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WorksheetsRespiratory Post Test – Extracted Worksheet Questions
Total questions: 40
Worksheet time: 20mins
The main respiratory center is:
Lungs
diaphragm
Medulla oblongata
alveoli
The main respiratory organ is:
Lungs
diaphragm
Medulla oblongata
alveoli
In a normal and healthy individual, their hypoxic drive is ________.
high level of CO2
low level of O2
high level of O2
Low level of CO2
The driving force for patients with COPD is ___________.
high level of CO2
low level of O2
high level of O2
Low level of CO2
In the earth atmosphere, oxygen accounts how many percent
<1
78
21
47
Situation – Acid base imbalance is a content area that sometimes is viewed as complex and difficult to understand. A client with a 3 day history of nausea and vomiting presents to the emergency department. Arterial blood gases are drawn and the nurse reviews results expecting to note which of the following?
A decreased pH and increased CO2
An increased pH and a decreased CO2
A decreased pH and decreased HCO3
An increased pH with an increased HCO3
Arterial blood gas indicates the following results: pH 7.12, PCO2 90 mmHg, HCO3 22 mEq/L. The nurse interprets the results as indicating which condition?
Metabolic acidosis compensated
Metabolic alkalosis uncompensated
Respiratory acidosis uncompensated
Respiratory alkalosis compensated
A nurse reviews the blood gas results of a client with GBS. The nurse analyzes the results and determines that the client is experiencing RESPIRATORY ACIDOSIS. Which of the following validates the nurse’s findings?
pH 7.25, PCO2 50 mmHg
pH 7.36, PCO2 40 mmHg
pH 7.50, PCO2 52 mmHg
pH 7.52, PCO2 28 mmHg
A nurse plans care for a client with COPD, knowing that the client is MOST LIKELY to experience what type of acid–base imbalance?
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
A nurse plans care for a client with hyperventilation, knowing that the client is MOST LIKELY to experience what type of acid–base imbalance?
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
A nurse plans care for a client with DM and DKA, knowing that the client is MOST LIKELY to experience what type of acid–base imbalance?
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
A nurse plans care for a client with severe vomiting, knowing that the client is MOST LIKELY to experience what type of acid–base imbalance?
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
A nurse plans care for a client with asthma, knowing that the client is MOST LIKELY to experience initially what type of acid–base imbalance?
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
A nurse plans care for a client with brain trauma, knowing that the client is MOST LIKELY to experience what type of acid–base imbalance?
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
A client is scheduled for blood to be drawn from the radial artery for an arterial blood gas determination. Before the blood is drawn, an Allen’s test is performed to determine the adequacy of the:
Ulnar circulation
Carotid circulation
Femoral circulation
Radial circulation
COPD is a group of disorders characterized by progressive deterioration in pulmonary functioning. The most common risk factor is
Age
Exposure to pollution
Deficiency of ALPHA 1
Cigarette smoking
Which of the following dovetails the characteristics of chronic bronchitis
pink puffers
overdistention of the alveoli
barrel chest
blue bloaters
In the delivery of oxygen to patients with COPD, a ______ to maintain their hypoxic drive is necessary.
low flow rate, 1–2 L per min via venturi mask
low flow rate, 1–2 L per min via nasal cannula
high flow rate, 10–15 L per min via venturi mask
high flow rate, 10–15 L per min via nasal cannula
Which of the following is considered as a bronchodilator
Acetylcysteine
Guaifenesin
Albuterol
Prednisone
To promote better gas exchange, Nurse Joel instructed the patient to perform pursed‑lip breathing. Which of the following is the correct instruction?
Inhale through the mouth, and exhale in the nose 2× longer
Inhale through the nose, and exhale in the mouth 2× longer
Inhale through the trachea, and exhale in the nose 2× longer
Inhale through the alveoli, and exhale in the nose 2× longer
Miguel, a 45‑year‑old construction worker, is admitted with a COPD exacerbation. He is receiving oxygen via nasal cannula at 4 L/min. The nurse notes confusion and increasing CO2 levels. What is the best nursing action?
Increase oxygen flow rate
Encourage deep breathing exercises
Decrease oxygen flow to 2 L/min
Position Miguel flat to rest
For patients with severe emphysema and chronic bronchitis at risk of hypoxemia, the most important treatment is:
Inhaled corticosteroids (ICS)
Oxygen therapy
Long‑acting beta‑agonists (LABA)
Oral steroids
Mr. David, a 62‑year‑old smoker, presents with worsening shortness of breath and chronic cough with mucus for the past 3 years. He experiences breathlessness after meals and has cyanosis in the late afternoon. His pulmonary function tests show reduced lung function, and his arterial blood gases indicate mild hypoxemia. Identify the least accurate statement about the differences between emphysema and chronic bronchitis.
In emphysema, alveolar walls are destroyed, leading to permanent enlargement of air spaces and loss of elastic recoil.
Chronic bronchitis is defined by a productive cough for at least three months per year for two consecutive years.
Emphysema is more likely to present with hypoxemia and cyanosis early, whereas chronic bronchitis rarely causes cyanosis at all.
Chronic bronchitis primarily involves excess mucus production and airway inflammation rather than destruction of lung parenchyma.
A male client is admitted to the health care facility for treatment of chronic obstructive pulmonary disease. Which nursing diagnosis is most important for this client?
Activity intolerance related to fatigue
Anxiety related to actual threat to health status
Risk for infection related to retained secretions
Impaired gas exchange related to airflow obstruction
Gina, a home health nurse, is visiting a home care client with advanced lung cancer. Upon assessing the client, the nurse discovers wheezing, bradycardia, and a respiratory rate of 10 breaths per minute. These signs are associated with which condition?
Hypoxia
Delirium
Hyperventilation
Semiconsciousness
Which of the following is considered as expectorant?
Guaifenesin
Acetylcysteine
Epinephrine
Salbutamol
A 73‑year‑old patient with asthma is treated for acute exacerbation in the ER department. The nurse caring for the patient should monitor for which sign, knowing that it indicates a worsening condition?
Decreased breath sounds
Improved oxygen saturation
Regular respiratory rate
Clear sputum production
Which dependent nursing intervention is most appropriate to improve asthma control and medication adherence in this patient?
Administer prescribed bronchodilators and anti-inflammatory medications as ordered.
Educate the patient on identifying and avoiding asthma triggers.
Provide information on proper inhaler technique and action plan for asthma exacerbations.
Encourage the patient to monitor lung function using a peak flow meter.
Which symptom is common in clients with active tuberculosis?
Weight loss
Increased appetite
Shortness of breath on exertion
Mental status changes
Carlito, a 39-year-old patient with HIV/AIDS developed tuberculosis. For positive exposure, what measurement of the wheal or bleb indicates a positive result?
10 mm
5 mm
1 mm
2 mm
Which confirmatory test for tuberculosis is cost-effective and accessible, though the waiting time is 2 days up to 2 weeks?
Mantoux test
TB Interferon Gamma Release Assay
Direct sputum smear
GeneXpert cartridge
Purified protein derivative
According to WHO new guidelines about anti-TB drugs, which two are included?
Rifapentine and Moxifloxacin
Ethambutol and Streptomycin
Rifapentine and Isoniazid
Ethambutol and Rifapentine
Which anti-TB drug is given IM?
Rifampicin
Ethambutol
Isoniazid
Streptomycin
Which anti-TB drug increases the buildup of purines, thereby increasing the uric acid in the blood?
Isoniazid
Rifampicin
Pyrazinamide
Streptomycin
Which cranial nerve can be affected when a patient is receiving streptomycin?
CN IV
CN VII
CN III
CN VIII
Which finding should be reported to the healthcare provider when taking Ethambutol?
Tinnitus
Hepatotoxicity
Increased intraocular pressure of 22 and tunnel vision
Red-orange urine
Susan, 38 years old, is taking isoniazid and an oral contraceptive. Which instruction is best?
Continue taking the oral contraceptive.
Avoid food rich in pyridoxine.
Change the modality of contraception to avoid interaction.
Continue taking as this would not interfere with the current medication.
Mario is taking rifampicin and complains of red-orange urine. What should the nurse do?
Explain that this is normal and expected.
Report to the physician.
Prepare for thoracentesis.
Give diuretics.
While Mario is taking rifampicin, which should Nurse Maria monitor?
RBC and platelet count
Liver enzymes
Regular visual acuity test
WBC count
It is the accumulation of air, water, or blood in the pleural space. What is this called?
Pericardial effusion
Cardiac tamponade
Pleural effusion
Hemothorax
