WorksheetsClinical - Respiratory
Total questions: 25
Worksheet time: 17mins
Skyler, a client, presents with the following blood gases:
pH = 7.76
pCO2 = 29
HCO3 = 26
What acid base imbalance are they in?
Metabolic Acidosis
Metabolic Alkalosis
Respiratory Acidosis
Respiratory Alkalosis
Jordane, a client, presents with the following blood gases:
pH = 7.52
pCO2 = 42
HCO3 = 32
What acid-base imbalance is Jordane in?
Metabolic Acidosis
Metabolic Alkalosis
Respiratory Acidosis
Respiratory Alkalosis
During a school field trip, Jordane notices that Madison is having difficult breathing with a high-pitched whistling during expiration, caused by narrowing of the small airways. What is this symptom called?
Rales
Wheezing
Orthopnea
Cheyne-Stokes
During gym class, Mindi noticed that Jordane was experiencing difficult, labored breathing after running laps. This condition is called:
apnea
dyspnea
tachypnea
bradypnea
During a clinical skills session, Skyler listens to a patient's chest using a stethoscope. Which respiratory sound is heard in this clip?
Normal Vesicular
Wheezing
Rhonchi
Bronchial
Nurse Cara clamps Mr. Fernandez' chest tube to change his drainage chamber. She realizes two hours later that she forgot to unclamp the chest tube. What complication should Cara monitor for?
Pneumonia
Respiratory acidosis
Pulmonary embolism
Tension pneumothorax
Skyler was prescribed an adrenergic bronchodilator for asthma. What are the common side effects Skyler might experience?
Cough and sneezing
Tachycardia, Tremors, Nervousness
Bradycardia, Chest tightness, Tremors
Cough, Tremors, Nervousness
During a science class, Jordane and Mindi are learning about the respiratory system. Their teacher asks them, "What is a bronchospasm?"
Exercise-induced bronchoconstriction
Narrowing of the bronchial airways in the lungs due to the contraction of the smooth muscles
Asthma exacerbation
Narrowing of the alveoli airways in the lungs due to the contraction of the smooth muscles
During a biology class, Cara and Mindi are discussing a case where a patient suddenly experiences severe fluid congestion within the lung alveoli. What is this condition known as?
pulmonary embolism
COPD
pulmonary edema
asthma
Skyler is caring for a patient who is suspected to have pulmonary edema. Which of the following are signs and symptoms Skyler should look for? (select all that apply)
pink, frothy sputum
crackles and wheezes
coughing
pale skin and mucous membranes
Mindi is recovering from a laryngectomy and the nurse is reinforcing teaching about how to live with a tracheostomy. Which information will the nurse review with Mindi?
“Avoid suctioning your tracheostomy at home; you could damage your trachea.”
“When in public, you should be prepared for people to ask questions about your condition.”
“You will be able to return to your normal activities, including showering and swimming.”
“Be sure to protect your tracheostomy from pollutants such as powders, hair, and chemicals.”
Becky is learning about cystic fibrosis in her biology class. She wonders what type of secretions (sweat, tears, saliva, mucous) patients with cystic fibrosis have. Can you help her find the answer?
Thin
Thick, Sticky
Jordane is a patient with Cystic Fibrosis. T/F: Jordane requires higher caloric intake to prevent malnutrition.
True
False
Jordane and Mindi are medical students discussing the health risks associated with COPD. What are COPD patients more likely to acquire? (Select all that apply)
Respiratory infections
Pulmonary Hypertension
Cor. pulmonale
Anxiety
Depression
Jordane is reviewing the diagnostic test results of a patient suspected to have COPD. What findings would Jordane expect to see? (Select all that apply)
Increased amount of secretions in lungs & alveolar sacs
Decreased levels of hemoglobin
Increased CO2
Decreased ventilation with normal perfusion
Decreased residual air volume
After assessing Cara, a patient with pneumonia, the nurse identifies a nursing diagnosis of ineffective airway clearance. Which assessment data best supports this diagnosis?
A weak, non-productive cough
Large amounts of greenish sputum
Respiratory rate of 28 breaths per minute
Resting SpO2 of 87%
Jordane is being discharged home on Doxycycline for treatment of pneumonia. Which statement by Jordane indicates they understood your education material?
"I will avoid leafy greens"
"I will wear sunscreen when I go outside"
"I will take this medication with a full glass of milk"
"I will avoid grapefruit juice"
Madison, a 53 year old female, is recovering from abdominal surgery. Becky is a 69 year old patient who recently received the pneumococcal conjugate vaccine. Jordane is a 42 year old male with a history of HTN and hypothyroidism. Cara is a 13 year old male with a broken femur. Which of these patients is MOST at risk for developing pneumonia?
Becky, a 69 year old patient who recently received the pneumococcal conjugate vaccine
Jordane, a 42 year old male with history of HTN and hypothyroidism
Madison, a 53 year old female recovering from abdominal surgery
Cara, a 13 year old male with a broken femur
Match the following
-loud, brassy
-sound travels better over liquid
-could indicate pneumonia if heard lower in chest.
bronchial
2:1 ration (longer inhale, shorter exhale)
-"wind" sound through leaves
vesicular
-large airways w/ mucous
"walking through snow"
-coarse sound
-pneumonia, pulmonary edema
crackles (coarse)
pop/bubble sounds
boiling sound
short
(vesicular)
-pulmonary fibrosis
crackles (fine)
not as loud as normal
diminished
Mindi, who has a compromised immune system, develops an acute bacterial infection that usually affects the lungs. What is the most likely diagnosis?
tuberculosis
croup
ARDS
pneumoconiosis
Jordane, Cara, and Skyler are discussing a medical case where a patient has a blood clot in the lung. What is the medical term for this condition?
thrombosis
pulmonary edema
bronchitis
pulmonary embolism
During a science experiment, Becky and Skyler notice that when the blood’s pH becomes low, the body’s normal response is to:
breath slower to retain blood CO2
breath slower to reduce blood CO2 levels
breath faster to reduce blood CO2 levels
breath faster to retain blood CO2
During a class discussion, Jordane and Mindi learned about a condition where there is an abnormal accumulation of fluid in the pleural space. What is this condition called?
pneumothorax
emphysema
mesothelioma
pleural effusion
Madison is caring for a patient diagnosed with Tuberculosis. Nursing management for this patient includes all of the following EXCEPT:
Preventing the Spread of Infection
Education about Adherence to Medication Regimen
Promoting adequate hydration
Enforcing Strict Bed Rest
During flu season, Cara and Madison are careful when someone coughs or sneezes nearby. True or False: The virus that causes influenza is usually spread through particles from coughing and sneezing.
True
False
