Test bank for Brunner and Suddarths Canadian Textbook of
Medical-Surgical Nursing 4th Edition by Mohamed El Hussein;
Joseph Osuji | 9781975108038 | All Chapters with Answers
and Rationals
The two centers in the brain that are responsible for the neurologic control of ventilation are? -
ANSWER: A pneumatic center (lower pons)
Pneumotaxic center
(Upper pons)
The alveoli begin to lose elasticity at about age____
Years, resulting in decreased gas diffusion. - ANSWER: 50
The lungs are enclosed in a serous membrane called the? - ANSWER: Pleura
The left lung, in contrast to the right lung has? - ANSWER: One less lobe
The division of the lung proceed in the following order, beginning at the mainstem bronchi: -
ANSWER: Lobar bronchi
Segmented bronchi
Subsegmented bronchi
Bronchioles
What are the alveolar cells that secrete surfactant? - ANSWER: Type II cells
Gas exchange between the lungs and blood and between the blood and tissues is called? - ANSWER:
Respiration
The maximum volume of air that can be inhaled after a normal inhalation is known as? - ANSWER:
Expiratory reserve volume
Tidal volume, which may not significantly change with disease, has a normal value of approximately
____mL? - ANSWER: 1000
The exchange of oxygen and carbon dioxide from the alveoli into the blood occurs by? - ANSWER:
Diffusion
The pulmonary circulation is considered a___________,___________ - ANSWER: High-pressure,
high resistance system
The symbol used to identify the partial pressure of oxygen is? - ANSWER: Pa02
Distinguish between the terms ventilation and respiration. - ANSWER: Ventilation refers to the
movement of air in and out of airways.
Respiration refers to gas exchange between atmospheric air and blood and between blood and the
cells of the body
Describe the function of the epiglottis. - ANSWER: The epiglottis is a flap of cartilage that covers the
opening of the larynx during swallowing.
List four conditions that cause low compliance or distensibility of the lungs. - ANSWER: Low or
decreased compliance occurs with certain pathology. Answer should include four of the following:
, morbid obesity, atelectasis, pneumothorax, Hemothorax, pulmonary fibrosis or edema, pleural
effusion, ARDS.
Define the term partial pressure. - ANSWER: Partial pressure is the pressure exerted by each type of
gas.
List six major signs and symptoms of respiratory disease. - ANSWER: Answers should include six of the
following: dyspnea, cough, sputum production, chest pain, wheezing and hemoptysis, tachypnea,
hypoxia.
List four conditions that are influenced by genetic factors that affect respiratory function. - ANSWER:
Asthma, COPD, cystic fibrosis, alpha-1 antitrypsin deficiency
Explain the breathing pattern characterized as Cheyne-Stokes respirations. - ANSWER: Cheyne-Stokes
respirations are characterized by alternating episodes of apnea and periods of deep breathing. It is
usually associated with heart failure and damage to the respiratory center.
What is the purpose of cilia? - ANSWER: Cilia moves the mucus back to the larynx
What are the four common phenomena that can alter bronchial diameter? - ANSWER: Streptococcus
pneumonie
Haemophilus influenza
Staphylococcus aureus
Moraxella catarrhalis
What is the difference between diffusion and pulmonary perfusion? - ANSWER: Diffusion is the
exchange of oxygen and carbon dioxide at the air-blood interface. Pulmonary perfusion is the actual
flow of blood through the pulmonary circulation.
Because a bronchoscopy was ordered, the nurse knows that the suspected lesion may be located
where? - ANSWER: In the bronchus, larynx, or trachea
The nurse is preparing the patient for a bronchoscopy. What interventions by the nurse are required
prior to the procedure? - ANSWER: Supplying information about the procedure, withholding food and
fluids for at least 6 hours, ensuring that informed consent is obtained
What complications should the nurse be aware may occur during bronchoscopy? - ANSWER:
Aspiration, infection, and pneumothorax
After the bronchoscopy, what should the nurse asses Mr. Kecklin for? - ANSWER: Monitor the patients
respiratory status and observe for hypoxia, hypotension, tachycardia, dysrhythmias , hemoptysis, and
dyspnea
What intervention by the nurse should be provided to Mr. Kecklin after his bronchoscopy? - ANSWER:
Offer ice chips and eventually fluids after the gag and cough reflex return
What interventions by the nurse are required prior to the thoracentesis? - ANSWER: Informing patient
about pressure sensations that will be experienced during the procedure, making sure that chest
roentgenograms ordered in advance have been completed, seeing that the consent form has been
explained and signed
Into which position should the nurse assist the patient prior to the thoracentesis? - ANSWER: Sitting
on the edge of the bed with the patients feet supported and arms and head on a padded overbred
table
What an atomic site does the nurse anticipate the physician will use for the thoracentesis? - ANSWER:
Second and third intercostal space
Medical-Surgical Nursing 4th Edition by Mohamed El Hussein;
Joseph Osuji | 9781975108038 | All Chapters with Answers
and Rationals
The two centers in the brain that are responsible for the neurologic control of ventilation are? -
ANSWER: A pneumatic center (lower pons)
Pneumotaxic center
(Upper pons)
The alveoli begin to lose elasticity at about age____
Years, resulting in decreased gas diffusion. - ANSWER: 50
The lungs are enclosed in a serous membrane called the? - ANSWER: Pleura
The left lung, in contrast to the right lung has? - ANSWER: One less lobe
The division of the lung proceed in the following order, beginning at the mainstem bronchi: -
ANSWER: Lobar bronchi
Segmented bronchi
Subsegmented bronchi
Bronchioles
What are the alveolar cells that secrete surfactant? - ANSWER: Type II cells
Gas exchange between the lungs and blood and between the blood and tissues is called? - ANSWER:
Respiration
The maximum volume of air that can be inhaled after a normal inhalation is known as? - ANSWER:
Expiratory reserve volume
Tidal volume, which may not significantly change with disease, has a normal value of approximately
____mL? - ANSWER: 1000
The exchange of oxygen and carbon dioxide from the alveoli into the blood occurs by? - ANSWER:
Diffusion
The pulmonary circulation is considered a___________,___________ - ANSWER: High-pressure,
high resistance system
The symbol used to identify the partial pressure of oxygen is? - ANSWER: Pa02
Distinguish between the terms ventilation and respiration. - ANSWER: Ventilation refers to the
movement of air in and out of airways.
Respiration refers to gas exchange between atmospheric air and blood and between blood and the
cells of the body
Describe the function of the epiglottis. - ANSWER: The epiglottis is a flap of cartilage that covers the
opening of the larynx during swallowing.
List four conditions that cause low compliance or distensibility of the lungs. - ANSWER: Low or
decreased compliance occurs with certain pathology. Answer should include four of the following:
, morbid obesity, atelectasis, pneumothorax, Hemothorax, pulmonary fibrosis or edema, pleural
effusion, ARDS.
Define the term partial pressure. - ANSWER: Partial pressure is the pressure exerted by each type of
gas.
List six major signs and symptoms of respiratory disease. - ANSWER: Answers should include six of the
following: dyspnea, cough, sputum production, chest pain, wheezing and hemoptysis, tachypnea,
hypoxia.
List four conditions that are influenced by genetic factors that affect respiratory function. - ANSWER:
Asthma, COPD, cystic fibrosis, alpha-1 antitrypsin deficiency
Explain the breathing pattern characterized as Cheyne-Stokes respirations. - ANSWER: Cheyne-Stokes
respirations are characterized by alternating episodes of apnea and periods of deep breathing. It is
usually associated with heart failure and damage to the respiratory center.
What is the purpose of cilia? - ANSWER: Cilia moves the mucus back to the larynx
What are the four common phenomena that can alter bronchial diameter? - ANSWER: Streptococcus
pneumonie
Haemophilus influenza
Staphylococcus aureus
Moraxella catarrhalis
What is the difference between diffusion and pulmonary perfusion? - ANSWER: Diffusion is the
exchange of oxygen and carbon dioxide at the air-blood interface. Pulmonary perfusion is the actual
flow of blood through the pulmonary circulation.
Because a bronchoscopy was ordered, the nurse knows that the suspected lesion may be located
where? - ANSWER: In the bronchus, larynx, or trachea
The nurse is preparing the patient for a bronchoscopy. What interventions by the nurse are required
prior to the procedure? - ANSWER: Supplying information about the procedure, withholding food and
fluids for at least 6 hours, ensuring that informed consent is obtained
What complications should the nurse be aware may occur during bronchoscopy? - ANSWER:
Aspiration, infection, and pneumothorax
After the bronchoscopy, what should the nurse asses Mr. Kecklin for? - ANSWER: Monitor the patients
respiratory status and observe for hypoxia, hypotension, tachycardia, dysrhythmias , hemoptysis, and
dyspnea
What intervention by the nurse should be provided to Mr. Kecklin after his bronchoscopy? - ANSWER:
Offer ice chips and eventually fluids after the gag and cough reflex return
What interventions by the nurse are required prior to the thoracentesis? - ANSWER: Informing patient
about pressure sensations that will be experienced during the procedure, making sure that chest
roentgenograms ordered in advance have been completed, seeing that the consent form has been
explained and signed
Into which position should the nurse assist the patient prior to the thoracentesis? - ANSWER: Sitting
on the edge of the bed with the patients feet supported and arms and head on a padded overbred
table
What an atomic site does the nurse anticipate the physician will use for the thoracentesis? - ANSWER:
Second and third intercostal space
