Chapter 31: Acute Disorders of the Lower Respiratory Tract

Chapter 31: Acute Disorders of the Lower Respiratory Tract

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A patient asks the nurse how air goes from the nose to the lung. The nurse draws the route according to which sequence?

a.	Trachea, larynx, bronchi
b.	Pharynx, trachea, bronchi, alveoli
c.	Bronchi, trachea, bronchioles
d.	Larynx, trachea, alveoli, bronchi

 

 

ANS:  B

The route of inspired air is pharynx, trachea, bronchi, and alveoli.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 558             OBJ:   N/A

TOP:   Physiology of Ventilation                KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

2. A nurse charts that a patient has had periods of tachypnea during the night. What does this means in regard to the respiration rate?

a.	Below 12 breaths/min
b.	Uneven, with periods of apnea
c.	Gradually deepening, then shallow, and then periods of apnea
d.	Above 20 breaths/min

 

 

ANS:  D

Tachypnea is a respiration rate above 20 breaths/min. Option a describes bradypnea, option b describes Biot respirations, and option c describes Cheyne-Stokes respirations.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 559             OBJ:   1

TOP:   Respiration Rate                              KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

3. A 90-year-old patient complains to the nurse of shortness of breath after walking up a flight of stairs. What age-related change should the nurse explain results in this problem?

a.	Flexible rib cage
b.	High-arched diaphragm
c.	Increased chest movement
d.	Enlarged bronchioles

 

 

ANS:  D

Enlarged bronchioles require the inspiration of greater amounts of air. Other age-related changes make increased inspiration difficult.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 558             OBJ:   2

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

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

4. What should the nurse exclude when documenting the findings in the functional assessment portion of the nursing assessment for a patient with a respiratory disorder?

a.	Occupation
b.	Usual diet
c.	Smoking history
d.	Previous respiratory disorders

 

 

ANS:  D

Previous respiratory disorders are assessed in the medical history portion of the assessment.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 560             OBJ:   1

TOP:   Respiratory Assessment                   KEY:  Nursing Process Step: Assessment

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

 

5. To auscultate breath sounds in the right middle lobe from the anterior aspect, the nurse should place the diaphragm of the stethoscope at which intercostal space?

a.	Second
b.	Third
c.	Fourth
d.	Fifth

 

 

ANS:  D

The fifth intercostal space is the optimal position for auscultating the right middle lobe.

 

DIF:    Cognitive Level: Application           REF:   p. 561             OBJ:   3

TOP:   Breath Sounds                                 KEY:  Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation