Deck 23: Assessment of Respiratory Function

Question 1

Which diagnostic procedure is used to remove pleural fluid for analysis?

A) Lung biopsy
B) Bronchoscopy
C) Thoracentesis
D) Sputum studies

Answer 1

Thoracentesis

Question 2

The nurse assesses a patient who presents with tachypnea and clubbing of the fingers.Based on this data,which diagnosis does the nurse anticipate for this patient?

A) Asthma
B) Chest trauma
C) Chronic hypoxemia
D) Chronic pulmonary obstructive disease

Answer 2

Chronic hypoxemia

Question 3

The nurse is caring for a patient with a suspected pulmonary embolism.Which radiology study does the nurse anticipate to be beneficial for the patient?

A) Chest x-ray
B) Pulmonary angiogram
C) Computed tomography
D) Magnetic resonance imaging

Answer 3

Computed tomography

Question 4

The nurse is providing care to a patient who undergoes a sputum study.Which will the sputum study help to diagnose?

A) Asthma
B) Lung cancer
C) Bacterial lung infection
D) Chronic obstructive pulmonary disease

Question 5

The nurse is caring for a patient with shortness of breath and respiratory rate of 28 breaths per minute.Which is the most preferred method to auscultate the chest of the patient with this condition?

A) Listening at the apices
B) Listening at the lung bases
C) Listening by comparing opposite areas of the chest
D) Listening to each cycle of inspiratory and expiratory cycle

Question 6

When percussing the patient's lung fields,the nurse notes a moderately low-pitched sound over the chest.Which term does the nurse use to describe these sounds?

A) Dull
B) Tympany
C) Resonance
D) Hyperresonance

Question 7

Which would the nurse assess when using palpation during the respiratory assessment?

A) Tracheal position
B) Bronchovesicular sounds
C) Lung density
D) Adventitious sounds

Question 8

The nurse is assessing a patient who is admitted with a persistent cough and is diagnosed with pulmonary edema.Which assessment finding supports the patient's diagnosis?

A) Foul smelling sputum
B) Clear,whitish,or yellow sputum
C) Large amounts of frothy,pink tinged sputum
D) Clear to gray with occasional specks of brown sputum

Question 9

While auscultating a patient's chest,the nurse notes wheezing.Based on this data,which diagnosis does the nurse anticipate?

A) Bronchiectasis
B) Pleural effusion
C) Pulmonary edema
D) Chronic obstructive pulmonary disease

Question 10

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?

A) Listening to sound over the bony structures
B) Asking the client to sit in an upright position
C) Instructing the client to breathe slowly through mouth
D) Beginning auscultation from lung apices and moving toward intercostal spaces

Question 11

Which is the term used to describe abnormal breath sounds?

A) Vesicular
B) Bronchial
C) Adventitious
D) Bronchovesicular

Question 12

A patient is admitted to the emergency department (ED)with dyspnea.Upon assessment,the nurse notes a bluish discoloration of the patient's lips,fine crackles on auscultation,and dullness upon percussion of the lung fields.Based on this data,which diagnosis does the nurse anticipate?

A) Asthma
B) Pleural effusion
C) Pulmonary edema
D) Pulmonary fibrosis

Question 13

The nurse is conducting a respiratory assessment for a patient who is diagnosed with asthma.Which assessment finding indicates the patient is experiencing airway irritation?

A) Hemoptysis
B) Dry,hacking cough
C) Harsh,barky cough
D) Loose-sounding cough

Question 14

The nurse is conducting a health history interview for a patient who is diagnosed with chronic obstructive pulmonary disease (COPD).Which question is appropriate when assessing the patient's nutrition-metabolic pattern?

A) "Have you lost any weight recently?"
B) "Do you have trouble getting to the toilet?"
C) "Does your breathing wake you up in the night?"
D) "Do you have any pain associated with breathing?"

Question 15

What is the function of the epiglottis?

A) To aid in the sensation of smell
B) To conduct gases to the alveoli
C) To filter small particles before air enters the lungs
D) To prevent the entry of solids and liquids into the lungs

Question 16

The nurse is assessing a patient who is diagnosed with tuberculosis.Which assessment finding supports this diagnosis?

A) Wheezing
B) Hemoptysis
C) Grey sputum
D) Slightly whitish sputum

Question 17

Which interconnected structure allows the movement of air between the alveoli?

A) Bronchioles
B) Pores of Kohn
C) Visceral pleura
D) Parietal pleura

Question 18

The nurse is providing care to a patient who will need a bronchoscopy.Which patient statement indicates appropriate understanding of the information presented?

A) "I will be awake and aware during the procedure."
B) "I will require mechanical ventilation after the procedure."
C) "I will need to have my prothrombin time drawn after the test."
D) "I will abstain from eating or drinking for eight hours prior to the procedure."

Question 19

The nurse is providing care to a patient who is diagnosed with asthma.Which noninvasive method will the nurse use to assess the patient's oxygenation status?

A) Pulse oximetry
B) Arterial blood gas
C) Venous blood gas
D) Cardiopulmonary monitor

Question 20

The nurse is performing pulmonary function testing on a patient.Which nursing action is beneficial to the patient?

A) Assessing for respiratory distress
B) Scheduling the test after a meal
C) Providing rest before the procedure
D) Administering an inhaled bronchodilator six hours before procedure

Question 21

Which is the major muscle of respiration?

A) Accessory muscle
B) Intercostal muscle
C) Diaphragm muscle
D) Abdominal muscle

Question 22

Which structure is located in the lower respiratory tract?

A) Alveoli
B) Larynx
C) Trachea
D) Pharynx

Question 23

The nurse is providing care to a patient who is diagnosed with pneumonia.The patient admits to smoking one pack of cigarettes per day.Which respiratory defense mechanism may have failed to cause the patient's diagnosis?

A) Cough reflex
B) Filtration of air
C) Alveolar macrophages
D) Mucociliary clearance system

Question 24

The nurse is conducting a respiratory assessment.Which respiratory manifestation indicates inadequate oxygenation?

A) Mild hypertension
B) Cool,clammy skin
C) Dyspnea on exertion
D) Unexplained apprehension

Question 25

What is the location of central chemoreceptors?

A) Lungs
B) Pores of Kohn
C) Roof of the nose
D) Medulla oblongata