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Respiratory Post Test – Extracted Worksheet Questions

Total questions: 40

Worksheet time: 20mins

Name
Class
Date
1.

The main respiratory center is:

a)

Lungs

b)

diaphragm

c)

Medulla oblongata

d)

alveoli

2.

The main respiratory organ is:

a)

Lungs

b)

diaphragm

c)

Medulla oblongata

d)

alveoli

3.

In a normal and healthy individual, their hypoxic drive is ________.

a)

high level of CO2

b)

low level of O2

c)

high level of O2

d)

Low level of CO2

4.

The driving force for patients with COPD is ___________.

a)

high level of CO2

b)

low level of O2

c)

high level of O2

d)

Low level of CO2

5.

In the earth atmosphere, oxygen accounts how many percent

a)

<1

b)

78

c)

21

d)

47

6.

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)

A decreased pH and increased CO2

b)

An increased pH and a decreased CO2

c)

A decreased pH and decreased HCO3

d)

An increased pH with an increased HCO3

7.

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?

a)

Metabolic acidosis compensated

b)

Metabolic alkalosis uncompensated

c)

Respiratory acidosis uncompensated

d)

Respiratory alkalosis compensated

8.

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?

a)

pH 7.25, PCO2 50 mmHg

b)

pH 7.36, PCO2 40 mmHg

c)

pH 7.50, PCO2 52 mmHg

d)

pH 7.52, PCO2 28 mmHg

9.

A nurse plans care for a client with COPD, knowing that the client is MOST LIKELY to experience what type of acid–base imbalance?

a)

Metabolic acidosis

b)

Metabolic alkalosis

c)

Respiratory acidosis

d)

Respiratory alkalosis

10.

A nurse plans care for a client with hyperventilation, knowing that the client is MOST LIKELY to experience what type of acid–base imbalance?

a)

Metabolic acidosis

b)

Metabolic alkalosis

c)

Respiratory acidosis

d)

Respiratory alkalosis

11.

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?

a)

Metabolic acidosis

b)

Metabolic alkalosis

c)

Respiratory acidosis

d)

Respiratory alkalosis

12.

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?

a)

Metabolic acidosis

b)

Metabolic alkalosis

c)

Respiratory acidosis

d)

Respiratory alkalosis

13.

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?

a)

Metabolic acidosis

b)

Metabolic alkalosis

c)

Respiratory acidosis

d)

Respiratory alkalosis

14.

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?

a)

Metabolic acidosis

b)

Metabolic alkalosis

c)

Respiratory acidosis

d)

Respiratory alkalosis

15.

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:

a)

Ulnar circulation

b)

Carotid circulation

c)

Femoral circulation

d)

Radial circulation

16.

COPD is a group of disorders characterized by progressive deterioration in pulmonary functioning. The most common risk factor is

a)

Age

b)

Exposure to pollution

c)

Deficiency of ALPHA 1

d)

Cigarette smoking

17.

Which of the following dovetails the characteristics of chronic bronchitis

a)

pink puffers

b)

overdistention of the alveoli

c)

barrel chest

d)

blue bloaters

18.

In the delivery of oxygen to patients with COPD, a ______ to maintain their hypoxic drive is necessary.

a)

low flow rate, 1–2 L per min via venturi mask

b)

low flow rate, 1–2 L per min via nasal cannula

c)

high flow rate, 10–15 L per min via venturi mask

d)

high flow rate, 10–15 L per min via nasal cannula

19.

Which of the following is considered as a bronchodilator

a)

Acetylcysteine

b)

Guaifenesin

c)

Albuterol

d)

Prednisone

20.

To promote better gas exchange, Nurse Joel instructed the patient to perform pursed‑lip breathing. Which of the following is the correct instruction?

a)

Inhale through the mouth, and exhale in the nose 2× longer

b)

Inhale through the nose, and exhale in the mouth 2× longer

c)

Inhale through the trachea, and exhale in the nose 2× longer

d)

Inhale through the alveoli, and exhale in the nose 2× longer

21.

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?

a)

Increase oxygen flow rate

b)

Encourage deep breathing exercises

c)

Decrease oxygen flow to 2 L/min

d)

Position Miguel flat to rest

22.

For patients with severe emphysema and chronic bronchitis at risk of hypoxemia, the most important treatment is:

a)

Inhaled corticosteroids (ICS)

b)

Oxygen therapy

c)

Long‑acting beta‑agonists (LABA)

d)

Oral steroids

23.

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.

a)

In emphysema, alveolar walls are destroyed, leading to permanent enlargement of air spaces and loss of elastic recoil.

b)

Chronic bronchitis is defined by a productive cough for at least three months per year for two consecutive years.

c)

Emphysema is more likely to present with hypoxemia and cyanosis early, whereas chronic bronchitis rarely causes cyanosis at all.

d)

Chronic bronchitis primarily involves excess mucus production and airway inflammation rather than destruction of lung parenchyma.

24.

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?

a)

Activity intolerance related to fatigue

b)

Anxiety related to actual threat to health status

c)

Risk for infection related to retained secretions

d)

Impaired gas exchange related to airflow obstruction

25.

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?

a)

Hypoxia

b)

Delirium

c)

Hyperventilation

d)

Semiconsciousness

26.

Which of the following is considered as expectorant?

a)

Guaifenesin

b)

Acetylcysteine

c)

Epinephrine

d)

Salbutamol

27.

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?

a)

Decreased breath sounds

b)

Improved oxygen saturation

c)

Regular respiratory rate

d)

Clear sputum production

28.

Which dependent nursing intervention is most appropriate to improve asthma control and medication adherence in this patient?

a)

Administer prescribed bronchodilators and anti-inflammatory medications as ordered.

b)

Educate the patient on identifying and avoiding asthma triggers.

c)

Provide information on proper inhaler technique and action plan for asthma exacerbations.

d)

Encourage the patient to monitor lung function using a peak flow meter.

29.

Which symptom is common in clients with active tuberculosis?

a)

Weight loss

b)

Increased appetite

c)

Shortness of breath on exertion

d)

Mental status changes

30.

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?

a)

10 mm

b)

5 mm

c)

1 mm

d)

2 mm

31.

Which confirmatory test for tuberculosis is cost-effective and accessible, though the waiting time is 2 days up to 2 weeks?

a)

Mantoux test

b)

TB Interferon Gamma Release Assay

c)

Direct sputum smear

d)

GeneXpert cartridge

e)

Purified protein derivative

32.

According to WHO new guidelines about anti-TB drugs, which two are included?

a)

Rifapentine and Moxifloxacin

b)

Ethambutol and Streptomycin

c)

Rifapentine and Isoniazid

d)

Ethambutol and Rifapentine

33.

Which anti-TB drug is given IM?

a)

Rifampicin

b)

Ethambutol

c)

Isoniazid

d)

Streptomycin

34.

Which anti-TB drug increases the buildup of purines, thereby increasing the uric acid in the blood?

a)

Isoniazid

b)

Rifampicin

c)

Pyrazinamide

d)

Streptomycin

35.

Which cranial nerve can be affected when a patient is receiving streptomycin?

a)

CN IV

b)

CN VII

c)

CN III

d)

CN VIII

36.

Which finding should be reported to the healthcare provider when taking Ethambutol?

a)

Tinnitus

b)

Hepatotoxicity

c)

Increased intraocular pressure of 22 and tunnel vision

d)

Red-orange urine

37.

Susan, 38 years old, is taking isoniazid and an oral contraceptive. Which instruction is best?

a)

Continue taking the oral contraceptive.

b)

Avoid food rich in pyridoxine.

c)

Change the modality of contraception to avoid interaction.

d)

Continue taking as this would not interfere with the current medication.

38.

Mario is taking rifampicin and complains of red-orange urine. What should the nurse do?

a)

Explain that this is normal and expected.

b)

Report to the physician.

c)

Prepare for thoracentesis.

d)

Give diuretics.

39.

While Mario is taking rifampicin, which should Nurse Maria monitor?

a)

RBC and platelet count

b)

Liver enzymes

c)

Regular visual acuity test

d)

WBC count

40.

It is the accumulation of air, water, or blood in the pleural space. What is this called?

a)

Pericardial effusion

b)

Cardiac tamponade

c)

Pleural effusion

d)

Hemothorax