RESPIRATORY SYSTEM IMPORTANT QUESTION SERIES 2

RESPIRATORY SYSTEM IMPORTANT QUESTION SERIES 1 : AIIMSHACKS blog brings Staff nurse exam Modal Paper, which is Useful for nursing students who prepare for staff nurse Recruitment exam like AIIMS, JIPMER, PGIMER, GMCH, DSSSB, RRB, RUHS, BHU, AMU, SCTIMST, KPSC, RPSC, HPSSSB, HSSC, IGNOU ESIC and All govt Staff nurse exam .

 1. The most appropriate positioning given to a patient by a nurse while performing respiratory suctioning :

(a) Fowler

 (b) Semi- fowler

(c) Left lateral 

(d) Supine

ANS-  (b) Semi- fowler

2. The ideal timing of sputum collection for culture is :

(a) At bed time 

(b) Early morning

(c) After having breakfast 

(d) any time

ANS- (c) After having breakfast 

3. The amount of sputum for laboratory investigation should be :

(a) 5ml

 (b) 10 ml

 (c) 15 ml 

(d) 20 ml

ANS-  (c) 15 ml 

4. Surfactant is a phospholipids protein which is secreted by :

(a) Type 1 alveoli cells 

(b) Type 11 alveoli cell

(c) Tracheal mucosa 

(d) Respiratory bronchioles

ANS- (b) Type 11 alveoli cell

5. The main function of surfactant in the lung is :

(a) Increase surface tension

(b) Reduce surface tension

(c) Maintain surface tension

(d) All of above depends upon situation

ANS- (b) Reduce surface tension

6. A person suddenly started nose bleeding which positioning is appropriate at the scene :

(a) Trelendenburg

(b) Head elevated

(c) Sitting with neck flexed

(d) Sitting with neck flexed

ANS- (c) Sitting with neck flexed

7. Pulse oximetry is a non –invasive test that is used to detect :

(a) Pulse rate

(b) Oxygen saturation

(c) Both pulse & o2 saturation

(d) Pulse saturation & temperature

ANS- (b) Oxygen saturation

8. A nursing officer see 70% o2 saturation at the screen of cardiac monitor what would be the priority action :

(a) Constant observation of saturation

(b) Call to doctor & intubate patient

(c) Administer free flow oxygen position

(d) Provide semi – fowler position

ANS- (c) Administer free flow oxygen position

9. A hypoxemic client who has chronic hypercapnia at what rate the o2 should be administration :

(a) 1-2lt /min

 (b) 3-4 1/min

(b) (c) 4-6 l/min 

(d) 6-8 l/min

ANS- (a) 1-2lt /min

10. The flow rate of oxygenation through nasal cannula should be :

(a) 1-5l/min 

(b) 6-7l/min

(c) 5-8l min 

(d) 8-10l/min

ANS- (a) 1-5l/min 

11. An asthmatic patient come to the casualty with breathing difficulty the saturation of oxygen was 85% the oxygen should be given through :

(a) Nasal prongs

(b) Simple face mask

(c) Partial rebreather mask

(d) Non – rebreather mask

ANS- (a) Nasal prongs

12. Which is not an appropriate nursing action for a client undergoing thoracentesis :

(a) Provide side lying position towards unaffected side

(b) Instruct the client to take deep breath

(c) Obtain informed consent for procedure

(d) Take vital signs before procedure

ANS- (b) Instruct the client to take deep breath

13. The most common adverse effect of thoracentesis may be :

(a) Hydrothorax

 (b) Injury to phrenic nerve

(c) Pneumothorax 

(d) Hemiparesis

ANS- (c) Pneumothorax 

14. The O2 saturation of a healthy person should be:

(a) 90-95%

 (b) 95-99%

(c) 96-100% 

(d) Above 90%

ANS- (c) 96-100% 

15. A client who need high humidified oxygenation which kind of mask should be used :

(a) Simple face mask 

(b) Ventury mask

(c) Face tent 

(d) Aerosol mask

ANS- (d) Aerosol mask

16. When a patient require a mixture of room air & oxygen the suitable mask is :

(a) Aerosol

 (b)Simple

(c) Non-rebreather

 (d) Ventury mask

ANS-  (d) Ventury mask

17. Nursing officer working in ICU & hear ventilator alarm of a patient which is not an appropriate  action taken by officer : 

(a) Suction the airway

(b) Check the Et placement

(c) Check the ventilator tubing for any kinking

(d) Change the positioning of the patient

ANS- (d) Change the positioning of the patient

38. A patient is on ventilator for a long period all may be the complication except :

(a) Hypertension 

(b) Pneumothorax

(c) Emphysema

 (d) Hypotension

ANS-(a) Hypertension 

19. Paradoxical respiration is an assessment finding in :

(a) Fracture of shoulder 

(b) Pulmonary contusion

(c) Pneumothorax 

(d) Flail chest

ANS- (d) Flail chest

20. Hemoptysis is a term used for :

(a) Blood in stool 

(b) Blood in vomits

(c) Blood in sputum

(d) Blood in urine

ANS- (c) Blood in sputum

21. The most common early manifestation of chronicbronchitis is :

(a) A daily productive cough

(b) Dyspnea 

(c) Cyanosis

(d) Right ventricular failure

    ANS- (a) A daily productive cough

22. An important component in the collaborative care for a patient with COPD would include :

(a) Long –term use of oral corticosteroids

(b) Treatment of respiratory infections

(c) Restriction of fluid to 1500ml/day

(d) A planned program of vigorous exercise

ANS- (b) Treatment of respiratory infections

23. A patient with COPD who cannot use an MIDI (metered –dose inhale ) effectively is ordered oral theophyllin when asked by the patient about the treats COPD by:

(a) Stimulation of respiratory drive

(b) Relaxing bronchial smooth muscle

(c) Increase total urine capacity

(d) Both A and B

ANS- (d) Both A and B

24. The nurse is teaching a patient with emphysema which of the following she should include in her teaching :

(a) Strategies to lose weight

(b) Postural drainage

(c) Early detection of respiratory infections

(d) Moving to a place of high altitude

ANS- (c) Early detection of respiratory infections

25. The nurse is assessing a 40 year old male patientcomplaining of cough and dyspnea for a long time and found that anteroposterior diameter of the chest is increased and equal the transverse diameter which the following conditions describes the finding:

(a) Normal chest wall configuration

(b) Barrel chest 

(c) Pigeon chest

(d) Funnel chest

ANS- (b) Barrel chest 

26. The nurse during auscultation of a patient’s lungsdetects wheezes which statement about wheeze is true :

(a) Rumbling snoring or rattling sound usually heard on expiration and may clear on coughing

(b) Hissing or musical sound heard during inspiration or expiration or both if severe may be audible without stethoscope

(c) High pitched sound produced on inspiration heard over the trachea

(d) Creaking and grating sound heard over the problem area on both inspiration and expiration

ANS- (b) Hissing or musical sound heard during inspiration or expiration or both if severe may be audible without stethoscope

27. During respiratory assessment of a patient diagnosed as cerebrovascular accident the patient was found to exhibit alternating periods of deep and shallow breathing and apnea lasting for 15-16 secs .the nurse understands that the patient is exhibiting :

(a) Kussmaul’s respiration

(b) Cheyne stokes respiration

(c) Biot’s breathing ataxia

(d) Hypoventilation

ANS- (b) Cheyne stokes respiration

28. A patient has undergone bronchoscopy for collection of tissue specimen after the procedure which of the following the nurse should observe in order to detect possible complication :

(a) Difficulty in breathing 

(b)Hoarseness of voice

(c) Difficulty swallowing 

(d)Blood tinged sputum

ANS- (a) Difficulty in breathing 

29. Patient admitted with chronic obstructive pulmonary disease is experiencing shortness of breath nausea and dizziness to assess the patient ‘s level of hypoxia the nurse will:

(a) Prepare the patient for pulmonary function test

(b) Send blood sample for arterial blood gas analysis

(c) Utilize a pulse oxymetry

(d) Check haemoglobin level of the patient with a hemoglonbinometer

ANS- (a) Prepare the patient for pulmonary function test

30. Asthma is characterized by :

(a) An inflammatory disease

(b) Irreversible bronchospasms resulting from inflammation of airways

(c) Obstruction of airways by mucous plugs

(d) Obstructive disease caused by destruction of alveolar walls

ANS- (a) An inflammatory disease

31. Medications to treat asthma are categorized to which of the two major classes :

(a) Long –term control medications and short –termcontrol medications

 b) Long –term control medication and quick –relief medications

(c) Short –term control medications and quick relief medications

(d) Short –term relief medications and quick control

ANS-  b) Long –term control medication and quick –relief medications

32. A patient who was admitted in hospital with severe asthma is discharged home with the prescription beclomethasone dipropionate 2 puffs QID the nurse understands that the drug acts by:

(a) Stimulating beta –adrenergic receptors to produce bronchodilation

(b) Antinflammatory and immunosuppressive effects

(c) Blocks action of acetylcholine resulting in bronchodilation

(d) Relaxation of bronchial smooth muscle resulting in bronchodialtion

ans- (b) Antinflammatory and immunosuppressive effects

33. A patient with asthma has been ordered theophylline 100 mg TDS. When asked by the patient regarding the action of the drug the nurse explains that the drugs is given to :

(a) Relieve bronchodilation

(b) Decrease sputum production

(c) Suppress coughing

(d) Treat espiratory infection

ANS- (a) Relieve bronchodilation

34. The nurse is teaching a patient with asthma during discharge regarding home care which of the following teaching points has the highest priority :

(a) Learn what causes asthma triggers and try to avoid it

(b) Take prescribed medications as scheduled

(c) Maintain good nutrition and drink 8-10 glasses of water

(d) Breath through pursed lips asthma episodes

ANS- (b) Take prescribed medications as scheduled

35. Expanded from of SARS is :

(a) Severe acquired respiratory syndrome

(b) Severe acqute respiratory syndrome

(c) Severe acqute reproductive syndrome

(d) Severe acquired reproductive syndrome

ANS- (b) Severe acqute respiratory syndrome

36. What is an important symptom of pneumothorax:

(a) Increase in breath sound on effected side

(b) Absence of breath sound on affected side

(c) Absence of breath sound on both side

(d) Increase i breath sound on unaffected side

ANS- (b) Absence of breath sound on affected side

37. The most common accurate way to determine the need for oxygen in a patient with is by :

(a) Observing the skin colour

(b) Nothing changes in he vital signs

(c) Asking how the patient feels

(d) Blood gas analysis

ANS- (d) Blood gas analysis

38. A diagonosis of pneumonia is typically achieve by which of the following diagnostic tests :

(a) Arterial blood gas analysis

(b) Chest X-ray

(c) Blood cultures

(d) Sputum culture and sensitivity

ANS- (b) Chest X-ray

39. Which of the following indicators would show if the condition of the client with adult respiratory distress syndrome is improving :

(a) Arterial blood gas values

(b) Bronchoscopy results

(c) Increased blood pressure

(d) Sputum culture and sensitivity results

ANS- (a) Arterial blood gas values

40. During assessment the nurse notes symptoms positively correlated with ARDS that include :

(a) Contraction of the accessory muscles of respiration

(b) Dysrhythmias and hypotension

(c) Tachypnea and tachycardia

(d) All of the above

ANS- (d) All of the above

41. When a patient is receiving aminophylline the nurse should observe for :

(a) Visual disturbance 

(b) Decreased output

(c) Decreased pulse rate 

(d) Hypotension

ANS- (c) Decreased pulse rate 

42. Which of the following symptoms is common asthmia :

(a) Barkin g cough 

(b) Bradycardia

(c) Dry productive cough 

(d) Wheezing

ANS- (d) Wheezing

43. Asthma is best characterized as :

(a) An inflammatory

(b) A steady progressive disease

(c) An obstructive disease with loss of alveolar walls

(d) A chronic obstructive disorder characterized mucus production

ANS- (a) An inflammatory

44. In order to facilitate breathing while repositioning a patient with emphysema which among the following position facilitates maximum air exchange :

(a) Supine

 (b) Orthopneic

(c) Low –fowler 

(d) Semi fowler

ANS-  (b) Orthopneic

45. Dietician will prescribe one of the following diet for the patient with emphysema :

(a) How protein low calorie

(b) High protein high calorie

(c) High calorie normal diet

(d) High calorie soft diet

ANS- (b) High protein high calorie

46. Before end tracheal intubation some facts about following are true regarding trachea :

(a) It’s about 13 cm long

(b) It bifurcates into two major bronchi

(c) It starts at the level of 7th cervical

(d) It ends at the level of sterna angle of Louis

ANS- (c) It starts at the level of 7th cervical

47. How a nurse will teach breathing exercise for a patient chronic bronchitis :

(a) Use chest breathing

(b) Use diaphragmatic breathing

(c) Use open mouth breathing

(d) Use deep inhalation breathing

ANS- (b) Use diaphragmatic breathing

48. Which symptom would a patient of likely complain of after an asthma attack :

(a) Dry cough

(b) Sore chest

(c) Restlessness 

(d) Profuse perspiration

ANS- (b) Sore chest

49. A client states that the health care provider said the tidal volume is slightly diminished and asks the nurse what this means which explanation should the nurse provide about the volume of air being measured of determine tidal volume:

(a) Exhaled after there is a normal inspiration

(b) Inspired forcibly above a typical inspiration

(c) Trapped in the alveoli after a maximum expiration

(d) Exhaled forcibly after a regular expiration

ANS- (a) Exhaled after there is a normal inspiration

50. A nurse identifies that a client’s haemoglobin level is decreasing and is concerned about tissue hypoxia an increase in what diagnostic test result indicates an acceleration in oxygen dissociation from haemoglobin :

(a) Ph 

(b) Po2 

(c) Pco2 

(d) Hco3

ANS- (c) Pco2 

Teg- 

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