NUR 3065 Exam 1 Questions With Complete Solutions
5 Rights Correct Answers Right patient/why taking
Right drug/med
Right dose
Right route
Right frequency
6 minute walking test Correct Answers used in respiratory
rehab; compares resting O2 state to walking
A person with a BMI of 18 is Correct Answers Underweight
A person with a BMI of 19-24 is Correct Answers Healthy
A person with a BMI of 25-29 is Correct Answers Overweight
A person with a BMI of 30-39 is Correct Answers Obese
A person with a BMI of 40 and above is Correct Answers
Severely Obese
Acute bronchitis Correct Answers -lasts up to 3 weeks
-infection of trachea and bronchi
-usually viral and dont require antibiotics
-no crackles or wheeze
-persistant cough and bronchial soreness, alveoli inflated
acute respiratory distress syndrome (ARDS) Correct Answers -
respiratory failure as a result of disease or injury
-acute onset of dyspnea, apprehension
,-restlessness, disorientation, rapid shallow breathing, productive
cough, thin, frothy sputum, intercostal retraction, respiratory
alkalosis, cyanosis late stage
-hypotension, tachycardia, crackles, rhonchi
Adventitious sounds: Atelectatic crackles Correct Answers -
sound like fine crackles but do not last and are not pathologic
-disappear after first few breaths
-in aging adults, bedridden person, or person aroused from sleep
Adventitious sounds: Course crackles or rales/popping sounds
Correct Answers pulmonary edema, pneumonia, pulmonary
fibrosis, terminally ill with depressed couch reflex
Adventitious sounds: Fine crackles or rales/popping sounds
Correct Answers -inspiratory crackles: inhaled air collides with
previously depleted airways and airways suddenly pop open
-expiratory crackles: sudden airway closing
-late inspiratory crackles: restrictive disease like pneumonia,
heart failure, interstitial fibrosis
-early inspiratory crackles: obstructive disease like chronic
bronchitis, asthma, emphysema
-posturally induced crackles: fine crackles from sitting to
laying/supine or supine to legs elevated
Aging/Elderly respiratory changes Correct Answers -barrel
chest
-kyphosis
-rigid thorax
-decreased elasticity lungs
-decreased chest expansion
,-may become dizzy taking deep breaths during auscultation
Apgar score Correct Answers 0- everything is absent; not
crying, no heart rate, flaccid/limp muscle tone, blue skin, no
reflex
1- HR less than 100, slow weak cry, some flexion in muscle,
weak cry and grimace for reflex, acrocyanosis (blue in
extremities)
2- HR above 100, good vigorous cry, good flexion and active
motion, vigorous cry, cough, sneeze, pink skin
Apnea Correct Answers no breaths for 15-20 seconds
ARDS defining characteristics Correct Answers -acute
pulmonary insult due to trauma, shock, sepsis, etc
-alveoli collapsed and distended
-acute onset of apprehension and dyspnea
-restlessness, disorientation, thin frothy sputum, intercostal
retractions, late sign cyanosis
-crackles, rhonchi
Assessment techniques Correct Answers -inspection
-palpation
-percussion
-auscultation
Asthma Correct Answers -allergic hypersensitivity to certain
inhaled allergens, irritants, microbes, stress or exercise
-RR increase
-O2 sat down
-wheezing
, -viscous mucus
-intercostal retraction
-chronic: barrel chest
-expiration labored and prolonged
Asthma attacks Correct Answers intercostal retractions
high pitch lung sounds
wheezes
breaths 40x per min
Asthma defining characteristics Correct Answers -allergic
hypersensitivity
-highly viscous mucus
-bilateral wheezing
-intercostal retraction
-chronic: barrel chest
-increased (24<) RR
-O2 down
Atelectasis Correct Answers -collapsed lung; incomplete
expansion of alveoli
-cough, lag of expansion on affected side, increased RR and
pulse, cyanosis
-chest expansion decreased on affected side, tactile fremitus
decreased or absent, trachea shift toward affected side, breath
sounds decreased vesicular or absent over area
-if bronchus is obstructed, no sounds. if bronchus is patent,
occasional fine crackles
5 Rights Correct Answers Right patient/why taking
Right drug/med
Right dose
Right route
Right frequency
6 minute walking test Correct Answers used in respiratory
rehab; compares resting O2 state to walking
A person with a BMI of 18 is Correct Answers Underweight
A person with a BMI of 19-24 is Correct Answers Healthy
A person with a BMI of 25-29 is Correct Answers Overweight
A person with a BMI of 30-39 is Correct Answers Obese
A person with a BMI of 40 and above is Correct Answers
Severely Obese
Acute bronchitis Correct Answers -lasts up to 3 weeks
-infection of trachea and bronchi
-usually viral and dont require antibiotics
-no crackles or wheeze
-persistant cough and bronchial soreness, alveoli inflated
acute respiratory distress syndrome (ARDS) Correct Answers -
respiratory failure as a result of disease or injury
-acute onset of dyspnea, apprehension
,-restlessness, disorientation, rapid shallow breathing, productive
cough, thin, frothy sputum, intercostal retraction, respiratory
alkalosis, cyanosis late stage
-hypotension, tachycardia, crackles, rhonchi
Adventitious sounds: Atelectatic crackles Correct Answers -
sound like fine crackles but do not last and are not pathologic
-disappear after first few breaths
-in aging adults, bedridden person, or person aroused from sleep
Adventitious sounds: Course crackles or rales/popping sounds
Correct Answers pulmonary edema, pneumonia, pulmonary
fibrosis, terminally ill with depressed couch reflex
Adventitious sounds: Fine crackles or rales/popping sounds
Correct Answers -inspiratory crackles: inhaled air collides with
previously depleted airways and airways suddenly pop open
-expiratory crackles: sudden airway closing
-late inspiratory crackles: restrictive disease like pneumonia,
heart failure, interstitial fibrosis
-early inspiratory crackles: obstructive disease like chronic
bronchitis, asthma, emphysema
-posturally induced crackles: fine crackles from sitting to
laying/supine or supine to legs elevated
Aging/Elderly respiratory changes Correct Answers -barrel
chest
-kyphosis
-rigid thorax
-decreased elasticity lungs
-decreased chest expansion
,-may become dizzy taking deep breaths during auscultation
Apgar score Correct Answers 0- everything is absent; not
crying, no heart rate, flaccid/limp muscle tone, blue skin, no
reflex
1- HR less than 100, slow weak cry, some flexion in muscle,
weak cry and grimace for reflex, acrocyanosis (blue in
extremities)
2- HR above 100, good vigorous cry, good flexion and active
motion, vigorous cry, cough, sneeze, pink skin
Apnea Correct Answers no breaths for 15-20 seconds
ARDS defining characteristics Correct Answers -acute
pulmonary insult due to trauma, shock, sepsis, etc
-alveoli collapsed and distended
-acute onset of apprehension and dyspnea
-restlessness, disorientation, thin frothy sputum, intercostal
retractions, late sign cyanosis
-crackles, rhonchi
Assessment techniques Correct Answers -inspection
-palpation
-percussion
-auscultation
Asthma Correct Answers -allergic hypersensitivity to certain
inhaled allergens, irritants, microbes, stress or exercise
-RR increase
-O2 sat down
-wheezing
, -viscous mucus
-intercostal retraction
-chronic: barrel chest
-expiration labored and prolonged
Asthma attacks Correct Answers intercostal retractions
high pitch lung sounds
wheezes
breaths 40x per min
Asthma defining characteristics Correct Answers -allergic
hypersensitivity
-highly viscous mucus
-bilateral wheezing
-intercostal retraction
-chronic: barrel chest
-increased (24<) RR
-O2 down
Atelectasis Correct Answers -collapsed lung; incomplete
expansion of alveoli
-cough, lag of expansion on affected side, increased RR and
pulse, cyanosis
-chest expansion decreased on affected side, tactile fremitus
decreased or absent, trachea shift toward affected side, breath
sounds decreased vesicular or absent over area
-if bronchus is obstructed, no sounds. if bronchus is patent,
occasional fine crackles
