Deck 33: A Person-Centred Approach to Assessing the Respiratory System

Question 1

During the assessment of a person's nasal cavities, the nurse notes watery nasal discharge and pale turbinates. What are these findings consistent with?

A)A viral infection
B)Cocaine use
C)Impaired nasal blood flow
D)Allergies

Answer 1

Allergies

Question 2

The nurse is preparing to auscultate a person's lungs. Which breath sounds should be considered abnormal? Select all that apply.

A)Bronchial
B)Crackles
C)Friction rub
D)Bronchovesicular

Answer 2

Crackles
Friction rub

Question 3

Which of the following would the nasopharynx serve as a passage way for as it works in the respiratory system?

A)Air and food
B)Air only
C)Food only
D)Debris

Answer 3

Air only

Question 4

A person's blood oxygen saturation level is 99% on room air. Through which of the following structures does the nurse realise that the oxygenated blood is transported to the heart ?

A)Pulmonary arteries
B)Jugular veins
C)Pulmonary veins
D)Superior vena cava

Question 5

Which of the following describes how the largest amount of carbon dioxide is transported?

A)Dissolved in plasma
B)Bound to haemoglobin
C)As a bicarbonate ion in plasma
D)Through an organic chemical

Question 6

During the palpation of a person's chest for expansion, the nurse notices a decrease in expansion of the right side. This finding is consistent with which of the following? Select all that apply.

A)Pneumothorax
B)Pleural effusion
C)Pneumonia
D)Emphysema

Question 7

Which of the following describes what happens to the respiratory rate when the level of carbon dioxide increases?

A)Respiratory rate decreases
B)Respiratory rate increases
C)No change seen in the respiratory rate
D)Respiratory rate becomes erratic

Question 8

The nurse notes that a person's respirations periodically stop while they are napping. How should these findings be documented?

A)Cheyne-Stokes respirations
B)Apnoea
C)Tachypnoea
D)Bradypnoea

Question 9

The nurse wants to assess the apex of a person's right lung. In which of the following locations should the nurse place the stethoscope to assess this person?

A)Near the right clavicle
B)Just to the right of the scapula
C)Intercostal space, fourth rib near the mid-axillary line
D)Intercostal space, sixth rib near the sternum

Question 10

A person is diagnosed with a middle ear infection. Which part of the person's airway does the nurse realise is affected?

A)Oral cavity
B)Oropharynx
C)Nasopharynx
D)Nasal cavity.

Question 11

Which of the following would be considered an important job of the paranasal sinuses?

A)Lighten the skull.
B)Assist in sneezing.
C)Push out through the nasal cavity.
D)Serves as a passageway for air and food.

Question 12

During the assessment of a person's respiratory status, the nurse locates the manubrium and the body of the sternum. What is this also called?

A)Mid-axillary line
B)Intercostal space
C)Xiphoid process
D)Angle of Louis

Question 13

During the assessment of a person, the nurse locates the approximate position of the larynx. This can be found by identifying which of the following?

A)The Adam's apple
B)The first intercostal space
C)The shoulder joint
D)The midclavicular line

Question 14

The nurse percusses hyper-resonance over a person's lungs. What is this finding consistent with?

A)Atelectasis
B)Lobar pneumonia
C)Pleurisy
D)Chronic asthma

Question 15

A person is diagnosed with a fracture of one floating rib. Which of the following ribs is most likely fractured?

A)1
B)4
C)8
D)12

Question 16

During the assessment of a person's voice sounds, the nurse hears increased and clear sounds over the person's right lower lobe. What is this finding consistent with?

A)Atelectasis
B)Lobar pneumonia
C)Pneumothorax
D)Emphysema

Question 17

During the assessment of a person's respirations, the nurse observes the expiration phase as being almost twice as long as the inspiration phase. What is this finding consistent with?

A)Acute respiratory distress
B)Bronchoconstriction
C)Chronic lung disease
D)Normal respiration

Question 18

A person is demonstrating poor exhalation. The nurse realises that this person is at risk of developing which of the following?

A)Increased carbon dioxide levels
B)Increased oxygen levels
C)Reduced oxygen capacity of red blood cells
D)Reduced respiratory reserve volume

Question 19

During pulmonary function tests, a person is found to have approximately 500 mL of air that moves in and out of the lungs during normal quiet breathing. What is this known as?

A)Total lung capacity
B)Tidal volume
C)Minute volume
D)Vital capacity

Question 20

During an assessment, a person begins to cough. The nurse realises that this means what?

A)The person is trying to expel sputum.
B)The person has a cold.
C)Something other than air was entering the larynx.
D)The person has a respiratory infection.

Question 21

Which of the following would describe what is covered by the double-layered membrane called the pleura?

A)Heart and lungs
B)Heart and thoracic cavities
C)Trachea and lungs
D)Lungs and the thoracic cavities

Question 22

Which of the following would be the reason for obtaining arterial blood gases from a patient?

A)To monitor the oxygen saturation
B)To check for fluid accumulation
C)To evaluate acid-base balances
D)to obtain a pleural fluid specimen