Chapter 23: Assessment of Respiratory Function Flashcards

1. The nurse recognizes that which process occurs as oxygen and carbon dioxide are exchanged at the level of the alveoli.
1.Diffusion
2.Perfusion
3.Respiration
4.Ventilation

2. Which structure of the respiratory system is responsible for filtering, warming, and humidifying inhaled air?
1.Alveoli
2.Pharynx
3.Sinuses
4.Turbinates

3. In providing health education to a group of middle school students, how does the nurse describe the function of the epiglottis?
1.Aids in the sensation of smell
2.Conducts gases to the alveoli
3.Filters small particles before air enters the lungs
4.Prevents the entry of solids and liquids into the lungs

4. The nurse is conducting a respiratory assessment for a patient who is diagnosed with asthma. Which assessment finding does the nurse monitor for with this diagnosis?
1.Hemoptysis
2.Dry cough
3.Productive cough
4.Coarse crackles

5. The nurse is assessing a patient who is diagnosed with tuberculosis. Which assessment finding supports this diagnosis?
1.Wheezing
2.Hemoptysis
3.Pleural friction rub
4.Slightly whitish sputum

6. The nurse uses palpation during respiratory assessment to determine which clinical finding?
1.Tracheal position
2.Bronchovesicular sounds
3.Lung density
4.Adventitious sounds

7. The nurse educator is teaching a student nurse how to auscultate the lungs. Which action by the student nurse indicates the need for further education?

1.Listening to sound over the bony structures
2.Asking the patient to sit in an upright position
3.Instructing the patient to breathe slowly through mouth
4.Beginning auscultation from lung apices and moving toward intercostal spaces

8. The nurse uses which the term to describe abnormal breath sounds?
1.Vesicular
2.Bronchial
3.Adventitious
4.Bronchovesicular

9. Which percussion sound does the nurse expect when conducting percussion between the ribs during a respiratory assessment?
1.Flat
2.Dull
3.Tympany
4.Resonance

10. When percussing the patient's lung fields, the nurse notes a long, hollow, loud pitched sound over the chest. The nurse uses which term to describe this in the health record?
1.Dull
2.Tympany
3.Resonance
4.Hyperresonance

11. The nurse correlates which percussion sound to the patient diagnosed with emphysema?
1.Flat
2.Dull
3.Tympany
4.Hyperresonance

12. Where does the nurse auscultate bronchial vesicular sounds?

1.Neck
2.Trachea
3.First to second intercoastal spaces
4.Peripheral lung fields

13. The nurse is assessing a patient who is admitted with pulmonary edema and presents with a persistent cough. Which assessment finding is consistent with this diagnosis?
1.Foul-smelling sputum
2.Wheezing
3.Coarse crackles
4.Stridor

14. While auscultating a patient's chest, the nurse notes wheezing, and correlates this finding with which disorder?

1.Bronchitis
2.Pleural effusion
3.Pulmonary edema
4.Chronic obstructive pulmonary disease

15. Before an arterial blood gas is collected from the radial artery, an Allen's test is preformed to access the patency of which artery?
1.Brachial
2.Medial
3.Radial
4.Ulnar

16. A patient is admitted for evaluation of complaints of difficulty breathing and is scheduled for a sputum study to assist in providing data for which diagnosis?

1.Asthma
2.Lung cancer
3.Bacterial lung infection
4.Chronic obstructive pulmonary disease

17. How does the nurse interpret these arterial blood gas results?

pH 7.48
PaCO2 30 mm Hg
HCO3 24 mEq/L

1.Metabolic acidosis
2.Respiratory acidosis
3.Metabolic alkalosis
4.Respiratory alkalosis

18. The nurse correlated respiratory acidosis in a patient with which arterial blood gas result?

1.pH 7.50
2.PaCO2 50 mm Hg
3.PaO2 80 mm Hg
4.HCO3- 20 mEq/L

19. In reviewing capnography data, the nurse monitors for increased end-tidal volume CO2 in patients with which disorder?

1.Sepsis
2.Hypothermia
3.Esophageal intubation
4.Cardiac arrest

20. A patient is scheduled for pulmonary function testing. Which nursing action is most appropriate for the patient?

1.Assessing for respiratory distress
2.Scheduling the test after a meal
3.Providing rest before the procedure
4.Administering an inhaled bronchodilator 6 hours before procedure

21. The nurse is providing care to a patient who will need a bronchoscopy. Which patient statement indicates that pre-procedure teaching was effective?

1."I will be awake and fully conscious during the procedure."
2."I will require mechanical ventilation after the procedure."
3."I will need to have my prothrombin time drawn after the test."
4."I will abstain from eating or drinking for 8 hours before the procedure."

22. The nurse prepares the patient for which diagnostic procedure that is used to remove pleural fluid for analysis?
1.Lung biopsy
2.Bronchoscopy
3.Thoracentesis
4.Sputum studies

23. The nursing diagnosis "Ineffective Breathing Pattern related to decreased chest wall compliance" is most relevant to the older adult patient with which condition?

1.Decreased diaphragmatic strength
2.Delays in gas exchange
3.Depressed cough reflex
4.Kyphosis

24. The nurse conducts a respiratory assessment for an adult patient who presents with a productive cough. Which additional data require the nurse to request the healthcare provider to test the patient for tuberculosis? Select all that apply.
1.
A low-grade fever
2.
Reports of night sweats
3.
Reports of coughing up blood
4.
Reports of heart palpitations
5.
Weight loss from previous visit

25. The nurse assesses for coarse crackles (coarse rales) in patients admitted with which respiratory disorders? Select all that apply.
1.Asthma
2.Bronchitis
3.Chronic obstructive pulmonary disease (COPD)
4.Pneumonia
5.Pulmonary edema

26. The nurse assesses for fine crackles (fine rales) in patients admitted with which respiratory disorders? Select all that apply.

1.Pneumonia
2.Pulmonary edema
3.Fibrosis
4Chronic obstructive pulmonary disease (COPD)
5.Asthma

27. The nurse assesses for rhonchi in patients admitted with which respiratory disorders? Select all that apply.

1.Asthma
2.Chronic obstructive pulmonary disease (COPD)
3.Foreign body in airway
4.Lung cancer
5.Pneumonia

28. The nurse assesses for stridor in patients admitted with which respiratory disorders? Select all that apply.
1.
Allergic reactions
2.
Chronic obstructive pulmonary disease (COPD)
3.
Epiglottis
4.
Laryngitis
5.
Pleurisy

29. Which finding in a patient with dyspnea requires an immediate intervention by the nurse? Select all that apply.
1.
Accessory muscle use
2.
Cyanosis
3.
Hyperventilation
4.
Tachypnea
5.
Vesicular breath sounds

30. The nurse correlates which of the following assessment findings to age-related changes of the respiratory system? Select all that apply.
1.
Decreased airway reactivity
2.
Decreased chest compliance
3.
Decreased intercostal strength
4.
Increased risk for hypocapnia
5.
Increased neutrophils in respiratory tissue