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NUR 2016: RESPIRATORY; TEST QUESTIONS WITH COMPLETE SOLUTIONS, Exams of Nursing

Aims Community CollegeNursing

NUR 2016: RESPIRATORY; TEST QUESTIONS WITH COMPLETE SOLUTIONS

Typology: Exams

2024/2025

Available from 06/08/2025

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NUR 2016: RESPIRATORY; TEST QUESTIONS WITH
COMPLETE SOLUTIONS
1) What is perfusion? -- Answer โœ”โœ” Blood flow to the body's tissues to deliver oxygen
and nutrients and remove waste products.
2) What are examples of things that will increase our oxygen consumption need? --
Answer โœ”โœ” Hyperventilation, hyperthermia, trauma, sepsis, anxiety, stress,
hyperthyroidism, increased muscle activity
3) What are examples of things that will decrease our oxygen consumption? -- Answer
โœ”โœ” Hypoventilation, hypothermia, sedation, neuromuscular blocking agents,
anesthesia, hypothyroidism, inactivity
4) How to instruct your patient to use pursed lip breathing: -- Answer โœ”โœ” Close
month, breathe in through nose, purse lips and breathe out slowly through their
mouth while puffing cheeks.
5) What is pursed lip breathing good for? -- Answer โœ”โœ” Exhaling more airโ€”good for
air trapping
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NUR 2016: RESPIRATORY; TEST QUESTIONS WITH

COMPLETE SOLUTIONS

  1. What is perfusion? -- Answer โœ”โœ” Blood flow to the body's tissues to deliver oxygen and nutrients and remove waste products.
  2. What are examples of things that will increase our oxygen consumption need? -- Answer โœ”โœ” Hyperventilation, hyperthermia, trauma, sepsis, anxiety, stress, hyperthyroidism, increased muscle activity
  3. What are examples of things that will decrease our oxygen consumption? -- Answer โœ”โœ” Hypoventilation, hypothermia, sedation, neuromuscular blocking agents, anesthesia, hypothyroidism, inactivity
  4. How to instruct your patient to use pursed lip breathing: -- Answer โœ”โœ” Close month, breathe in through nose, purse lips and breathe out slowly through their mouth while puffing cheeks.
  5. What is pursed lip breathing good for? -- Answer โœ”โœ” Exhaling more airโ€”good for air trapping
  1. What does crackles indicate? -- Answer โœ”โœ” fluid in the lungs
  2. What do crackles sound like? -- Answer โœ”โœ” the sound of a lock of hair being rubbed between the thumb and forefinger
  3. What does rhonchi indicate? -- Answer โœ”โœ” Secretions in airway
  4. What does rhonchi sound like? -- Answer โœ”โœ” snoring, lower pitched
  5. What does wheezing indicate? -- Answer โœ”โœ” narrowing of the airways due to spasm or obstruction
  6. What does wheezing sound like? -- Answer โœ”โœ” musical, whistling sound
  7. What does a pleural friction rub indicate? -- Answer โœ”โœ” inflammation of the pleural space
  8. What does a pleural friction rub sound like? -- Answer โœ”โœ” Grating sound
  9. What does stridor indicate? -- Answer โœ”โœ” Airway obstruction
  10. What does stridor sound like? -- Answer โœ”โœ” High-pitched, inspiratory crowing sound
  1. A non-rebreather can use up to - liters per minute. -- Answer โœ”โœ” 10 - 15 (80- 95% FiO2)
  2. With heated high flow (Vapotherm), you must always ensure the oxygen is ____. -- Answer โœ”โœ” Humidified
  3. What is an oropharyngeal airway (OPA)? -- Answer โœ”โœ” a curved device inserted through the patient's mouth into the pharynx to help maintain an open airway (holds tongue out of the way)
  4. How to insert an oropharyngeal airway (OPA)? -- Answer โœ”โœ” Measure from corner of lip to tip of ear, lube, insert sideways and then flip it once in
  5. What are the indications for an oropharyngeal airway (OPA)? -- Answer โœ”โœ” Unconscious or semi-conscious pt, seizures, prevent biting on ET tube
  6. What are the complications of an oropharyngeal airway (OPA)? -- Answer โœ”โœ” Gagging unconscious pt, vomiting and aspiration
  7. What is a nasopharyngeal airway (NPA)? -- Answer โœ”โœ” a flexible breathing tube inserted through the patient's nostril into the pharynx to help maintain an open airway
  8. What is the indication for a nasopharyngeal airway (NPA)? -- Answer โœ”โœ” Better for conscious patients, used to facilitate frequent suctioning
  1. What are the complications of a nasopharyngeal airway? -- Answer โœ”โœ” Nosebleeds, sinusitis, ulcerations
  2. What must you monitor for when a patient has an OPA or NPA? -- Answer โœ”โœ” Skin breakdown, infection
  3. What are the indications for BIPAP or CPAP? -- Answer โœ”โœ” Patients struggling to ventilate but do not need invasive mechanical ventilation
  4. Nursing considerations for CPAP or BIPAP? -- Answer โœ”โœ” Monitor skin, ORAL CARE, pt may have anxiety and require coaching, pain management, sleep management,
  5. How to prevent skin breakdown with BIPAP or CPAP? -- Answer โœ”โœ” Place barrier (like duoderm or tegaderm) around the edges
  6. What type of food should a patient on CPAP or BIPAP eat? -- Answer โœ”โœ” High protein, high calorie, easy to chew/drink, small portions
  7. Lack of oral care can lead to... -- Answer โœ”โœ” Mucous build up which can cause respiratory distress
  8. What is ventilation? -- Answer โœ”โœ” movement of air in and out of the lungs
  9. How does the chest shape change with aging? -- Answer โœ”โœ” The anterior-posterior diameter of the chest increases
  1. What is the oxygen-hemoglobin dissociation curve? -- Answer โœ”โœ” Graph that shows the relationship between the amount of oxygen bound to hemoglobin and the partial pressure of oxygen in the blood
  2. What is partial pressure of oxygen? -- Answer โœ”โœ” Concentration of oxygen. It is called partial pressure because it is a measure of the pressure exerted by just one specific gas within a mixture of multiple gases.
  3. What does a shift to the LEFT mean on the oxygen-hemoglobin dissociation curve? -
  • Answer โœ”โœ” Hemoglobin picks up oxygen easier but delivers less to the tissues because the hemoglobin won't release the oxygen.
  1. What are the causes of a shift to the LEFT on the oxygen-hemoglobin dissociation curve? -- Answer โœ”โœ” Alkalosis, hypothermia, decreased PaCo
  2. How will oxygen saturation change when there is a shift to the LEFT on the oxygen- hemoglobin dissociation curve? -- Answer โœ”โœ” The PaO2 will look great but the SpO2 will look bad because the tissues are not receiving the oxygen.
  3. What does a shift to the RIGHT mean on the oxygen-hemoglobin dissociation curve? -- Answer โœ”โœ” Hemoglobin picks up less oxygen and releases it more easily.
  4. What are the causes of a shift to the RIGHT on the oxygen-hemoglobin dissociation curve? -- Answer โœ”โœ” Acidosis, hyperthermia, increased PaCO
  5. How will oxygen saturation change when there is a shift to the RIGHT on the oxygen-hemoglobin dissociation curve? -- Answer โœ”โœ” PaO2 will be lower, SpO2 will be high at first and then decline as supply decreases.
  1. What is hypoxemia (PaO2)? -- Answer โœ”โœ” low oxygen in the blood
  2. What is hypoxia (SaO2)? -- Answer โœ”โœ” Low oxygen reaching the tissues
  3. Hypoxemia will lead to... -- Answer โœ”โœ” Hypoxia
  4. What is the byproduct of anaerobic metabolism? -- Answer โœ”โœ” Lactic acid (also 20x less ATP is formed)
  5. How to encourage alveoli to open: -- Answer โœ”โœ” Move, IS, cough and deep breathing
  6. What is the V/Q ratio? -- Answer โœ”โœ” ventilation-perfusion ratio
  7. What is a high V/Q ratio? -- Answer โœ”โœ” Normal ventilation with decreased perfusion
  8. What is a low V/Q ratio? -- Answer โœ”โœ” Decreased ventilation with normal perfusion