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AU - Resp Module 4 extra

Total questions: 67

Worksheet time: 36mins

Name
Class
Date
1.

What is diffusion in the context of respiratory physiology?

a)

The process of supplying oxygen to the body’s cells

b)

The process of exchanging oxygen and carbon dioxide

c)

The body process of supplying oxygenated blood to the cells

d)

Substances moving across concentration gradients from areas of higher concentration to areas of lower concentration

2.

What is perfusion in the body mean?

a)

The process of exchanging oxygen and carbon dioxide

b)

The body process of supplying oxygenated blood to the cells and is reliant on adequate cardiac output

c)

The process of supplying oxygen to the body’s cells

d)

Substances moving across concentration gradients from areas of higher concentration to areas of lower concentration

3.

What are the characteristics of a normal presentation in a healthy adult with healthy lungs?

a)

Breathing is labored at around 12-20 breaths per minute

b)

Breathing is unlabored at around 12-20 breaths per minute

c)

Nasal flaring

d)

Signs of cyanosis

4.

What is hypoxia defined as in the context of oxygenation levels?

a)

A low oxygen level in venous blood

b)

A high oxygen level in the tissues

c)

A low oxygen level in the tissues

d)

A high oxygen level in arterial blood

5.

How is hypoxemia typically measured?

a)

Using a stethoscope

b)

By pulse oximetry

c)

By measuring blood pressure

d)

With a thermometer

6.

What is the first thing to do when assessing a patient's respiratory status according to the document?

a)

Check the patient's temperature

b)

Observe the patient

c)

Listen to the patient's heart rate

d)

Ask the patient about their symptoms

7.

What is increased work of breathing associated with when assessing a patient's respiratory status?

a)

Decreased oxygen saturation

b)

Use of accessory muscles

c)

Lowered respiratory rate

d)

Improved lung function

8.

Which position is known to help facilitate lung expansion in patients experiencing respiratory compromise?

a)

Supine position

b)

Tripod position

c)

Fowler's position

d)

Prone position

9.

What could be the cause of asymmetrical chest wall expansion?

a)

Pneumonia

b)

Pneumothorax

c)

Pleural effusion

d)

Bronchitis

10.

If a patient cannot speak full sentences without pausing for breath, what does this suggest?

a)

Normal respiratory function

b)

Shortness of breath

c)

Adequate airway protection

d)

Effective coughing ability

11.

When performing a respiratory assessment by auscultation, what pattern should you use to listen to the patient's lungs?

a)

A straight line pattern

b)

A "Z" pattern

c)

A circular pattern

d)

A random pattern

12.

Bronchovesicular sounds are normally heard at which locations?

a)

Over the trachea and larynx

b)

At the mid sternum and between the scapula

c)

In the peripheral lung fields

d)

Throughout the entire chest uniformly

13.

What are adventitious sounds?

a)

Normal breath sounds

b)

Sounds associated with speech

c)

Audible abnormal sounds

d)

Sounds related to digestion

14.

Rhonchi are often compared to which sound?

a)

A high-pitched whistle

b)

A snoring/gurgling sound

c)

A grating sound

d)

A clicking sound

15.

Wheezes are typically associated with which of the following conditions?

a)

Atelectasis

b)

Asthma and COPD

c)

Pulmonary edema

d)

Pleural effusion

16.

Stridor is a sound that occurs when which part of the airway is obstructed?

a)

Lower airway

b)

Large airways

c)

Upper airway

d)

Small airways

17.

What is a pleural friction rub?

a)

A fine crackling sound

b)

A low-pitched breath sound

c)

A high-pitched sound during inspiration

d)

A grating sound with inspiration and expiration

18.

What is respiratory distress characterized by?

a)

Decreased oxygen consumption

b)

Signs of increased work of breathing such as accessory muscle use, nasal flaring, retractions, grunting, head bobbing, and tachypnea

c)

Improved breathing efficiency

d)

Decreased metabolic oxygen demands

19.

Which of the following is a late sign of chronic hypoxia?

a)

Cyanosis

b)

Clubbing of the fingers

c)

Tachypnea

d)

Wheezing

20.

What is the normal anteroposterior to transverse ratio of the chest?

a)

2:1

b)

1:2

c)

1:1

d)

3:1

21.

Which type of breath sound is normally heard over the trachea and larynx?

a)

Vesicular

b)

Bronchial

c)

Bronchovesicular

d)

None—lungs should be silent

22.

Which of the following is a sign of increased work of breathing?

a)

Occasional dry cough

b)

Use of accessory muscles during inspiration

c)

Normal breath sounds

d)

Respiratory rate of 15 breaths/min

23.

A respiratory rate of 25 breaths/min in an adult is considered:

a)

Normal

b)

Bradypnea

c)

Tachypnea

d)

Apnea

24.

Which of the following is a normal finding during a respiratory assessment?

a)

Use of accessory muscles

b)

Respiratory rate of 16 breaths/min

c)

High-pitched wheezing

d)

Cyanosis

25.

Why is the use of accessory muscles during inspiration concerning?

a)

It indicates normal breathing

b)

It suggests increased work of breathing and possible respiratory distress

c)

It is a sign of relaxation

d)

It shows the patient is calm

26.

Which breath sound is described as high-pitched and musical?

a)

Crackles

b)

Wheezes

c)

Rhonchi

d)

Vesicular

27.

Which patient position best facilitates lung expansion during respiratory assessment?

a)

Supine

b)

Prone

c)

Lateral

d)

Sitting upright

28.

Which of the following is a late sign of chronic hypoxia?

a)

Cyanosis

b)

Clubbing of the fingers

c)

Tachypnea

d)

Wheezing

29.

The respiratory system delivers _______ to the blood stream and transports ____________ out of the body?

a)

oxygen, carbon dioxide

b)

carbon dioxide, oxygen

c)

water, gases

d)

nutrients, wastes

30.

Where does the gas exchange occur in the lungs?

a)

trachea

b)

alveoli

c)

bronchi

d)

bronchus

31.

Tiny air sacs in the lungs where gas exchange takes place. Oxygen in / carbon dioxide out.

a)

bronchi

b)

alveoli

c)

bronchioles

d)

lymph nodes

32.

Smaller branches of the bronchi.

a)

aveoli

b)

larynx

c)

pharynx

d)

bronchioles

33.

The branches of the trachea which take air into and

out of the lungs.

a)

bronchi

b)

bronchioles

c)

trachea

d)

larynx

34.

The muscle beneath the lungs which makes

breathing possible.

a)

diaphragm

b)

bronchi

c)

bronchioles

d)

alveoli

35.

During a friendly classroom demonstration, Grace and Mason are learning about vital signs. Suddenly, Mason pretends to stop breathing for a moment to quiz Grace. What is the medical term for this temporary cessation of respirations?

a)

Eupnea

b)

Tachypnea

c)

Apnea

d)

Bradypnea

36.

During a clinical skills challenge, Nurse Evelyn and Nurse Liam are observing a patient together. The patient’s breathing pattern cycles from shallow to deep breaths, followed by periods where they stop breathing altogether. Which type of respirations are Evelyn and Liam most likely witnessing?

a)

Kussmaul respirations

b)

Tachypneic respirations

c)

Cheyne-Stokes respirations

d)

Eupneic respirations

37.

During a school health fair, Nurse Mason notices that Isla is taking quick, shallow breaths, much faster than what is normal for her age. Curious, Arjun tries to guess what condition Isla might be experiencing. Can you help Arjun figure it out?

a)

Apnea

b)

Tachypnea

c)

Bradypnea

d)

Eupnea

38.

While hiking up a mountain with her friends Anika and Arjun, Sophia pauses to take a deep breath in. What is the primary function of this inspiration during respiration?

a)

To expel carbon dioxide from the lungs

b)

To oxygenate body tissues and support cellular function

c)

To relax the diaphragm and intercostal muscles

d)

To increase the size of the thoracic cavity

39.

During a friendly health trivia challenge, Mason, Aiden, and Benjamin are curious about their bodies. When Emma visits her doctor for a routine check-up, her arterial blood oxygen saturation (SpO2) is measured. Can you help the trio guess the expected reference range for SpO2 in a healthy individual like Emma?

a)

100% to 105%

b)

85% to 90%

c)

90% to 95%

d)

95% to 100%

40.

How many lobes are there in the right lung? How many lobes are there in the left lung?

a)


four; two

b)

three; two

c)


five; three

d)

four; three

41.
Which of the following is a late sign of hypoxia?
a)
anxiety
b)
cyanosis
c)
tachycardia
d)
restlessness
42.
A 51 year old female patient presents with sudden onset difficulty breathing. She is alert & oriented x 4, and able to communicate in complete sentences. Her respirations are 22 breaths/min and regular. You should:
a)
assist ventilations with a BVM
b)
Perform a secondary assessment
c)
insert an OPA and assist ventilations
d)
administer O2 via a nonrebreathing mask
43.

What is the primary function of the respiratory system?

a)

Regulate body temperature

b)

Produce hormones

c)

Filter waste products

d)

Facilitate gas exchange

44.

What, in this patient's history, may be contributing factors to his SOB? (SELECT ALL THAT APPLY)

a)

Hypertension

b)

Left sided heart failure

c)

right sided heart failure

d)

COPD

e)

NKDA

45.

-pnea

a)

breathing

b)

eating

c)

thirst

d)

low

46.

rhin-

a)

nose

b)

mouth

c)

face

d)

ear

47.

thorac-

a)

chest

b)

stomach

c)

abdomen

d)

throat

48.
pause or slowing of breathing during sleep
a)
asphyxia
b)
anoxia
c)
COPD
d)
sleep apnea
49.
process of increasing the breathing process by breathing in deeply and rapidly
a)
respiration
b)
hyperventilation
c)
inspiration
d)
expiration
50.

Smallest branches of the bronchi

a)

bronchioles

b)

epiglotti

c)

alveoli

51.

During inspection of the respiratory system the nurse documents which finding as abnormal?

a)

Skin color consistent with patient’s ethnicity

b)

1:2 ratio of anteroposterior to lateral diameter

c)

Respiratory rate is 20 breaths per minute

d)

Patient leaning forward with arms braced on the knees

52.

To auscultate brochovesicular breath sounds, one would listen (select all that apply)

a)

Upper lateral Sides of sternum

b)

over upper lobes of lungs bilaterally

c)

In the neck

d)

Lateral Lung fields Bilaterally

53.

The definition of adventitious breath sounds is:

a)

decrease in breath sounds

b)

clear, inspiratory and expiratory effort

c)

extra sounds heard on inspiration or expiration

d)

5 seperate, distinguishable sounds over lung fields

54.

Antero-Posterior Diameter should have a ratio of :

(a)  

55.

On auscultation of a patient’s lungs, the nurse hears a low-pitched, coarse, loud, and low snoring sound. Which term does the nurse use to document this finding?

a)

Rhonchi

b)

Wheeze

c)

Crackles

d)

Pleural friction rub

56.

A nurse finds the patient’s anteroposterior diameter of the chest to be the same as the lateral diameter. Based on this finding, what additional data would the nurse anticipate?

a)

Bronchial breath sounds in the posterior thorax

b)

Decrease in respiratory rate

c)

Decreased breath sounds on auscultation

d)

Complaint of sharp chest pain on inspiration

57.

Narrowing of the bronchi creates which adventitious sound?

a)

Wheeze

b)

Crackles

c)

Rhonchi

d)

Pleural friction rub

58.

Which breath sounds are expected over the posterior chest of an adult?

a)

Vesicular

b)

Bronchovesicular

c)

Bronchial

d)

Bronchoalveolar

59.

A nurse is auscultating the lungs of a healthy female patient and hears crackles on inspiration. What action can the nurse take to ensure this is an accurate finding?

a)

Make sure the bell of the stethoscope is used rather than the diaphragm

b)

Ask the patient to cough then repeat the auscultation.

c)

Ask the patient not to talk while the nurse is listening to the lungs.

d)

Change the patient’s position to ensure accurate sounds

60.
A feeling of shortness of breath or difficulty breathing
a)
tachypnea
b)
respiratory distress
c)
respiratory failure
d)
dyspnea
61.
Rapid or deep breathing
a)
hypoxic drive
b)
hyperventilation
c)
hypoventilation
d)
dyspnea
62.
Abnormal breath sounds such as wheezes, rhonchi, and rales
a)
Vesicular breath sounds
b)
Rhonchi Breath Sounds
c)
Adventitious breath sounds
d)
Wheezing Breath Sounds
63.
A disease of the lungs in which muscle spasm in the small air passageways and the production of large amounts of mucus result in airway obstruction
a)
asthma
b)
COPD
c)
CHF
d)
Pneumonia
64.
Normal breath sounds made by air moving in and out of the alveoli
a)
Adventitious Breath Sounds
b)
Vesicular breath sounds
c)
Wheezing Breah Sounds
d)
Rhonchi Breath Sounds
65.
An excess of oxygen
a)
hypoxic drive
b)
hyperpoxia
c)
hypoxia
d)
tacypnea
66.
Another name for rales
a)
Crackles
b)
Rhonchi
c)
Rales
d)
Wheezing
67.
Rapid respiratory rate
a)
tachypnea
b)
tachycardia
c)
bradycardia
d)
bradypnea

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