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Oxygenation

Total questions: 39

Worksheet time: 2hrs 37mins

Name
Class
Date
1.

A client diagnosed with bronchitis asks the nurse about the function of the bronchi. Which should the nurse include in the​ response?

a)

Contain the​ heart, trachea,​ esophagus, and the great vessels

b)

Help to keep the lungs inflated

c)

Capture and help sweep the debris toward the mouth for removal when coughing

d)

Warm and moisten air as it moves through the respiratory tract to the alveoli

2.

The nurse taught a class about the role of the pleural membranes. Which statement by a participant indicates that learning​ occurred?

a)

​"The pleural membranes contain the​ heart."

b)

​"The pleural membranes warm and moisten​ air."

c)

"The pleural membranes permit gas​ exchange."

d)

​"The pleural membranes help to keep the lungs​ inflated."

3.

Which term should the nurse know describes the primary purpose of the​ ribs?

a)

deflation

b)

protection

c)

exhalation

d)

inspiration

4.

The nurse is participating in a community health clinic. Which client should the nurse identify as being at risk for compromised​ oxygenation? (Select all that​ apply.)

a)

A​ 64-year-old woman with osteoporosis and limited mobility

b)

A​ 46-year-old woman with a history of anxiety attacks

c)

A​ 70-year-old woman who eats a​ well-balanced diet and exercises daily

d)

A​ 28-year-old man who smokes with a 10 pack per year history

e)

A​ 56-year-old man who has been working at a textile factory

5.

The nurse assessing a newborn suspects respiratory distress. Which finding supports the​ suspicion?

a)

Intercostal retractions

b)

Respiratory rate of 44

c)

Acrocyanosis at birth

d)

Abdominal breathing

6.

While caring for a patient with respiratory disease, the nurse observes that the patient’s SpO2 drops from 93% to 88% while the patient is ambulating in the hallway. What is the priorityaction of the nurse?

a)

Notify the health care provider.

b)

Document the response to exercise.

c)

Administer the PRN supplemental O2.

d)

Encourage the patient to pace activity.

7.
 A client says to the nurse, “It’s hard for me to breathe; I feel winded all the time.” The nurse would record this subjective feeling on the chart as
a)
apnea
b)
dyspnea
c)
respiratory fatigue
d)
tachypnea
8.
The nurse would explain to a client with complaints of wheezing and chest tightness that wheezing occurs when
a)
air is passing through a narrowed airway.
b)
air is trapped in the alveoli.
c)
an allergic reaction is taking place.
d)
sputum production is increased.
9.
The nurse is assessing a newborn in the nursery. The nurse notes the infant has episodes in which breathing ceased for 20 seconds on  . The nurse correctly recognizes this condition as which of the following?
a)
dyspnea
b)
apnea
c)
orthopnea
d)
hypercapnia
10.
Oxygen and carbon dioxide move between the alveoli and the blood by
a)
Osmosis
b)
Hyperosmolar pressure
c)
Diffusion
d)
Negative pressure
11.
The nurse is reviewing the results of a patient’s pulmonary function tests. Which result describes the air remaining in lungs after normal expiration?
a)
Tidal volume
b)
Expiratory reserve
c)
Forced vital capacity
d)
Functional residual capacity
12.
The nurse is reviewing the exchange of gases in the blood stream with a patient prescribed oxygen therapy. How should the nurse explain the transport of carbon dioxide in the blood?
a)
As CO2 in plasma
b)
As bicarbonate ions in plasma
c)
As hydrogen ions in red blood cells
d)
As part of hemoglobin in red blood cells
13.
A patient is having problems with oxygenation of body tissues. What is important for the nurse to consider about the transport of oxygen in the blood?
a)
It is in blood plasma as free oxygen.
b)
It travels on red blood cell membranes.
c)
It is bonded to hemoglobin in blood plasma.
d)
It is bonded to hemoglobin in red blood cells.
14.
A patient has a low oxygen level. Which body structure should the nurse consider as being responsible for this low level?
a)
larynx
b)
alveoli
c)
bronchi
d)
nasal passages
15.
While providing care for a patient with asthma, the nurse notes the patient’s shoulders are rising with each breath. What should the nurse realize this action represents?
a)
Hyperinflation of the chest
b)
The use of accessory muscles to aid breathing
c)
Shoulder muscle fatigue related to difficulty breathing
d)
Effective use of a breathing exercise to increase ventilation
16.
An adult patient has a respiratory rate of 36 breaths per minute. Which term should the nurse use to document this finding?
a)
apnea
b)
bradypnea
c)
tachypnea
d)
within normal limits
17.
The nurse explains that the purpose of mucus is to:
a)
warm the air entering the lungs.
b)
trap particles and bacteria.
c)
protect the cilia.
d)
clean the sinus cavity.
18.
 The nurse explains that the substance that decreases the surface tension of the alveolar walls is:
a)
plasma
b)
surfactant
c)
cilia
d)
mucus
19.
Using animation, the nurse demonstrates how most of the inspired oxygen is carried to the tissues by the:
a)
plasma
b)
lymphatic system
c)
red blood cells
d)
white blood cells
20.

The nurse is providing care to a patient who experienced an ischemic stroke and now requires respiratory support with mechanical ventilation. The nurse realizes that the stroke most likely occurred in which part of the brain?

a)

Medulla

b)

Cerebrum

c)

Cerebellum

d)

Hypothalamus

21.

The nurse uses a visual aid to show the mechanics of inhaling which correctly illustrates:

a)

the diaphragm moves down.

b)

the negative pressure of the lung converts to positive pressure.

c)

muscles contract, pulling the rib cage down.

d)

bronchi enlarge.

22.

The nurse reminds a group of retirees that age may alter the respiratory systems by: (Select all that apply.)

a)

weakened cough.

b)

kyphosis.

c)

increased ciliary movement.

d)

decrease in body fluid.

e)

muscle weakness.

23.

The nurse is caring for an individual whose respiratory rate of 14 is even and easy; breath sounds are normal. Which terms should the nurse use in this patient’s narrative note? (Select all that apply.)

a)

Apnea

b)

Eupnea

c)

Rhonchi

d)

Bradypnea

e)

Clear to auscultation

24.

The nurse is describing the movement of blood into and out of the capillary beds of the lungs to the body organs and tissues. What term should the nurse use to describe this process?

a)

Perfusion

b)

Ventilation

c)

Diffusion

d)

Circulation

25.

A 20-year-old male is in acute pain. An arterial blood gas reveals decreased carbon dioxide (CO2) levels. Which of the following does the nurse suspect is the most likely cause?

a)

Hyperventilation

b)

Hypoventilation

c)

Apnea

d)

Cyanosis

26.

A nurse is reviewing the results of an ABG and finds reduced oxygenation of arterial blood. What term should the nurse use to describe this condition?

a)

Ischemia

b)

Hypoxia

c)

Hypoxemia

d)

Hypocapnia

27.

Which does not describe cardiac output?

a)

It is determined by body size and aerobic fitness

b)

The amount of blood pumped by the heart each minute

c)

It is the amount of blood pumped out of the heart each beat

d)

It is the product of heart rate and stroke volume

28.

What is stroke volume?

a)

the volume of oxygen transported in the blood

b)

the volume of blood pumped out of the heart each minute

c)

the volume of blood pumped out of the heart in each beat

d)

the number of beats per minute

29.

Cardiac Output Formula

a)

Breathing Rate x Heart Rate

b)

Heart Rate X Stroke Volume

c)

Liter/Minute X Heart Rate

30.

Factor that increases cardiac output

a)

Decrease blood volume

b)

Exercise

c)

Decreased Stroke Volume

d)

High blood pressure

31.

T/F: Low cardiac output is healthy

a)

True

b)

False

32.

When Alex was sprinting yesterday, she had a heartbeat of 170 bpm and a stroke volume of 70 ml. Calculate her cardiac output.

a)

10.9 liters per minute or 10,900ml per minute

b)

13.9 liters per minute or 13,900ml per minute

c)

11.9 liters per minute or 11,900ml per minute

d)

9.9 liters per minute or 9,900ml per minute

33.
Large blood vessels that carry blood away from the heart are called:
a)
arteries
b)
capillaries
c)
veins
d)
venae cavae
34.
Pulmonary circulation involves blood flow to and from the heart and the _______.
a)
body
b)
digestive organs
c)
brain
d)
lungs
35.
A person with a heart rate of 75 beats per minute and stroke volume of 60 mL per beat has a cardiac output of _______.
a)
4500 mL/min
b)
1.25 mL/min
c)
0.8 mL/min
d)
120 mL/min
36.

When you breathe, your lungs take in ___ and remove ___.

a)

air/oxygen

b)

oxygen/carbon dioxide

c)

carbon dioxide/waste

d)

waste/air

37.

Which of the following is the main function of the respiratory system?

a)

exchanging gasses

b)

producing sound

c)

enabling sense of smell

d)

maintaining pH levels

38.

What do blood cells (delivery trucks) carry AWAY FROM the lungs that it picked up from the alveoli?

a)

carbon dioxide

b)

oxygen

c)

waste

d)

water

e)

glucose

39.

What type of air to we breath "out"

a)

carbon dioxide

b)

oxygen

c)

nitrogen

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