NURS 6011 Exam 2 Questions with Verified Answers Graded A+
carina - Answers the __ is the site of the cough reflex
carina (approximately the 2nd rib space)
this signals that tubing is near the lungs and if the cough is effective suctioning may begin -
Answers patients who need nasotracheal suctioning will cough when the nasotracheal tubing
reaches the
xiphoid - Answers during CPR hand are placed above the __ process to avoid breaking it off form
the sternum and causing complications such as pneumothorax, hemothorax, or liver injury
two, three - Answers the left lung has __ lobes. the right lung has __ lobes
base, apex - Answers the __ refers to the very bottom of the lung fields, the __ is the very top
opposite of the labeling of the heart
apex to base - Answers lungs are auscultated from
audible - Answers the apex of each lung rises above the clavicle where lungs sounds are ___
louder and harsher - Answers breath sounds over the trachea and mainstream bronchi are __
and __ than over the other lung fields because these airways have larger diameters and thus
more airflow than smaller airways
the alveoli of the lungs - Answers gas exchange occurs in
fine crackles - Answers when fluid fills the alveoli __ __ may be audible on auscultation
gas exchange, resulting in decreased or absent breath sounds in that portion of the lung -
Answers excessive fluid in the alveoli interfere with
moisturizing inhaled air and filtering noxious particles - Answers the upper respiratory tract is
responsible for
is primarily an automatic process initiated by the respiratory center of the brainstem (pons and
medulla) based on cellular demands - Answers respiration
increased level of carbon dioxide in the blood - Answers the main trigger for breathing is
the diaphragm contacts and flattens pulling the lungs down. the thorax and lungs elongate
increasing the vertical diameter - Answers when breathing is trigger
declines - Answers with aging respiratory strength __
elasticity, decreases, decreases - Answers with aging respiratory strength declines lungs lose __,
flexibility __ in the cartilage of the ribs, and bone density ___.
,abnormalities such as diminished or absent breath sounds or evidence of fluid in the lungs
-administer oxygen or a bronchodilating inhaler as ordered. if the patient is in bed elevate the
head of the bed to reduce the effect of gravity on the effort of breathing - Answers if a patient
has acute shortness of breath, immediately assess airway respiratory and pulse rates, BP, and
oxygen saturation. Auscultate the lungs to identify?
difficulty breathing when lying flat often sleep on two or more pillows or even in recliners -
Answers orthopnea
patients who awaken at night with sudden shortness of breath. the cause is fluid overload
resulting from the elevation of the legs, which shifts the fluid present there to the bodies core -
Answers paroxysmal nocturnal dyspnea (PND)
associated with asthma, CHF, and bronchitis
-it occurs in response to narrowed bronchioles
-wheezing with asthma is worse in response to offending allergies, at night, and in the early
morning - Answers wheezing
tripod - Answers patients in respiratory distress or with COPD often assume a __ position,
leaning forward on a stationary object such as table or with their elbows on their knees. this
position increases the size of the thoracic cavity, facilitating airflow.
a low level of oxygen in the blood - Answers hypoxemia
is less than 10 breaths/min - Answers bradypnea
is breathing greater than 24 breaths/min - Answers tachypnea
hypoxia - Answers pallor or cyanosis of the nail beds indicate __
are discontinuous sounds that are caused by fluid in the airways or alveoli or that result from
the opening of collapsed airways and alveoli while they reinflate during deep breathing. they
sound like hairs rubbing together near the ear or velcro opening and are most often heard on
inspiration although they can occasionally be heard during expiration - Answers crackles
wheezing - Answers __ are continous, high-pitched, musical sounds caused by air squeezing
through narrowed airways, as occurs in asthma.
continous, low-pitched, snoring sounds resulting from secretions moving around in airways.
may be clear with coughing and are heard most commonly in patients with chronic bronchitis -
Answers rhonchi
the word 99 is clear and louder over denser areas. it sounds as if the patient is speaking directly
into the stethoscope this is documented as positive bronchophony - Answers Bronchophony
,the "EEE" sounds like a loud "AAA" - Answers egophony
loud and high pitch
coarse and tubular
inspiration less than expiration
usually in larynx and trachea - Answers bronchial breath sounds
intermediate and intermediate in intensity and pitch
intermediated quality
inspiration equal to expiration
usually anteriorly between 1st and 2nd ICS; between scapula - Answers bronchovesicular breath
sounds
soft and low intensity and pitch
whispering undertones
inspiration greater than expiration
usually over most of the lung fields - Answers vesicular breath sounds
chest pain
dyspnea
orthopnea
paroxysmal nocturnal dyspnea
cough
sputum
audible wheezing
change in functional ability - Answers common respiratory symptoms include
tachypnea
hyperventilation
bradypnea
hypoventilation
, cheyne-strokes respiration
biot breathing
axonal breathing
apnea - Answers abnormal breathing patterns include
crackles, wheezes, rhonchi, pleural friction rub, and stridor - Answers adventitious lung sounds
include
warms, moisturizes, and transports air to the lower position where oxygen and ventilation occur
- Answers structurally the respiratory system is divided into upper and lower portions the upper
portion
sternum and clavicle anteriorly
scapulae and 12 vertebrae posterior and 12 pairs of ribs encircling the thoracic cage - Answers
the bony thoracic cage includes the
airways
blood vessels
interstitium - Answers the thoracic cavity contains three main compartments
right, left side of the heart for circulation to the rest of the body - Answers the two pulmonary
arteries carry deoxygenated blood from the __ side of the heart to each lung, where gas
exchange occurs, whereas two pulmonary veins return oxygenated blood to?
no breathing at all - Answers apnea
slow breathing - Answers hypoventilation
fast breathing - Answers hyperventilation
mucus that is coughed up form the lower airways the trachea and bronchi - Answers sputum
clear and white - Answers the mucoid sputum of bronchitis is
white cells and bacterial infection - Answers purulent yellow or green sputum or creamy sputum
especially with a foul odor indicates the presence of
TB, pneumococcal pneumonia - Answers rust colored sputum is found with
vesicular - Answers ___ breath sounds are soft, low-pitched, and found over fine airways near
the site of air exchange
bronchovesicular - Answers __ breath sounds are found more centrally over major bronchi that
carina - Answers the __ is the site of the cough reflex
carina (approximately the 2nd rib space)
this signals that tubing is near the lungs and if the cough is effective suctioning may begin -
Answers patients who need nasotracheal suctioning will cough when the nasotracheal tubing
reaches the
xiphoid - Answers during CPR hand are placed above the __ process to avoid breaking it off form
the sternum and causing complications such as pneumothorax, hemothorax, or liver injury
two, three - Answers the left lung has __ lobes. the right lung has __ lobes
base, apex - Answers the __ refers to the very bottom of the lung fields, the __ is the very top
opposite of the labeling of the heart
apex to base - Answers lungs are auscultated from
audible - Answers the apex of each lung rises above the clavicle where lungs sounds are ___
louder and harsher - Answers breath sounds over the trachea and mainstream bronchi are __
and __ than over the other lung fields because these airways have larger diameters and thus
more airflow than smaller airways
the alveoli of the lungs - Answers gas exchange occurs in
fine crackles - Answers when fluid fills the alveoli __ __ may be audible on auscultation
gas exchange, resulting in decreased or absent breath sounds in that portion of the lung -
Answers excessive fluid in the alveoli interfere with
moisturizing inhaled air and filtering noxious particles - Answers the upper respiratory tract is
responsible for
is primarily an automatic process initiated by the respiratory center of the brainstem (pons and
medulla) based on cellular demands - Answers respiration
increased level of carbon dioxide in the blood - Answers the main trigger for breathing is
the diaphragm contacts and flattens pulling the lungs down. the thorax and lungs elongate
increasing the vertical diameter - Answers when breathing is trigger
declines - Answers with aging respiratory strength __
elasticity, decreases, decreases - Answers with aging respiratory strength declines lungs lose __,
flexibility __ in the cartilage of the ribs, and bone density ___.
,abnormalities such as diminished or absent breath sounds or evidence of fluid in the lungs
-administer oxygen or a bronchodilating inhaler as ordered. if the patient is in bed elevate the
head of the bed to reduce the effect of gravity on the effort of breathing - Answers if a patient
has acute shortness of breath, immediately assess airway respiratory and pulse rates, BP, and
oxygen saturation. Auscultate the lungs to identify?
difficulty breathing when lying flat often sleep on two or more pillows or even in recliners -
Answers orthopnea
patients who awaken at night with sudden shortness of breath. the cause is fluid overload
resulting from the elevation of the legs, which shifts the fluid present there to the bodies core -
Answers paroxysmal nocturnal dyspnea (PND)
associated with asthma, CHF, and bronchitis
-it occurs in response to narrowed bronchioles
-wheezing with asthma is worse in response to offending allergies, at night, and in the early
morning - Answers wheezing
tripod - Answers patients in respiratory distress or with COPD often assume a __ position,
leaning forward on a stationary object such as table or with their elbows on their knees. this
position increases the size of the thoracic cavity, facilitating airflow.
a low level of oxygen in the blood - Answers hypoxemia
is less than 10 breaths/min - Answers bradypnea
is breathing greater than 24 breaths/min - Answers tachypnea
hypoxia - Answers pallor or cyanosis of the nail beds indicate __
are discontinuous sounds that are caused by fluid in the airways or alveoli or that result from
the opening of collapsed airways and alveoli while they reinflate during deep breathing. they
sound like hairs rubbing together near the ear or velcro opening and are most often heard on
inspiration although they can occasionally be heard during expiration - Answers crackles
wheezing - Answers __ are continous, high-pitched, musical sounds caused by air squeezing
through narrowed airways, as occurs in asthma.
continous, low-pitched, snoring sounds resulting from secretions moving around in airways.
may be clear with coughing and are heard most commonly in patients with chronic bronchitis -
Answers rhonchi
the word 99 is clear and louder over denser areas. it sounds as if the patient is speaking directly
into the stethoscope this is documented as positive bronchophony - Answers Bronchophony
,the "EEE" sounds like a loud "AAA" - Answers egophony
loud and high pitch
coarse and tubular
inspiration less than expiration
usually in larynx and trachea - Answers bronchial breath sounds
intermediate and intermediate in intensity and pitch
intermediated quality
inspiration equal to expiration
usually anteriorly between 1st and 2nd ICS; between scapula - Answers bronchovesicular breath
sounds
soft and low intensity and pitch
whispering undertones
inspiration greater than expiration
usually over most of the lung fields - Answers vesicular breath sounds
chest pain
dyspnea
orthopnea
paroxysmal nocturnal dyspnea
cough
sputum
audible wheezing
change in functional ability - Answers common respiratory symptoms include
tachypnea
hyperventilation
bradypnea
hypoventilation
, cheyne-strokes respiration
biot breathing
axonal breathing
apnea - Answers abnormal breathing patterns include
crackles, wheezes, rhonchi, pleural friction rub, and stridor - Answers adventitious lung sounds
include
warms, moisturizes, and transports air to the lower position where oxygen and ventilation occur
- Answers structurally the respiratory system is divided into upper and lower portions the upper
portion
sternum and clavicle anteriorly
scapulae and 12 vertebrae posterior and 12 pairs of ribs encircling the thoracic cage - Answers
the bony thoracic cage includes the
airways
blood vessels
interstitium - Answers the thoracic cavity contains three main compartments
right, left side of the heart for circulation to the rest of the body - Answers the two pulmonary
arteries carry deoxygenated blood from the __ side of the heart to each lung, where gas
exchange occurs, whereas two pulmonary veins return oxygenated blood to?
no breathing at all - Answers apnea
slow breathing - Answers hypoventilation
fast breathing - Answers hyperventilation
mucus that is coughed up form the lower airways the trachea and bronchi - Answers sputum
clear and white - Answers the mucoid sputum of bronchitis is
white cells and bacterial infection - Answers purulent yellow or green sputum or creamy sputum
especially with a foul odor indicates the presence of
TB, pneumococcal pneumonia - Answers rust colored sputum is found with
vesicular - Answers ___ breath sounds are soft, low-pitched, and found over fine airways near
the site of air exchange
bronchovesicular - Answers __ breath sounds are found more centrally over major bronchi that
