Care of Client with Problems in Oxygenation

Quiz 1
Name: _____________________________ Section:_____ Date: __________
Score: ____
Anatomy and Physiology of Respiratory System
DIRECTION: Complete the statement below.
1. ____________ serves as the initial passageway of air to the lungs and aids in phonation
2. __________refers to the movement of air in and out of the lungs.
3. Gas or air flow from an area of _______________________________pressure gradient
4. ___________ refers to movement of gases through a semi-permeable membrane.
5. Alveoli contains type ___ pneumocyte which releases surfactant that prevents lung
collapse
6. The exchange of gases between alveoli and lung capillaries is called ______________
7. Oxygen is transported through bloodstream by binding with _______________
8. The respiratory centers in the brain in located in the _______________ and the ________
9. When chemoreceptors detect increased level of __________ it stimulates an increase in
RR.
Physical Assessment
DIRECTION: Encircle the best answer.
1. Adventitious breath sound produced by air moving through fluid in the airways or
airspaces
A. Wheeze
C. Rhonchi
B. Stridor
D. Crackles
2. High pitch breath sound produced by narrowed or nearly collapse small airways
A. Wheeze
C. Crackles
B. Stridor
D. Rhonchi
3. Which assessment finding if auscultated over the lung is positive bronchophony
A. Loud, clear while saying 99
C. A sound like a loud, long nasal A
B. Nearly inaudible voice while saying 99 D. An increase in vibration upon
palpation
4. The percussion sound expected to be heard over an overinflated lung is:
A. Hyperresonance
C. Tympany
B. Resonance
D. Dull
5. Measuring the distance between the marked level of the diaphragm during full
inhalation and full expiration is performed during the assessment for:
A. Thoracic expansion
C. Whispered petroliloquy
B. Tactile fremitus
D. Diaphragmatic Excursion
Diagnostic Test
DIRECTION: Match the corresponding nursing responsibilities in column B with the
diagnostic test in column A
Column A
Column B
_____ 1. Chest X-ray
a. Presence of metal clips in the brain is an absolute
_____2. Magnetic Resonance
contraindication for this test
Imaging
b. Client is assisted in sitting position with the upper
_____3. Thoracentesis
body leaning forward and arms resting on a padded
_____4. Pulmonary Function Test
table to support weight
_____5. V/Q Lung Scan
c.Best done in the morning just after patient wakes up
_____6. CT Scan
d. Food must not be given until the gag reflex returns
_____7. Bronchoscopy
e. Bronchodilators must be withheld prior to test
_____8. Pulmonary Angiography
f. Allergy to sea food must be assessed
_____9. Arterial Blood Gas
g. Allens test is performed prior to blood draw
_____10. Sputum Analysis
h. Client might feel claustrophobic when test is
performed
i. Ask client to inhale deeply and hold breath
momentarily
j. Patient inhales a radioactive gas as part of the test

Care of Client with Problems in Oxygenation

Quiz 1
Interpret the ABG result below:
pH:
7.45 __________
PCO2: 29 __________
HCO3: 16 __________
Interpretation:__________________________________________

1st Sem S.Y. 2014-15MBS