Question 1

What is the earliest symptom of emphysema?

Accepted Answer

A) barrel-shaped chest 
B) dyspnea with activity 
C) daily morning cough with clear sputum 
D) ruddy complexion 
A) barrel-shaped chest 
B) dyspnea with activity 
C) daily morning cough with clear sputum 
D) ruddy complexion

Question 2

What is the purpose of an underwater seal for a thoracotomy tube?

Accepted Answer

A) to maintain a pressure consistent with pressure inside the lung itself 
B) to prevent the negative pressure within the pleural space from pulling more air in through the chest tube 
C) to reduce the pressure within the pleural space 
D) to reduce the surface tension of the pleura 
A) to maintain a pressure consistent with pressure inside the lung itself 
B) to prevent the negative pressure within the pleural space from pulling more air in through the chest tube 
C) to reduce the pressure within the pleural space 
D) to reduce the surface tension of the pleura

Question 3

The nurse notes the client has bluish,grayish,and purplish discolorations of the skin.The nurse documents this as:

Accepted Answer

A) acrocyanosis 
B) anoxia 
C) cyanosis 
D) hypoxemia 
A) acrocyanosis 
B) anoxia 
C) cyanosis 
D) hypoxemia

Question 4

Exchange of gases at the cellular level between tissue cells and blood is an example of:

Accepted Answer

A) diffusion 
B) internal respiration 
C) osmosis 
D) perfusion 
A) diffusion 
B) internal respiration 
C) osmosis 
D) perfusion

Question 5

The nurse is aware that coarse crackles,sonorous and sibilant wheezes,pleural friction rub,and stridor are examples of which type of breath sounds?

Accepted Answer

A) adventitious 
B) bronchial 
C) bronchialvesicular 
D) vesicular 
A) adventitious 
B) bronchial 
C) bronchialvesicular 
D) vesicular

Question 6

The nurse is caring for a client with a chest tube that has accidentally dislodged.Which of the following would be appropriate actions for the nurse to take? (Select all that apply. )

Accepted Answer

A) notify the physician 
B) notify the client's family 
C) cover the opening with a sterile dressing 
D) cover the opening with petrolatum gauze 
E) quickly reinsert the tube to prevent lung collapse
F)monitor for dyspnea 
A) notify the physician 
B) notify the client's family 
C) cover the opening with a sterile dressing 
D) cover the opening with petrolatum gauze 
E) quickly reinsert the tube to prevent lung collapse
F)monitor for dyspnea

Question 7

Which of these presenting complaints is associated with the client who has pneumonia?

Accepted Answer

A) a high fever with sudden onset 
B) a low fever with a nonproductive cough 
C) difficulty breathing and loss of circulation in the extremities 
D) painful,productive cough 
A) a high fever with sudden onset 
B) a low fever with a nonproductive cough 
C) difficulty breathing and loss of circulation in the extremities 
D) painful,productive cough

Question 8

If a client has a positive skin test for tuberculosis (TB),the nurse knows this result indicates that the client:

Accepted Answer

A) needs further testing 
B) has been infected with and has formed antibodies against tuberculosis 
C) has been infected with tuberculosis and requires immediate treatment 
D) has only been exposed to tuberculosis 
A) needs further testing 
B) has been infected with and has formed antibodies against tuberculosis 
C) has been infected with tuberculosis and requires immediate treatment 
D) has only been exposed to tuberculosis

Question 9

What is the name of the transparent membrane covering the lungs?

Accepted Answer

A) alveolar capillary membrane 
B) pericardium 
C) pleura 
D) viscera 
A) alveolar capillary membrane 
B) pericardium 
C) pleura 
D) viscera

Question 10

What are the initial symptoms of lung cancer?

Accepted Answer

A) dyspnea and blood-tinged sputum 
B) none because symptoms develop late in the course of the disease 
C) orthopnea and central cyanosis 
D) pain with respiratory effort 
A) dyspnea and blood-tinged sputum 
B) none because symptoms develop late in the course of the disease 
C) orthopnea and central cyanosis 
D) pain with respiratory effort

Question 11

Upon auscultation of breath sounds,a nurse hears a high pitched,whistlelike sound both on inspiration and expiration.These sounds are indicative of which of these conditions?

Accepted Answer

A) fluid accumulation in the lungs 
B) inflammation of the pleura 
C) obstructed or narrowed airways as in bronchospasm 
D) obstruction due to secretions blocking the airway 
A) fluid accumulation in the lungs 
B) inflammation of the pleura 
C) obstructed or narrowed airways as in bronchospasm 
D) obstruction due to secretions blocking the airway

Question 12

What is the MOST common cause of atelectasis?

Accepted Answer

A) A bronchiole becomes blocked with secretions,and distal alveoli collapse. 
B) Alveoli distal to the affected bronchiole become overdistended with trapped air,and they rupture. 
C) Bronchi within the affected portion of the lung become chronically dilated. 
D) Pressure inside the affected portion of the lung has become less than the pressure outside the body. 
A) A bronchiole becomes blocked with secretions,and distal alveoli collapse. 
B) Alveoli distal to the affected bronchiole become overdistended with trapped air,and they rupture. 
C) Bronchi within the affected portion of the lung become chronically dilated. 
D) Pressure inside the affected portion of the lung has become less than the pressure outside the body.

Question 13

What is the BEST method for preventing lung cancer?

Accepted Answer

A) annual physical examinations 
B) smoking cessation,including exposure to secondhand smoke 
C) protecting oneself in the workplace or at school from exposure to carcinogens such as asbestos 
D) supporting efforts to decrease air pollution 
A) annual physical examinations 
B) smoking cessation,including exposure to secondhand smoke 
C) protecting oneself in the workplace or at school from exposure to carcinogens such as asbestos 
D) supporting efforts to decrease air pollution

Question 14

Which of these terms describes the presence of blood within the pleural space?

Accepted Answer

A) hemothorax 
B) pleural effusion 
C) pleuritis 
D) pneumothorax 
A) hemothorax 
B) pleural effusion 
C) pleuritis 
D) pneumothorax

Question 15

Which of these statements about the pressure within the pleural space is TRUE?

Accepted Answer

A) It is always changing to compensate for inhalation or exhalation. 
B) It is greater than outside air. 
C) It is less than outside air. 
D) It is the same as atmospheric pressure. 
A) It is always changing to compensate for inhalation or exhalation. 
B) It is greater than outside air. 
C) It is less than outside air. 
D) It is the same as atmospheric pressure.

Question 16

What is the purpose of the alveolar macrophages?

Accepted Answer

A) to produce mucus 
B) to produce surfactant 
C) to remove foreign particles 
D) to release histamine 
A) to produce mucus 
B) to produce surfactant 
C) to remove foreign particles 
D) to release histamine

Question 17

What is the mechanism of gas exchange at the alveolar capillary membrane?

Accepted Answer

A) diffusion 
B) filtration 
C) osmosis 
D) transference 
A) diffusion 
B) filtration 
C) osmosis 
D) transference

Question 18

Which type of pneumothorax is considered life-threatening?

Accepted Answer

A) spontaneous 
B) tension 
C) open 
D) closed 
A) spontaneous 
B) tension 
C) open 
D) closed

Question 19

When administering oxygen to clients with conditions such as emphysema,it is important for the nurse to remember that for these clients the:

Accepted Answer

A) drive to breathe may be dependent on low levels of oxygen in the blood 
B) respiratory rate may be increased a great part of the time 
C) intercostal muscles contract during inspiration,but fail to relax during expiration 
D) lung stretch receptors may fail to monitor the patterns of breathing 
A) drive to breathe may be dependent on low levels of oxygen in the blood 
B) respiratory rate may be increased a great part of the time 
C) intercostal muscles contract during inspiration,but fail to relax during expiration 
D) lung stretch receptors may fail to monitor the patterns of breathing

Question 20

Which breath sounds are soft and low in pitch and may be inaudible on expiration?

Accepted Answer

A) bronchial 
B) bronchovesicular 
C) tracheovesicular 
D) vesicular 
A) bronchial 
B) bronchovesicular 
C) tracheovesicular 
D) vesicular

Exam 35: Respiratory System

What is the earliest symptom of emphysema?

What is the purpose of an underwater seal for a thoracotomy tube?

The nurse notes the client has bluish,grayish,and purplish discolorations of the skin.The nurse documents this as:

Exchange of gases at the cellular level between tissue cells and blood is an example of:

The nurse is aware that coarse crackles,sonorous and sibilant wheezes,pleural friction rub,and stridor are examples of which type of breath sounds?

The nurse is caring for a client with a chest tube that has accidentally dislodged.Which of the following would be appropriate actions for the nurse to take? (Select all that apply. )

Which of these presenting complaints is associated with the client who has pneumonia?

If a client has a positive skin test for tuberculosis (TB),the nurse knows this result indicates that the client:

What is the name of the transparent membrane covering the lungs?

What are the initial symptoms of lung cancer?

Upon auscultation of breath sounds,a nurse hears a high pitched,whistlelike sound both on inspiration and expiration.These sounds are indicative of which of these conditions?

What is the MOST common cause of atelectasis?

What is the BEST method for preventing lung cancer?

Which of these terms describes the presence of blood within the pleural space?

Which of these statements about the pressure within the pleural space is TRUE?

What is the purpose of the alveolar macrophages?

What is the mechanism of gas exchange at the alveolar capillary membrane?

Which type of pneumothorax is considered life-threatening?

When administering oxygen to clients with conditions such as emphysema,it is important for the nurse to remember that for these clients the:

Which breath sounds are soft and low in pitch and may be inaudible on expiration?

Student Nurse Skills for Success

Holistic Care

Nursing History, Education, and Organizations

Legal and Ethical Responsibilities

The Health Care Delivery System

Arenas of Care

Communication

Client Teaching

Nursing Processdocumentationinformatics

Life Span Development

Cultural Considerations

Stress, Adaptation, and Anxiety

Loss, Grief, and Death

Wellness Concepts

Self-Concept

Spirituality

Complementary Alternative Therapies

Basic Nutrition

Rest and Sleep

Safety-Hygiene

Infection Controlasepsis

Standard Precautions and Isolation

Bioterrorism

Fluid, Electrolyte, and Acid-Base Balance

Medication Administration and IV Therapy

Assessment

Pain Management

Diagnostic Tests

Basic Procedures

Intermediate Procedures

Advanced Procedures

Anesthesia

Surgery

Oncology

Cardiovascular System

Hematologic and Lymphatic Systems

Gastrointestinal System

Urinary System

Musculoskeletal System

Neurological System

Sensory System

Endocrine System

Reproductive System

Sexually Transmitted Diseases

Integumentary System

Immune System

Mental Illness

Substance Abuse

The Older Adult

Ambulatory, Restorative, and Palliative Care in Community Settings

Responding to Emergencies

Integration

Prenatal Care

Complications of Pregnancy

The Birth Process

Postpartum Care

Newborn Care

Basics of Pediatric Care

Infants With Special Needs: Birth to 12 Months