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Exam (elaborations)

NUR 242 MED SURG EXAM 3 NEWEST LATEST ACTUAL EXAM 250 QUESTIONS AND CORRECT DETAILED ANSWERS 2025

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What is ventilation? -Correct Answer the movement of air into and out of the lungs What is perfusion? -Correct Answer the circulation of blood through the lungs What are central chemoreceptors responsive to? -Correct Answer increased H+ in the brain ECF; increased PaCO2; "hypercarbic drive" What are peripheral chemoreceptors responsive to? -Correct Answer decreased pH; increased PaCO2; decreased PaO2; "hypoxic drive" What are elastic forces? -Correct Answer lungs recoil due to elastin, collagen, fibrin What are surface forces? -Correct Answer surface tension due to water-air interface What is airway resistance? -Correct Answer opposition to flow caused by the forces of friction; primarily determined by airway radius What is the distensibility of the lungs? -Correct Answer ease with which the lungs can be inflated What is lung distensibility increased in? -Correct Answer neonates and children; emphysema What is lung distensibility decreased in? -Correct Answer elderly; pneumonia, pulmonary edema, ARDS, atelectasis, fibrosis What is surfactant? -Correct Answer complex substance lining the alveoli and smallest bronchioles containing phospholipids and a number of apoproteins which reduces surface tension throughout the lungs, thereby contributing to its general compliance; stabilizes the alveoli and keeps them dry What produces surfactant? -Correct Answer produced by the Type II alveolar cells What is Ohm's law? -Correct Answer velocity = driving force/resistance What is Poiseuille law? -Correct Answer resistance = (8 x viscosity x length) / (pi x radius^4) What happens if the radius in the lungs goes down? -Correct Answer the resistance goes up How is the ventilation distributed in the lungs? -Correct Answer the top of the lungs are more distended and less compliant whereas the lower lung is small and highly compliant What factors affect lung perfusion? -Correct Answer lung capacitance; low resistance system; flow influenced by gravity; resistance primarily determined by vessel radius What does hypoxia lead to? -Correct Answer vasoconstriction of pulmonary vessels What does prolonged hypoxia lead to? -Correct Answer pulmonary hypertension What factors affect alveolar-capillary diffusion? -Correct Answer capillary permeability; surface area available for diffusion; concentration gradient for the gas; distance for diffusion What causes right shifts (decreased affinity) in Hemoglobin-O2 affinity? -Correct Answer acidemia; hyperthermia; hypercarbia What causes left shifts (increased affinity) in Hemoglobin-O2 affinity? -Correct Answer alkalemia; hypothermia; hypocarbia What is hypoxemia? -Correct Answer deficient blood oxygen; low PaO2; low O2 saturation What is hypoxia? -Correct Answer decreased tissue oxygen What is hypoxic hypoxia? -Correct Answer decreased tissue oxygen caused by decreased respirations What is anemic hypoxia? -Correct Answer decreased tissue oxygen caused by decreased hemoglobin

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NUR 242



NUR 242 MED SURG EXAM 3 NEWEST LATEST
ACTUAL EXAM 250 QUESTIONS AND
CORRECT DETAILED ANSWERS 2025
What is ventilation? -Correct Answer ✔the movement of air into and out of the
lungs

What is perfusion? -Correct Answer ✔the circulation of blood through the lungs

What are central chemoreceptors responsive to? -Correct Answer ✔increased H+
in the brain ECF;
increased PaCO2;
"hypercarbic drive"

What are peripheral chemoreceptors responsive to? -Correct Answer ✔decreased
pH;
increased PaCO2;
decreased PaO2;
"hypoxic drive"

What are elastic forces? -Correct Answer ✔lungs recoil due to elastin, collagen,
fibrin

What are surface forces? -Correct Answer ✔surface tension due to water-air
interface

What is airway resistance? -Correct Answer ✔opposition to flow caused by the
forces of friction; primarily determined by airway radius

What is the distensibility of the lungs? -Correct Answer ✔ease with which the
lungs can be inflated



NUR 242

,NUR 242


What is lung distensibility increased in? -Correct Answer ✔neonates and children;
emphysema

What is lung distensibility decreased in? -Correct Answer ✔elderly;
pneumonia, pulmonary edema, ARDS, atelectasis, fibrosis

What is surfactant? -Correct Answer ✔complex substance lining the alveoli and
smallest bronchioles containing phospholipids and a number of apoproteins which
reduces surface tension throughout the lungs, thereby contributing to its general
compliance;
stabilizes the alveoli and keeps them dry

What produces surfactant? -Correct Answer ✔produced by the Type II alveolar
cells

What is Ohm's law? -Correct Answer ✔velocity = driving force/resistance

What is Poiseuille law? -Correct Answer ✔resistance = (8 x viscosity x length) /
(pi x radius^4)

What happens if the radius in the lungs goes down? -Correct Answer ✔the
resistance goes up

How is the ventilation distributed in the lungs? -Correct Answer ✔the top of the
lungs are more distended and less compliant whereas the lower lung is small and
highly compliant

What factors affect lung perfusion? -Correct Answer ✔lung capacitance;
low resistance system;
flow influenced by gravity;
resistance primarily determined by vessel radius




NUR 242

,NUR 242


What does hypoxia lead to? -Correct Answer ✔vasoconstriction of pulmonary
vessels

What does prolonged hypoxia lead to? -Correct Answer ✔pulmonary hypertension

What factors affect alveolar-capillary diffusion? -Correct Answer ✔capillary
permeability;
surface area available for diffusion;
concentration gradient for the gas;
distance for diffusion

What causes right shifts (decreased affinity) in Hemoglobin-O2 affinity? -Correct
Answer ✔acidemia;
hyperthermia;
hypercarbia

What causes left shifts (increased affinity) in Hemoglobin-O2 affinity? -Correct
Answer ✔alkalemia;
hypothermia;
hypocarbia

What is hypoxemia? -Correct Answer ✔deficient blood oxygen;
low PaO2;
low O2 saturation

What is hypoxia? -Correct Answer ✔decreased tissue oxygen

What is hypoxic hypoxia? -Correct Answer ✔decreased tissue oxygen caused by
decreased respirations

What is anemic hypoxia? -Correct Answer ✔decreased tissue oxygen caused by
decreased hemoglobin



NUR 242

, NUR 242


What is circulatory hypoxia? -Correct Answer ✔decreased tissue oxygen caused
by decreased blood flow

What is histotoxic hypoxia? -Correct Answer ✔decreased tissue oxygen caused by
increased toxic substance

What is ischemia? -Correct Answer ✔greatly reduced or interrupted flow through
the arterial system, producing significant tissue hypoxia

What is hypercapnia? -Correct Answer ✔increased level of CO2 in the blood

What are S&S of acute hypoxia? -Correct Answer ✔dyspnea; restlessness;
palpitations; agitation; headache; tremors; diaphoresis; respiratory distress;
cyanosis; tachypnea; tachycardia; dysrhythmias; hypertension; lethargy; confusion
to coma

What are some effects of hypercapnia? -Correct Answer ✔respiratory acidosis
(decreased pH from increase in CO2); lethargy and confusion; increased HR and
BP; flushed skin; arrhythmias; seizures; coma; death

What is dyspnea? -Correct Answer ✔subjective feeling of being SOB

What does dyspnea lead to? -Correct Answer ✔decreased sense of wellness which
may cause psychological and social consequences

What is the leading cause of cancer death? -Correct Answer ✔lung cancer

What is lung cancer most likely caused by? -Correct Answer ✔cigarette smoking;
asbestos;
familial predisposition

What are the manifestations of lung cancer? -Correct Answer ✔cough, hemoptysis
(blood in cough sputum);


NUR 242

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