wayground logo

Free Printable Worksheets

Font size

S
M
L
XL
Worksheets

Clinical - Respiratory

Total questions: 25

Worksheet time: 17mins

Name
Class
Date
1.

Skyler, a client, presents with the following blood gases:

pH = 7.76

pCO2 = 29

HCO3 = 26

What acid base imbalance are they in?

a)

Metabolic Acidosis

b)

Metabolic Alkalosis

c)

Respiratory Acidosis

d)

Respiratory Alkalosis

2.

Jordane, a client, presents with the following blood gases:

pH = 7.52

pCO2 = 42

HCO3 = 32

What acid-base imbalance is Jordane in?

a)

Metabolic Acidosis

b)

Metabolic Alkalosis

c)

Respiratory Acidosis

d)

Respiratory Alkalosis

3.

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?

a)

Rales

b)

Wheezing

c)

Orthopnea

d)

Cheyne-Stokes

4.

During gym class, Mindi noticed that Jordane was experiencing difficult, labored breathing after running laps. This condition is called:

a)

apnea

b)

dyspnea

c)

tachypnea

d)

bradypnea

5.

During a clinical skills session, Skyler listens to a patient's chest using a stethoscope. Which respiratory sound is heard in this clip?

a)

Normal Vesicular

b)

Wheezing

c)

Rhonchi

d)

Bronchial

6.

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?

a)

Pneumonia

b)

Respiratory acidosis

c)

Pulmonary embolism

d)

Tension pneumothorax

7.

Skyler was prescribed an adrenergic bronchodilator for asthma. What are the common side effects Skyler might experience?

a)

Cough and sneezing

b)

Tachycardia, Tremors, Nervousness

c)

Bradycardia, Chest tightness, Tremors

d)

Cough, Tremors, Nervousness

8.

During a science class, Jordane and Mindi are learning about the respiratory system. Their teacher asks them, "What is a bronchospasm?"

a)

Exercise-induced bronchoconstriction

b)

Narrowing of the bronchial airways in the lungs due to the contraction of the smooth muscles

c)

Asthma exacerbation

d)

Narrowing of the alveoli airways in the lungs due to the contraction of the smooth muscles

9.

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?

a)

pulmonary embolism

b)

COPD

c)

pulmonary edema

d)

asthma

10.

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)

a)

pink, frothy sputum

b)

crackles and wheezes

c)

coughing

d)

pale skin and mucous membranes

11.

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?

a)

“Avoid suctioning your tracheostomy at home; you could damage your trachea.”

b)

“When in public, you should be prepared for people to ask questions about your condition.”

c)

“You will be able to return to your normal activities, including showering and swimming.”

d)

“Be sure to protect your tracheostomy from pollutants such as powders, hair, and chemicals.”

12.

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?

a)

Thin

b)

Thick, Sticky

13.

Jordane is a patient with Cystic Fibrosis. T/F: Jordane requires higher caloric intake to prevent malnutrition.

a)

True

b)

False

14.

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)

a)

Respiratory infections

b)

Pulmonary Hypertension

c)

Cor. pulmonale

d)

Anxiety

e)

Depression

15.

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)

a)

Increased amount of secretions in lungs & alveolar sacs

b)

Decreased levels of hemoglobin

c)

Increased CO2

d)

Decreased ventilation with normal perfusion

e)

Decreased residual air volume

16.

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)

A weak, non-productive cough

b)

Large amounts of greenish sputum

c)

Respiratory rate of 28 breaths per minute

d)

Resting SpO2 of 87%

17.

Jordane is being discharged home on Doxycycline for treatment of pneumonia. Which statement by Jordane indicates they understood your education material?

a)

"I will avoid leafy greens"

b)

"I will wear sunscreen when I go outside"

c)

"I will take this medication with a full glass of milk"

d)

"I will avoid grapefruit juice"

18.

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?

a)

Becky, a 69 year old patient who recently received the pneumococcal conjugate vaccine

b)

Jordane, a 42 year old male with history of HTN and hypothyroidism

c)

Madison, a 53 year old female recovering from abdominal surgery

d)

Cara, a 13 year old male with a broken femur

19.

Match the following

a)

-loud, brassy

-sound travels better over liquid

-could indicate pneumonia if heard lower in chest.

1.

bronchial

b)

2:1 ration (longer inhale, shorter exhale)

-"wind" sound through leaves

2.

vesicular

c)

-large airways w/ mucous

"walking through snow"

-coarse sound

-pneumonia, pulmonary edema

3.

crackles (coarse)

d)

pop/bubble sounds

boiling sound

short

(vesicular)

-pulmonary fibrosis

4.

crackles (fine)

e)

not as loud as normal

5.

diminished

20.

Mindi, who has a compromised immune system, develops an acute bacterial infection that usually affects the lungs. What is the most likely diagnosis?

a)

tuberculosis

b)

croup

c)

ARDS

d)

pneumoconiosis

21.

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?

a)

thrombosis

b)

pulmonary edema

c)

bronchitis

d)

pulmonary embolism

22.

During a science experiment, Becky and Skyler notice that when the blood’s pH becomes low, the body’s normal response is to:

a)

breath slower to retain blood CO2

b)

breath slower to reduce blood CO2 levels

c)

breath faster to reduce blood CO2 levels

d)

breath faster to retain blood CO2

23.

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?

a)

pneumothorax

b)

emphysema

c)

mesothelioma

d)

pleural effusion

24.

Madison is caring for a patient diagnosed with Tuberculosis. Nursing management for this patient includes all of the following EXCEPT:

a)

Preventing the Spread of Infection

b)

Education about Adherence to Medication Regimen

c)

Promoting adequate hydration

d)

Enforcing Strict Bed Rest

25.

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.

a)

True

b)

False