal portion of the fifth intercostal space

d)

Distal to the injury

10.

ROM exercises can prevent which complication of chest tubes

a)

Back pain

b)

Frozen shoulder

c)

Elevated ICP

d)

Infection

11.

Chest tubes reestablish what type of pressure?

a)

Peer pressure

b)

Positive pressure

c)

Med-Surg pressure

d)

Negative pressure

12.

A nurse caring for a client with a pneumothorax who has had a chest tube inserted notes continuous gentle bubbling in the suction control chamber.  What action is appropriate?

a)

a)     Do nothing because this is an expected finding

b)

b)     Immediately clamp the chest tube and notify the physician

c)

c)     Check for an air leak because the bubbling should be intermittent

d)

d)     Increase the suction pressure so that the bubbling becomes vigorous

13.

During a medical examination, a physician hears absence of breath sounds in the right thorax of a patient. What does this finding suggest?

a)

a)     bilateral inspiratory and expiratory crackles

b)

b)    absence of breath sounds in the right thorax

c)

c)     inspiratory wheezes in the right thorax

d)

d)     bilateral pleural friction rub

14.

A potentially life threatening condition in which air and pressure rapidly accumulate in the pleural space, and if not treated, can result in a mediastinal shift is referred to as?

a)

a)     an open pneumothorax

b)

b)     a closed pneumothorax

c)

c)     a tension pneumothorax

d)

d)     a spontaneous pneumothorax

15.

What is the definition of COPD?

a)

Chronic obstruction of blood flow that interferes with normal breathing.

b)

Chronic obstruction of lung airflow that interferes with normal breathing.

c)

Chronic obstruction of mucus airflow that interferes with normal breathing.

d)

Chronic obstruction of lung airflow that interferes with normal breathing.

16.

Which of the following exercise programs are recommended for people with COPD?

a)

Aerobic exercise & oxygen therapy exercise

b)

Aerobic exercise & screening exercise

c)

Anaerobic exercise & resistance exercise

d)

Aerobic exercise & resistance exercise

17.

What are the signs and symptoms of COPD?

a)

Wheezing, snoring & sneezing

b)

Weight muscle, mucus & wheezing

c)

Wheezing, mucus & weight loss

d)

Shortness of breath, sneezing & mucus

18.

Doctors often use this additional therapy for people with moderate or severe COPD.

a)

Aerobic exercise programs

b)

Resistance exercise programs

c)

Pulmonary rehabilitation programs

d)

Chemotherapy

19.

In the treatment of COPD, what are the important considerations to keep in mind?

a)

One (medication)

b)

Two (medication & vaccination)

c)

Three (medication, vaccination & bronchodilator)

d)

Four (medication, vaccination, bronchodilator & infection)

20.

Which type of patient would you suspect as a "Pink Puffer"?

a)

CHF

b)

Emphysema

c)

Bronchitis

d)

Pneumonia

21.

Which type of patient would expect to see with a Barrel Chest ?

a)

CHF

b)

Emphysema

c)

Bronchitis

d)

Pneumonia

22.

Which type of patient would you expect to be a "Blue Bloater"?

a)

CHF

b)

Emphysema

c)

Bronchitis

d)

Pneumonia

23.

A patient with COPD has all of the following ABG changes from earlier today. Which change alerts the nurse to take immediate action to prevent harm?

a)

HCO3 remains the same at 29

b)

PH 7.21 to 7.20

c)

PaCO2 from 45 to 65

d)

PaO2 from 88 to 86

24.

The nurse is caring for a patient with chronic bronchitis. Upon rounds, the nurse finds an O2 sat of 76%. What will the nurse do first?

a)

Document the findings

b)

Notify the RT

c)

Ask how long the pt has been short of breath

d)

Apply O2

25.

Which goal should the nurse consider for a patient with (COPD)?

a)

The patient will stop smoking immediately.

b)

The patient will maintain oxygen saturation greater than 96%.

c)

The patient will demonstrate appropriate breathing patterns.

d)

The patient will develop only two respiratory infections per year

26.

The nurse is caring for a COPD patient with SHOB, RR 28, and O2 sats of 92%. What intervention will be contraindicated?​

a)

Percussion, vibration, postural drainage

b)

Administer bronchodilators

c)

Place pt in high fowler's position

d)

apply O2

27.

A patient named Maya with emphysema may present with all of the following symptoms except?

a)

Barrel chest

b)

Dyspnea

c)

Productive cough

d)

Decreased appetite

28.

The nurse teaches pursed-lip breathing to a newly diagnosed COPD patient. This technique will assist respiration how?

a)

Loosen up secretions

b)

Increase the RR and patterns

c)

Tighten up alveolus

d)

Prolong exhalation

29.

What is a common medical condition characterized by abnormal accumulation of fluid in the pleural space?

a)

pneumothorax

b)

emphysema

c)

mesothelioma

d)

pleural effusion

30.

What is the medical term for the collection of air in the pleural space?

a)

pleural effusion

b)

pneumonia

c)

pneumothorax

d)

pulmonary edema