Chapter 30: Disorders of the Upper Respiratory Tract

Chapter 30: Disorders of the Upper Respiratory Tract

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. What portion of the internal nose traps particles and kills bacteria?

a.	Turbinates
b.	Mucous membrane
c.	Vestibular formations
d.	Cilia

 

 

ANS:  B

The mucous membrane traps particles and bacteria that are inhaled; then an enzyme in the mucus destroys them. The cilia then sweep the particles into the throat to be swallowed.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 531             OBJ:   4

TOP:   Anatomy and Physiology of the Nose

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

2. What is the function of the tonsils and adenoids in small children?

a.	Help promote antibody formation
b.	Assist in some digestive processes
c.	Protect against bacterial infections of the throat
d.	Support blood cell production

 

 

ANS:  C

The tonsils and adenoids consist of lymphatic tissue that acts as a bacterial barrier for the respiratory and gastrointestinal tracts.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 532             OBJ:   4

TOP:   Tonsils           KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

3. A patient comes into the clinic complaining of a runny nose and facial pain. What should the nurse’s initial assessment include?

a.	Assessment for nasal drainage and sinus tenderness
b.	Transillumination and nasal speculum examination
c.	Palpation of the frontal and maxillary sinuses and tonsillar inspection
d.	Turbinate assessment and assessment for patency of the nares

 

 

ANS:  A

The assessment of the characteristics of the nasal drainage and location of the facial pain would be the first evaluation for sinusitis.

 

DIF:    Cognitive Level: Application           REF:   p. 533             OBJ:   2

TOP:   Physical Examination of the Nose    KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

4. A 68-year-old patient tells the nurse that her sense of smell is not as acute as before, her nose is drier, and she occasionally gets a nosebleed. What should the nurse suspect?

a.	An infection
b.	Normal age-related changes
c.	A nasal defect
d.	Allergies that are causing her symptoms

 

 

ANS:  B

These options describe normal age-related changes. A suggestion that would make the patient more comfortable would be to use a humidifier to keep the mucous membranes moist.

 

DIF:    Cognitive Level: Application           REF:   p. 533             OBJ:   2

TOP:   Age-Related Changes in the Nose and Sinuses

KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

5. What does age-related relaxation of the esophageal sphincter in a 70-year-old patient cause?

a.	Excessive belching
b.	Dumping syndrome
c.	Tickling sensation, requiring frequent coughing
d.	Burning in the throat when lying down

 

 

ANS:  D

A common age-related change in the throat is a weakened esophageal sphincter. This allows gastric contents to flow back up into the throat and irritate the larynx. Elevating the head of the bed is a common treatment.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 533             OBJ:   4

TOP:   Age-Related Changes                      KEY:  Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation