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LPN 150 Resp. Pre-Course Assessment

Total questions: 15

Worksheet time: 10mins

Name
Class
Date
1.

What is the term for decreased oxygenation in the blood?

a)

hypoxia

b)

dyspnea

c)

hypoxemia

d)

pallor

2.

Which action would the nurse take immediately when a postoperative client has a tracheostomy in place and suddenly develops noisy, increased respirations and an elevated heart rate?

a)

Suction the tracheostomy.

b)

Change the tracheostomy tube.

c)

Readjust the tracheostmy tube, and tighten the ties.

d)

Perform a complete respiratory assessment

3.

Which position would the nurse encourage a client with chronic obstructive pulmonary disease to take to enhance respiratory function?

a)

Sitting in bed in low Fowler position.

b)

Up in recliner, recliner slightly titled back.

c)

On edge of bed, leaning forward, arms folded and elevated.

d)

Supine with the head of the bed elevated and the foot of the bed down.

4.

The nurse recalls that a paracentesis is performed for which reason? Select all that apply. One, some, or all responses may be correct.

a)

To extract peritoneal fluid.

b)

To improve respiratory status.

c)

To decrease intrapleural fluid.

d)

To increase intra abdominal pressure.

e)

To obtain peritoneal fluid for culture.

5.

The nurse is caring for a client with a chest tube that is draining by gravity and notices bubbling in the chamber. What is the nurses best action?

a)

Document the findings.

b)

Encourage the patient to take deep breaths

c)

Check for air leaks

d)

Change the chest tube chamber.

6.

What is the function of the bronchi?

a)

Transport air from nose to lungs

b)

Transport air from trachea to lungs

c)

Transport air from lungs to alveoli

d)

Transport air from alveoli to blood

7.
What is the main function of the respiratory system?
a)
to provide oxygen and remove carbon dioxide from the body
b)
to bring oxygen to the body
c)
to break down food and absorb nutrients
d)
to remove oxygen from the body and deliver carbon dioxide
8.

What should the suction settings be set at for suctioning of a trach?

a)

80-100 mm Hg

b)

80-120 mm Hg

c)

120-160mm Hg

d)

160-200 mm Hg

9.
Age-related changes that affect the respiratory system include
a)
increased ciliary action in the airways.
b)
osteoporosis causing lordosis.
c)
increased immune system response.
d)
decreased elasticity of the lungs resulting from changes in connective tissue.
10.

Using a pulse oximeter what is the definition of hypoxemia (in a healthy adult)?

a)

88%

b)

92%

c)

94%

d)

96%

11.

Which of the body produces thick and sticky mucus that can clog the lungs and obstruct the pancreas?

a)

Cystic Fibrosis

b)

Sarcoidosis

c)

Pleural Effusion

d)

Pneumothorax

12.

Which of the following signs and symptoms is characteristic of early-stage COPD

a)

Nightime cough

b)

Fatigue

c)

Ankle Swelling

d)

Chronic cough

13.

A fall risk patient states, “I feel like I have stuff to cough up, but it just won’t come out.” The nurse will assist in mobilizing the secretions by:

a)

Utilizing the Incentive Spirometer

b)

Limiting the patient’s fluid intake to prevent aspiration

c)

Allow the patient to get up and move as much as they want

d)

Providing chest physiotherapy

14.

What is the name of the tissue that closes off the windpipe when you swollen so you do not choke?

a)

epiglottis

b)

esophagus

c)

ileum

d)

bronchi

15.

Common early symptoms of hypoxia at high altitudes include:

a)

difficulty with normal levels of physical activity

b)

fatigue

c)

difficulty in thinking clearly

d)

all the other answers