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Bridge to NGLEX Examination: Respiratory Anatomy and Assessment, Exams of Research Methods in Psychology

Answers to questions related to respiratory anatomy, assessment, and diagnostic procedures. It covers topics such as the key anatomic landmark separating the upper and lower respiratory tracts, the mechanism of air entering the lungs, signs of inadequate oxygenation, and respiratory assessment findings in older adults and patients with respiratory distress. It also discusses diagnostic tests like thoracentesis, arterial blood gases, and tuberculin skin tests.

Typology: Exams

2023/2024

Uploaded on 02/24/2024

sarah-waters
sarah-waters 🇺🇸

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Answers
BRIDGE TO NGLEX EXAMINATION
1. The key anatomic landmark that separates the upper respiratory tract from the lower
respiratory tract is the
carina.
larynx.
trachea.
epiglottis.
2. A patient asks, "How does air get into my lungs?" The nurse bases their answer on
knowledge that air moves into the lungs because of
positive intrathoracic pressure.
contraction of the accessory abdominal muscles.
stimulation of the respiratory muscles by the chemoreceptors.
a decrease in intrathoracic pressure from an increase in thoracic cavity size.
3. The nurse can best determine adequate arterial oxygenation of the blood by assessing
heart rate.
hemoglobin level.
arterial oxygen partial pressure.
arterial carbon dioxide partial pressure.
6. To detect early signs or symptoms of inadequate oxygen-ation, the nurse would examine
the patient for
dyspnea and hypotension.
apprehension and restlessness.
cyanosis and cool, clammy skin.
increased urine output and diaphoresis.
7. During the respiratory assessment of an older adult, the nurse would expect to find
(select all that apply)
a vigorous reflex cough.
increased chest expansion.
increased residual volume.
decreased lung sounds at base of lungs.
increased anteroposterior (AP) chest diameter.
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Answers BRIDGE TO NGLEX EXAMINATION

  1. The key anatomic landmark that separates the upper respiratory tract from the lower respiratory tract is the carina. larynx. trachea. epiglottis.
  2. A patient asks, "How does air get into my lungs?" The nurse bases their answer on knowledge that air moves into the lungs because of positive intrathoracic pressure. contraction of the accessory abdominal muscles. stimulation of the respiratory muscles by the chemoreceptors. a decrease in intrathoracic pressure from an increase in thoracic cavity size.
  3. The nurse can best determine adequate arterial oxygenation of the blood by assessing heart rate. hemoglobin level. arterial oxygen partial pressure. arterial carbon dioxide partial pressure.
  4. To detect early signs or symptoms of inadequate oxygen-ation, the nurse would examine the patient for dyspnea and hypotension. apprehension and restlessness. cyanosis and cool, clammy skin. increased urine output and diaphoresis.
  5. During the respiratory assessment of an older adult, the nurse would expect to find (select all that apply) a vigorous reflex cough. increased chest expansion. increased residual volume. decreased lung sounds at base of lungs. increased anteroposterior (AP) chest diameter.
  1. When assessing subjective data related to the respiratory health of a patient with emphysema, the nurse would ask about (select all that apply) date of last chest x-ray. dyspnea during rest or exercise. pulmonary function test results. ability to sleep through the entire night. prescription and over-the-counter medication.
  2. When auscultating the chest of an older patient in mild respiratory distress, it is best to begin listening at the apices. begin listening at the lung bases. begin listening on the anterior chest. ask the patient to breathe through the nose with the mouth closed.
  3. Which respiratory assessment finding does the nurse interpret as abnormal? Inspiratory chest expansion of 1 inch Symmetric chest expansion and contraction Resonance (to percussion) over the lung bases Bronchial breath sounds in the lower lung fields
  4. The nurse is preparing the patient for a diagnostic procedure to remove pleural fluid for analysis. The nurse would prepare the patient for which test? Thoracentesis Bronchoscopy Pulmonary angiography Sputum culture and sensitivity When auscultating the patient’s lower lungs, the nurse hears low-pitched sounds similar to blowing through a straw under water on inspiration. How would the nurse document these sounds?

Stridor

Vesicular

Coarse crackles

Bronchovesicular

When assessing a patient’s sleep-rest pattern related to respiratory health,

what would the nurse ask the patient? (Select all that apply.)

Is it hard for you to fall asleep?

Do you awaken abruptly during the night?

Do you sleep more than 8 hours per night?

Do you need to sleep with the head elevated?

A patient had a right total knee replacement 2 days ago. Upon auscultation of the patient’s posterior chest, the nurse detects discontinuous, high-pitched breath sounds just before the end of inspiration in the lower portion of both lungs. Which statement most appropriately reflects how the nurse would document the breath sounds?

“Bibasilar wheezes present on inspiration.”

“Diminished breath sounds in the bases of both lungs.”

“Fine crackles posterior right and left lower lung fields.”

“Expiratory wheezing scattered throughout the lung fields.”

The nurse is interpreting a tuberculin skin test (TST) for a patient with end-stage renal disease due to diabetes. Which finding would indicate a positive reaction?

Acid-fast bacilli cultured at the injection site

15 - mm area of redness at the TST injection site

11 - mm area of induration at the TST injection site

Wheal formed immediately after intradermal injection

A patient is hospitalized with pneumonia. Which diagnostic test would be used to measure the efficiency of gas exchange in the lung and tissue oxygenation?

Thoracentesis

Bronchoscopy

Arterial blood gases

Pulmonary function tests

A patient has metabolic acidosis secondary to type 1 diabetes. What physiologic response would the nurse expect to observe in the patient?

Vomiting

Increased urination

Decreased heart rate

Increased respiratory rate

After assisting at the bedside with a thoracentesis, the nurse would continue to assess the patient for signs and symptoms of what?

Bronchospasm

Pneumothorax

Pulmonary edema

Respiratory acidosis

Which patient has early clinical manifestations of hypoxemia?

A 48-yr-old patient who is intoxicated and acutely disoriented to time and

place

A 67-yr-old patient who has dyspnea while resting in the bed or in a reclining

chair

A 72-yr-old patient who has four new premature ventricular contractions per

minute

A 94-yr-old patient who has renal insufficiency, anemia, and decreased urine

output

A patient with recurrent shortness of breath has just had a bronchoscopy. What is a priority nursing action immediately after the procedure?

Monitor the patient for laryngeal edema.

Assess the patient’s level of consciousness.

Monitor and manage the patient’s level of pain.

Assess the patient’s heart rate and blood pressure.

The patient with Parkinson’s disease has a pulse oximetry reading of 72% but has no other signs of decreased oxygenation. What is the most likely explanation for the low SpO 2 level?

Anemia

Artifact

Dark skin color

Thick acrylic nails

A frail older adult patient develops sudden shortness of breath while sitting in a chair. What location on the chest should the nurse begin auscultation of the lung fields?

Bases of the posterior chest area

Apices of the posterior lung fields

Anterior chest area above the breasts

Midaxillary on the left side of the chest