NUR 2502 / NUR2502 Multidimensional Care III / MDC 3 Exam 2
Review Test
UPDATED ACTUAL Exam Questions and CORRECT Answers
Question 1.
if a patient's lung are not functioning very well and they are unable to remove or blow
off CO2 very well, the CO2 will build up in their system becoming
Correct Answer: acidic, respiratory acidosis
Question 2.
Perfusion
Correct Answer: is adequate arterial blood flow through the peripheral tissues
(peripheral perfusion) and blood that is pumped by the heart to oxygenate
major body organs (central perfusion)
Question 3.
upper respiratory tract
Correct Answer: nose, sinuses, pharynx, larynx
Question 4.
Lower respiratory tract
Correct Answer: Lungs,Trachea, two mainstem bronchi, lobar, segmental, and
subsegmental bronchi; bronchioles; alveolar ducts; alveoli
Question 5.
common cause of respiratory ailments
Correct Answer: Cigarette smoke
Question 6.
Nursing care of a patient experiencing upper respiratory system disorders
Correct Answer: maintaining a patent airway to allow adequate ventilation
and oxygenation. Along with a focused respiratory assessment, the nurse will
utilize information obtained from the patient and family during the admission
history interview. Information regarding the patient's history of upper
respiratory disorders, smoking, and environmental exposures will be utilized
to determine the necessary testing and treatment
,Question 7.
Normal Changes in Aging Adults
Correct Answer: Alveoli function decreases Ability to cough decreases Lungs
loose residual volume, vital capacity and gas exchange decreases. Respiratory
muscles atrophy Vascular resistance increases, capillary flow decreases
Susceptibility to infection increases.
Question 8.
The turbinates
Correct Answer: three bones that protrude into the nasal cavities from the
internal portion of the nose increase the total surface area for filtering,
warming, and humidifying inspired air before it passes into the nasopharynx.
Question 9.
The paranasal sinuses
Correct Answer: air-filled cavities within the bones that surround the nasal
passages Lined with ciliated membrane, the sinuses provide resonance to
speech, decrease the weight of the skull, and act as shock absorbers in the
event of facial trauma..
Question 10.
Fremitus refers to vibratory tremors that can be felt through the chest by palpation,
Increased fremitus may indicate
Correct Answer: compression or consolidation of lung tissue, as occurs in
pneumonia.
Question 11.
Lung sounds
Correct Answer: Bronchial Bronchovesicular Vesicular
Question 12.
Adventitious sounds
Correct Answer: Crackles Wheezes Rhonchus Pleural friction rub
Question 13.
Other Indicators of Respiratory Adequacy
Correct Answer: Cyanosis, decreased capillary refill, clubbing of nails in
fingers, level of consciousness, Chest Circumference, Anxiety, Dyspnea
Orthopnea, General Appearance
,Question 14.
Diagnostic Assessment of lungs
Correct Answer: Laboratory assessment - RBC - ABG- is a blood gas and this
tells us the acid base balance of the patient - Sputum- can tell us if
microorganisms are growing in the lung - describe color, clarity, and any odor
Imaging assessment - x-rays-Xrays show us areas of opaque which usually
indicate pneumonia/consolidation of fluid -CT- computed tomography. Lung
nodules, areas of fluid buildup
Other noninvasive diagnostic assessments
- Pulse oximetry-circulating O2- tells us oxygen levels in the tissues- usually
fingers, toes, or earlobes
- Capnometry and capnography-how much CO2 is leaving the lungs.
-PFTs-Lung function- tell us how well the lungs function at moving air in and
out - Exercise testing-Exercise tolerance
Question 15.
Invasive Diagnostic Assessment
Correct Answer: -Endoscopic examinations -Bronchoscopy- is a camera that
looks at the airway passages -Thoracentesis- can remove fluid buildup from
the lung -Lung biopsy- is used to diagnose some lung diseases or cancer
• Which assessment finding for an older adult patient does the nurse ascribe
to the natural aging process? -✓✓A.Tightening of the vocal cords B.Decrease
in residual volume C.Decrease in the anteroposterior diameter D.Decrease in
respiratory muscle strength
D. As a person ages, vocal cords become slack, changing the quality and
strength of the voice; the anteroposterior diameter increases; respiratory
muscle strength decreases; and the residual volume increases.
Question 16.
The nurse knows that under normal physiologic conditions of tissue perfusion, a patient
will have what percent of oxygen dissociate from the hemoglobin molecule?
Correct Answer: A.25% B.50% C.75% D.100%
ANS: B Oxygen dissociates with the hemoglobin molecule based on the need
for oxygen to perfuse tissues. Under normal conditions, 50% of hemoglobin
molecules completely dissociate their oxygen molecules when blood perfuses
tissues that have an oxygen tension (concentration) of 26 mm Hg. This is
considered a "normal" point at which 50% of hemoglobin molecules are no
longer saturated with oxygen.
Question 17.
Which assessment finding does the nurse interpret that is associated most closely with
lung disease?
, Correct Answer: A.Cough B.Dyspnea C.Chest pain D.Sputum production
ANS: A
Cough is a main sign of lung disease. Dyspnea (difficulty in breathing or
breathlessness) is a subjective perception and varies among patients. A
patient's feeling of dyspnea may not be consistent with the severity of the
presenting problem. Sputum production may be associated with coughing and
indicate an acute or chronic lung condition. Chest pain can occur with other
health problems, as well as with lung problems.
Question 18.
Head and Neck Cancer
Correct Answer: Squamous cell carcinoma and slow growing Begins with
mucus that is chronically irritated, becoming tougher and thicker Leukoplakia
and erythroplakia lesions Spreads to local lymph nodes, muscle and bone,
then to liver or lungs.
Question 19.
Risks of head and neck cancer
Correct Answer: •Tobacco use
•Alcohol use
•Voice abuse
•Chronic laryngitis
•Exposure to chemicals
•Poor hygiene
•Long-term gastroesophageal reflux disease
•Oral infections with human papillomavirus
Question 20.
Assessment: Noticing- head and neck cancer
Correct Answer: Lumps in mouth, throat, neck Difficulty swallowing Color
changes in mouth or tongue Oral lesion or sore that does not heal in 2 weeks
Persistent, unilateral ear pain Persistent/unexplained oral bleeding Numbness
of mouth, lips, or face Change in fit of dentures Hoarseness or change in voice
quality Persistent/recurrent sore throat Shortness of breath Anorexia and
weight loss Change in fit of dentures Burning sensation when drinking citrus
or hot liquids
Question 21.
The priority interprofessional collaborative problems for patients with head and neck
cancer include
Correct Answer: Potential for airway obstruction Potential for aspiration
Anxiety Decreased self esteem
Review Test
UPDATED ACTUAL Exam Questions and CORRECT Answers
Question 1.
if a patient's lung are not functioning very well and they are unable to remove or blow
off CO2 very well, the CO2 will build up in their system becoming
Correct Answer: acidic, respiratory acidosis
Question 2.
Perfusion
Correct Answer: is adequate arterial blood flow through the peripheral tissues
(peripheral perfusion) and blood that is pumped by the heart to oxygenate
major body organs (central perfusion)
Question 3.
upper respiratory tract
Correct Answer: nose, sinuses, pharynx, larynx
Question 4.
Lower respiratory tract
Correct Answer: Lungs,Trachea, two mainstem bronchi, lobar, segmental, and
subsegmental bronchi; bronchioles; alveolar ducts; alveoli
Question 5.
common cause of respiratory ailments
Correct Answer: Cigarette smoke
Question 6.
Nursing care of a patient experiencing upper respiratory system disorders
Correct Answer: maintaining a patent airway to allow adequate ventilation
and oxygenation. Along with a focused respiratory assessment, the nurse will
utilize information obtained from the patient and family during the admission
history interview. Information regarding the patient's history of upper
respiratory disorders, smoking, and environmental exposures will be utilized
to determine the necessary testing and treatment
,Question 7.
Normal Changes in Aging Adults
Correct Answer: Alveoli function decreases Ability to cough decreases Lungs
loose residual volume, vital capacity and gas exchange decreases. Respiratory
muscles atrophy Vascular resistance increases, capillary flow decreases
Susceptibility to infection increases.
Question 8.
The turbinates
Correct Answer: three bones that protrude into the nasal cavities from the
internal portion of the nose increase the total surface area for filtering,
warming, and humidifying inspired air before it passes into the nasopharynx.
Question 9.
The paranasal sinuses
Correct Answer: air-filled cavities within the bones that surround the nasal
passages Lined with ciliated membrane, the sinuses provide resonance to
speech, decrease the weight of the skull, and act as shock absorbers in the
event of facial trauma..
Question 10.
Fremitus refers to vibratory tremors that can be felt through the chest by palpation,
Increased fremitus may indicate
Correct Answer: compression or consolidation of lung tissue, as occurs in
pneumonia.
Question 11.
Lung sounds
Correct Answer: Bronchial Bronchovesicular Vesicular
Question 12.
Adventitious sounds
Correct Answer: Crackles Wheezes Rhonchus Pleural friction rub
Question 13.
Other Indicators of Respiratory Adequacy
Correct Answer: Cyanosis, decreased capillary refill, clubbing of nails in
fingers, level of consciousness, Chest Circumference, Anxiety, Dyspnea
Orthopnea, General Appearance
,Question 14.
Diagnostic Assessment of lungs
Correct Answer: Laboratory assessment - RBC - ABG- is a blood gas and this
tells us the acid base balance of the patient - Sputum- can tell us if
microorganisms are growing in the lung - describe color, clarity, and any odor
Imaging assessment - x-rays-Xrays show us areas of opaque which usually
indicate pneumonia/consolidation of fluid -CT- computed tomography. Lung
nodules, areas of fluid buildup
Other noninvasive diagnostic assessments
- Pulse oximetry-circulating O2- tells us oxygen levels in the tissues- usually
fingers, toes, or earlobes
- Capnometry and capnography-how much CO2 is leaving the lungs.
-PFTs-Lung function- tell us how well the lungs function at moving air in and
out - Exercise testing-Exercise tolerance
Question 15.
Invasive Diagnostic Assessment
Correct Answer: -Endoscopic examinations -Bronchoscopy- is a camera that
looks at the airway passages -Thoracentesis- can remove fluid buildup from
the lung -Lung biopsy- is used to diagnose some lung diseases or cancer
• Which assessment finding for an older adult patient does the nurse ascribe
to the natural aging process? -✓✓A.Tightening of the vocal cords B.Decrease
in residual volume C.Decrease in the anteroposterior diameter D.Decrease in
respiratory muscle strength
D. As a person ages, vocal cords become slack, changing the quality and
strength of the voice; the anteroposterior diameter increases; respiratory
muscle strength decreases; and the residual volume increases.
Question 16.
The nurse knows that under normal physiologic conditions of tissue perfusion, a patient
will have what percent of oxygen dissociate from the hemoglobin molecule?
Correct Answer: A.25% B.50% C.75% D.100%
ANS: B Oxygen dissociates with the hemoglobin molecule based on the need
for oxygen to perfuse tissues. Under normal conditions, 50% of hemoglobin
molecules completely dissociate their oxygen molecules when blood perfuses
tissues that have an oxygen tension (concentration) of 26 mm Hg. This is
considered a "normal" point at which 50% of hemoglobin molecules are no
longer saturated with oxygen.
Question 17.
Which assessment finding does the nurse interpret that is associated most closely with
lung disease?
, Correct Answer: A.Cough B.Dyspnea C.Chest pain D.Sputum production
ANS: A
Cough is a main sign of lung disease. Dyspnea (difficulty in breathing or
breathlessness) is a subjective perception and varies among patients. A
patient's feeling of dyspnea may not be consistent with the severity of the
presenting problem. Sputum production may be associated with coughing and
indicate an acute or chronic lung condition. Chest pain can occur with other
health problems, as well as with lung problems.
Question 18.
Head and Neck Cancer
Correct Answer: Squamous cell carcinoma and slow growing Begins with
mucus that is chronically irritated, becoming tougher and thicker Leukoplakia
and erythroplakia lesions Spreads to local lymph nodes, muscle and bone,
then to liver or lungs.
Question 19.
Risks of head and neck cancer
Correct Answer: •Tobacco use
•Alcohol use
•Voice abuse
•Chronic laryngitis
•Exposure to chemicals
•Poor hygiene
•Long-term gastroesophageal reflux disease
•Oral infections with human papillomavirus
Question 20.
Assessment: Noticing- head and neck cancer
Correct Answer: Lumps in mouth, throat, neck Difficulty swallowing Color
changes in mouth or tongue Oral lesion or sore that does not heal in 2 weeks
Persistent, unilateral ear pain Persistent/unexplained oral bleeding Numbness
of mouth, lips, or face Change in fit of dentures Hoarseness or change in voice
quality Persistent/recurrent sore throat Shortness of breath Anorexia and
weight loss Change in fit of dentures Burning sensation when drinking citrus
or hot liquids
Question 21.
The priority interprofessional collaborative problems for patients with head and neck
cancer include
Correct Answer: Potential for airway obstruction Potential for aspiration
Anxiety Decreased self esteem
