NATIONAL UNIVERSITY COLLECE OF ALLIED HEALTH name: _MALO¥O9, Blekiye= Instructio src Nem 112, ‘Select the correct answer for each of the following questions. Mark only the answer for each item by shading the box corresponding to the letter of your choice on the answer sheet provided, STRICTLY NO ERASURES ALLOWED. Use pencil no, 2 only br Respiration, as one of the vital signs i controlled by the respiratory centers in the medulla oblongata and pons ofthe bran, A student nurse is asked to make fan oral report about respirations. Which ofthe following statements given below appears erroneous, and would require renstruction? 1. Costal breathing involves the contraction and relaxation of the disphragm, and itis observed by the movement ofthe abdomen, 2. Cheyne-strokes breathing isa rhythmic waxing and waning of respirations, from very deep to very shallow breathing and temporary apnea. 3. A normal adult inspiration lasts for two to three seconds and expiration lasts 1 to 1.5 seconds 4. During exhalation, the diaphragm flattens, the ribs move downward and inward, andthe sternum moves inward thus, deereasing the size ‘ofthe thorax asthe lungs are compressed 5. Stridor breath sound isa continuous, high- pitched musical squeak occurring on expiration ‘and sometimes on inspiration when air moves through a narrowed or partially obstructed airway. S only Popp 1,2,3,4,5 Complete the following statement using the choices below. Air moves out of the lungs when the pressure igside the lungs is A) Less than the pressure inthe atmosphere. €B) Greater than the pressure inthe atmosphere, Equal tothe pressure in the atmosphere, D._ Greater than the intra-alveolar pressure. (\ 3. Unlike inspiration, expiration i «passive act because no muscular contractions are involved. Expiration, Qr__however, depends onto factors. Which ofthe choices below lists those two factors? ‘A. The regoll of elastic fibers that were stretched dhving inspiration andthe invard plo surface tension due othe flm of alveolar uid B. The expansion of respiratory muscles that were contracted during inspiration and the lack of surface tension on the alveolar wall C. The negative feedback of expansion fibers used during inspiration and the outward pull of surface tension due to surfactant D. Combined amount of CO2 inthe blood and arin te alveat Which ofthe folowing maintains the paten (eoeases) ofthe rca? ew uric tension of water B. Surat C. Cartage rings 2 us We Brtian cep pie © Pseasosraitied cil Tntepulmonay pressure ZA Presue within the pleural Gly B. Presse within the slveol ofthe lungs Negative pressure inthe Ttapleral space Difference between atmospheric pressure and respenary pressor (6 Surfec BS collapsing by ‘A. Humidifying the air before it enters it enters molecules, thereby reducing the surface tension of alveolar id. | —<————— (P) Protecting the surface of alveoli from dehydration and other environmental variations ‘The most powerful respiratory stimulus for breathing ina healthy person is A. Loss of oxygen in issues (8) tnerease of carbon dioxide pH (acidosis) D,_pH (alkalosis) | Which ofthe following statements is incorrect? A. Doring fetal ite, longs are filled with uid {© Respir ras towestn nebo nf Descent of the diaphragm results in abdominal ‘breathing. D._ The chest wall becomes more sxid with age. A. 9. Which ofthe choices below déscres the forces that acto pull tha lungs away from the thorax wall and hus collapse the lungs? ‘The natual tendency forthe lungs to recoil and the surfage tension of the alveolar fluid B. Compliance and transpulmonary pressures C. The natural tendency for the lungs to recoil and transpulmonary pressures D. Compliance and the surface tension ofthe alveolar ‘Tidal volume’ theTungs after forced expiration Exchanged during normal breathing Inhaled after normal inspiration D. Forcibly expelled after normal expiration 11. The ung volome that represents the total volume of exchangeable tris the A. Tidal volume ® Vital capacity > Haranceable at ©! Inspiratory capacity D._Expiratory reserve volume (12. Theamount of air that canbe inspired above the ial volume is called AL Reserve air Expiratoy reserve Inspiratory reserve Vitel capacity P13, Oxygen and carbon dioxide are exchanged in the Jungs and through all cell membranes by ‘Osmosis B:) Diffusion Jomel M. Macapagal MAN, RN, LPT ‘Scanned with |CamScanner. CAOTESS UAE ue ALE FoR GOS HOraNcE ——> OLEDLI NATIONAL UNIVERSITY COLLECE OF e:_maur ALLIED HEALTH FG Filtration D. Active transport - 14, Which respiratry-assocated muscles would contract TS A iaphragm would contract, extemal intercostals ‘would relax v BB. Internal intercostals and abdominal muscles ‘would contract, Extemal intercostals would contrac and diaphragm would relax , iaprag conrcs teal incl woud 15, Which of the following provide the greatest surface area for gas exchange? ‘Alveolar scs of Respiratory bronchioles D. Alvelar ducts (). 6 Stes comet statment about te era iechanans of respiatory cota ‘A The ons thoght be issues in the sooth transition om inspiration to expiration B. The dorsal respiratory group neurons depolarize inary way foetal the pate of beating “The postin respirator group (PRO) continously stimulates the melo pode inspiratory ive. D, The ventral espztory groups contained within the pons 17. A mies preparing to obtain a pum specimen C from a client, Which of the following nursing actions tal eine ean th specimen? 1X" Liting ids Raving the cent take 3 dep reste Asking the chen to spite collin . ‘Aig the lent obtain th specimen afer cng {18 Thorcetss involves the aspiration of ui fom the perl pace. This inal donein een who have plea efision. Among the epons below. wih ring action shoul encoded in he plan sswvne,_ eae? agree eA Poko te cet onthe uae deo» NEROING the procedure 9 thyrerensiey, B)) Rexoval of more tan 1,000 must be nated inthe ist 30 minutes Beyond this time the removal wil be tapered C. Observe for changes in the clients cough, sputum, sd respiration ater procedute ,_Diuiagte insertion, instruct the client to perfor coughing exercise. 19, ste aspiration of ido i fom he plea gem feweiae er A. Purzsentesis > FLUIDS MM OBLOMINAL eauiTy B, Amniosentesis ‘A Provide comport B Explin the procedure Secure informed consent '. Shave and clean the site before the procedure to p a Souadete 21. Youarecaled to perform thoracentess (remove fd from the pew evity). Kyou are to avoid injuring ifyou were to blow upabalioon? “ory tani mee Cormour oyu: P mm {ung or neurovascular elements, where would you inser the aspiration needle? ‘A. the top of interspace 8 inthe midlavicular line B the bottom of interspace 8 in the midelavicular he top of interspace 9 in the midaxilay line ‘he bout of interspace 9 in the midaillary line the top of interspace IT inthe scapular line 22, A pulse oximetry gives what typeof information 1p toutthe client? ‘A. Amount of carbon dioxide in blood Percentage of hemoglobin carying oxygen ©. Amount of oxygen in blood D. Respiratory rate 23, Disinage ofa large amount of Fld from the nose. JA. Nasal Congestion B. Medicamentosa © Rhinitis D. Rhinorthea 24, nilammation ofthe throat: usually viral or bacterial 25, Drugof choice for reating Pharyngitis is A Pesicilin QB Bactrim © Conicosteroids D. Amoxicillin I 25, Typeof Chen Pharnais carted by thickening and congestion ofthe pharyngeal mucous, D, Acuteptnynatis | tis commonly referred as sore Uo 28, Rischrectepeed by numerous swolen lymph folices on he parygeat wall CA deni B. Hyperwopic Chronic raslar(lergron's sore toa) D. Atrophic or . 29, Probably alae stage ofthe hyperopic(menbrane is thin, wiitis, glistening) DA Adenodit 3. Hypertrophic Chron pranuar (clergyman soe trou) D. Atopic 430. Acat arya of bactrlnatre is mos ‘commonly caused by: 0. A Group A, beta haemolytic treptococe B Peendomonas C. Gram-negative Klebsiella D, Staphylocooas meus 31. Which ofthe following fancion of be ) itoy nent A Gas exchange 'B_ Absorption of mens CC Tramportot oxygen D. Structural uy 32, Oxygen from the air enters the blood stream at what ¢ location? Jomel M. Macapagal, MAN, RN, LPT ‘Scanned with |CamScannerName: leks NO AUwieo HEALTH ‘A. Cardiac Notch B, Pulmonary Vein : Alveot Paranasalsinuse 133, A nurse was asked by a doctor to provide oxygen supplementation toa client. Which ofthe following 1 suing princes about ongen herpy shoul rot ‘beimplemented by the nurse? Te ‘L._Place cautionary signs reading "NO Smoking: ‘Oxygen in Use" on the clients door, atthe foot or head ofthe bed, and on the oxygen equipment. 2. Avoid materials that generate static electricity, such as cotton blankets. 3. Acetone may be used; however, materials that are volatile and flammable such as cls, greases, alcohol and ether should be avoided. ‘Smoking may be done in the area where oxygen equipments found. 4 34 23.4 1234 34, Eczikel is college student with acute rhinitis ses the campus nurse because of excessive nasal drainage (; Tostansees the iiay cheer fe costar vocusnenve Jomel M. Macapagal MAN, RN, LPT! ‘Scanned with |CamScanner