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31 Cards in this Set

  • Front
  • Back

The pathway for external breathing is given below in random order after the nurse educator dropped the note cards on the floor. What is the correct sequence for the pathway for external breathing to the alveoli level in the pathway?


1. Nose


2. Larynx


3. Bronchi


4. Trachea


5. Bronchioles


6. Pharynx


A. 1,6,2,4,3,5


B. 2,4,6,1,5,3


C. 3,1,2,5,4,6


D. 4,2,5,3,1,6

A. 1,6,2,4,3,5

A nurse on rounds observes that a client has been eating food rather hastily. Based on this information the nurse knows that what structure of the respiratory system prevents foreign matter from entering the lower respiratory system?


A. Trachea


B. Esophagus


C. Epiglottis


D. Pharynx

C. Epiglottis

A nurse on rounds observes that a client who has been eating food rather hastily has begun to cough. The nurse knows that if food accidentally becomes lodged in a particular structure of the respiratory system that coughing can usually dislodge it. Based on this information which structure of the respiratory system does this involve?


A. Trachea


B. Esophagus


C. Epiglottis


D. Larynx

D. Larynx

A client has been admitted to the healthcare agency with aspiration pneumonia. Based on this information, what portion of the lower respiratory system is more susceptible to aspiration of fluids or foreign objects?


A. Right bronchus


B. Left bronchus


C. Right bronchioles


D. Left bronchioles

A. Right bronchus

The nurse is taking care of a client with pleurisy. The client is complaining of a "sticking" pain on inspiration. Based on this information, what are conditions that can cause pleurisy?


1. Lung tumor


2. Sinus infection


3. Tuberculosis


4. Lung abscess


5. Pneumonia


A. 1,2,3,4


B. 1,3,4,5


C. 1,2,3,5


D. 2,3,4,5

B. 1,3,4,5

The organs of the respiratory system are mixed up on the presentation slide. The presenter has requested that the audience identify the correct sequence in which the organs function during respiration. What is the correct sequence in which the organs of the respiratory system function during respiration, from the nose to the lungs.


1. Alveolar sac


2. Epiglottis


3. Larynx


4. Nasal cavity


5. Nasopharynx


6. Trachea


A. 1,2,4,5,3,6


B. 3,4,6,5,2,1


C. 4,5,2,3,6,1


D. 4,3,2,6,1,5

C. 4,5,2,3,6,1

The mother of a client complains of getting no sleep because of excessive snoring from the client every night. The nurse is reviewing with the mother what causes the snoring. What is the best response to the mother of the client about the cause of snoring?


A. Enlargement of the adenoids


B. Elevation of the soft palate


C. Elevation of the uvula


D. Swollen Eistachian tubes

A. Enlargement of the adenoids

The nurse is listening to the clients lungs and is having difficulty hearing anything. A review of the electronic medical records states that the client has developed atelectasis. Based on this information, what is the best description of atelectasis to tell the client?


A. Inflammation of the pleura


B. Inflammation of the trachea


C. Air or fluid accumulation blocked in the trachea


D. Air or fluid accumulation in the pleural space

D. Air or fluid accumulation in the pleural space

The nurse is listening to the clients lungs and is having difficulty hearing anything. A review of the electronic medical records states that the client has developed atelectasis. Based on this information, what is the best description of atelectasis to tell the client?


A. Inflammation of the pleura


B. Inflammation of the trachea


C. Air or fluid accumulation blocked in the trachea


D. Air or fluid accumulation in the pleural space

D. Air or fluid accumulation in the pleural space

A nurse on rounds is assessing a clients respirations. The electronic medical records indicate that the client has been experiencing Orthopnea. Based on this information, what is Orthopnea?


A. Normal respiration


B. Difficulty breathing


C. Rapid breathing above the normal respiratory rate


D. Dyspnea that is relieved when the person sits up

D. Dyspnea that is relieved when the person sits up

The nurse is listening to the clients lungs and is having difficulty hearing anything. A review of the electronic medical records states that the client has developed atelectasis. Based on this information, what is the best description of atelectasis to tell the client?


A. Inflammation of the pleura


B. Inflammation of the trachea


C. Air or fluid accumulation blocked in the trachea


D. Air or fluid accumulation in the pleural space

D. Air or fluid accumulation in the pleural space

A nurse on rounds is assessing a clients respirations. The electronic medical records indicate that the client has been experiencing Orthopnea. Based on this information, what is Orthopnea?


A. Normal respiration


B. Difficulty breathing


C. Rapid breathing above the normal respiratory rate


D. Dyspnea that is relieved when the person sits up

D. Dyspnea that is relieved when the person sits up

The nurse observes a client that is having difficulty breathing and sees that the client is using accessory muscles. Based on this information, in which age group is the use of accessory muscles particularly diagnostic of respiratory distress?


A. Infants


B. School Age Children


C. Adolescents


D. Elderly

A. Infants

The nurse is listening to the clients lungs and is having difficulty hearing anything. A review of the electronic medical records states that the client has developed atelectasis. Based on this information, what is the best description of atelectasis to tell the client?


A. Inflammation of the pleura


B. Inflammation of the trachea


C. Air or fluid accumulation blocked in the trachea


D. Air or fluid accumulation in the pleural space

D. Air or fluid accumulation in the pleural space

A nurse on rounds is assessing a clients respirations. The electronic medical records indicate that the client has been experiencing Orthopnea. Based on this information, what is Orthopnea?


A. Normal respiration


B. Difficulty breathing


C. Rapid breathing above the normal respiratory rate


D. Dyspnea that is relieved when the person sits up

D. Dyspnea that is relieved when the person sits up

The nurse observes a client that is having difficulty breathing and sees that the client is using accessory muscles. Based on this information, in which age group is the use of accessory muscles particularly diagnostic of respiratory distress?


A. Infants


B. School Age Children


C. Adolescents


D. Elderly

A. Infants

The nurse is reviewing with a group of clients about the regulators of breathing and how they function. What is the best explanation by the nurse to the clients about the role of the medulla in the regulation of respirations?


A. Works to produce a normal breathing rhythm


B. Allows some voluntary control over breathing


C. Stimulates the muscles of respirations


D. Involuntary control of the depth and rate of respirations

D. Involuntary control of the depth and rate of respirations

The nurse is reviewing the diagnostic test results for a client on the pulmonary care unit. Based on this information, what diagnostic test result would best lead to stimulation of the medulla to increase respirations?


A. Low carbon dioxide


B. High carbon dioxide


C. High oxygen


D. Low pH

D. Low pH

The nurse is encouraging a client to cough frequently and complete deep breathing exercises. The nurse knows that many factors can cause a decrease of gas exchange for clients. Based on this information, what are factors that can cause a decrease in gas exchange?


1. Immobility


2. Shaken baby syndrome


3. Thoracic/pulmonary surgery


4. Pneumonia



A. 1,2,3


B. 1,2,4


C. 1,3,4


D. 2,3,4

C. 1,3,4

The nurse is encouraging a client to cough frequently and complete deep breathing exercises. The nurse knows that many factors can cause a decrease of gas exchange for clients. Based on this information, what are factors that can cause a decrease in gas exchange?


1. Immobility


2. Shaken baby syndrome


3. Thoracic/pulmonary surgery


4. Pneumonia



A. 1,2,3


B. 1,2,4


C. 1,3,4


D. 2,3,4

C. 1,3,4

The nurse is reviewing the primary function of the respiratory system- the exchange of gases. While describing the exchange of gases in the body, how would the nurse best explain the formation of carbonic acid?


A. Reaction of carbon dioxide with water


B. Combination of hydrogen ions


C. Combination of bicarbonate ions


D. A waste product of metabolism

A. Reaction of carbon dioxide with water

The student nurse is very anxious about the upcoming nursing examination and is hyperventilating. Based on this information, what acid-base imbalance is most likely to occur for the nursing student?


A. Respiratory acidosis


B. Respiratory alkalosis


C. Metabolic acidosis


D. Metabolic alkalosis

B. Respiratory alkalosis

The nurse is reviewing with a group of older clients at the senior citizen center that the organs of the respiratory system lose some elasticity with age. Based on this information, what obstructive disorder of the respiratory tract can occur in the older adult?


A. Pleural effusion


B. Fibrosis


C. Asthma


D. Pulmonary embolism

C. Asthma

A client who has been admitted to the healthcare center has been diagnosed with emphysema. The arterial blood gas results reveal respiratory acidosis. Based on this information, what should the nurse explain to the client that is the cause of the respiratory acidosis?


A. Too little carbon dioxide in the blood


B. Presence of food in the respiratory passage


C. Excess carbon dioxide in the blood


D. Inflammation of the pleura

C. Excess carbon dioxide in the blood

A 42-year old male client has a history of smoking for 20 years. The client states he is feeling fine and asks why stopping smoking is necessary. What information might the nurse share with the client about smoking?


A. Smoking decreases the size of the tubes leading to the lungs


B. The chest becomes more elastic with increased time of smoking


C. Carbon dioxide levels may decrease in the lungs


D. Smoking causes the respiratory system to increase oxygen delivery to the lungs

A. Smoking decreases the size of the tubes leading to the lungs

An elderly client is admitted to a healthcare facility with shortness of breath. An x-Ray study indicates left lower lobe pneumonia. The client asks the nurse why the elderly are more susceptible to pneumonia. What would be the best explanation by the nurse to the client about the reason that the elderly are more susceptible to pneumonia?


A. Change in ration of the pressure of oxygen and carbon dioxide


B. Chest wall becomes stiffer and the lungs cannot expand


C. Tar build-up in the lungs


D. Decreased secretion of mucus in the respiratory lining

D. Decreased secretion of mucus on the respiratory lining

An elderly client is admitted to a healthcare facility with shortness of breath. An x-Ray study indicates left lower lobe pneumonia. The client asks the nurse why the elderly are more susceptible to pneumonia. What would be the best explanation by the nurse to the client about the reason that the elderly are more susceptible to pneumonia?


A. Change in ration of the pressure of oxygen and carbon dioxide


B. Chest wall becomes stiffer and the lungs cannot expand


C. Tar build-up in the lungs


D. Decreased secretion of mucus in the respiratory lining

D. Decreased secretion of mucus on the respiratory lining

A client has returned from out patient surgery where a biopsy revealed a nodule on the laryngopharynx. The client asks where this is located. What is the best response by the nurse to the client about the location of the laryngopharynx?


A. Section of the pharynx from the nates to the uvula


B. Part of the pharynx extending from the uvula to the epiglottis


C. Lowest portion of the pharynx


D. Connects the nasopharynx to the middle ear

C. Lowest portion of the pharynx

An elderly client is admitted to a healthcare facility with shortness of breath. An x-Ray study indicates left lower lobe pneumonia. The client asks the nurse why the elderly are more susceptible to pneumonia. What would be the best explanation by the nurse to the client about the reason that the elderly are more susceptible to pneumonia?


A. Change in ration of the pressure of oxygen and carbon dioxide


B. Chest wall becomes stiffer and the lungs cannot expand


C. Tar build-up in the lungs


D. Decreased secretion of mucus in the respiratory lining

D. Decreased secretion of mucus on the respiratory lining

A client has returned from out patient surgery where a biopsy revealed a nodule on the laryngopharynx. The client asks where this is located. What is the best response by the nurse to the client about the location of the laryngopharynx?


A. Section of the pharynx from the nates to the uvula


B. Part of the pharynx extending from the uvula to the epiglottis


C. Lowest portion of the pharynx


D. Connects the nasopharynx to the middle ear

C. Lowest portion of the pharynx

A client has been re admitted for the right lower love pneumonia. The client asks why he keeps getting pneumonia on the right side and not the left. Based on this information, which point will help a nurse emphasize with the client why the right bronchus is more susceptible to fluids or foreign objects than the left?


A. The right bronchus if short


B. The right bronchus is narrow


C. The right lung had three lobes


D. The left lung has two lobes

A. The right bronchus is short