Vision: A PREMIER UNIVERSITY delivering

“Excellent nursing education that

world-class education that promotes
provides graduates with self-
sustainable development amidst climate
change.
Benguet State University direction, competence and
compassion.”
Mission: To provide quality education to COLLEGE OF NURSING
enhance food security, sustainable La Trinidad, Benguet “The College of Nursing is committed
communities, industry innovation, climate to provide a strong academic and
resilience, gender equality, institutional
www.bsu.edu.ph/ 422- 2127 professional foundation for the
development and partnerships. practice of nursing.”

NCM 112
Care of clients with problems in Oxygenation, Fluid and Electrolytes, Infectious, Inflammatory
and immunologic response, Cellular Aberrations, Acute and Chronic.

WORKSHEET 1

ASSESSMENT OF RESPIRATORY SYSTEM

Part 1: Anatomy and physiology review

1. Number the following organs in the order of the pathway of inspired air. Number 1 is the first
organ after the environment and number 13 is the last organ before the alveoli.

a. 9
________ Carina
b. 6
________ Larynx
c. 7
________ Glottis
d. 8
________ Trachea
e. 5
________ Epiglottis
f. 1
________ Nasal cavity
g. 12
________ Bronchioles
h. 3
________ Oropharynx
i. 2
________ Nasopharynx
j. 13
________ Alveolar duct
k. 4
________ Laryngopharynx
l. 10
________ Mainstem bronchi
m. 11
________ Segmental bronchi

2. What keeps alveoli from collapsing?

a. Carina
b. Surfactant
c. Empyema
d. Thoracic cage

3. What accurately describes the alveolar sacs?

a. Line the lung pleura
b. Warm and moisturize inhaled air
c. Terminal structures of the respiratory tract
d. Contain dead air that is not available for gas exchange

4. What covers the larynx during swallowing?

a. Trachea
b. Epiglottis
c. Turbinates
d. Parietal pleura

5. Why does a patient’s respiratory rate increase when there is an excess of carbon dioxide in the
blood?
a. CO2 displaces oxygen on hemoglobin, leading to a decreased PaO2.
b. CO2 causes an increase in the amount of hydrogen ions available in the body.
c. CO2 combines with water to form carbonic acid, which lowers the pH of cerebrospinal
fluid.
d. CO2 directly stimulates chemoreceptors in the medulla to increase respiratory rate and
volume.
Vision: A PREMIER UNIVERSITY delivering
“Excellent nursing education that
world-class education that promotes
provides graduates with self-
sustainable development amidst climate
change.
Benguet State University direction, competence and
compassion.”
Mission: To provide quality education to COLLEGE OF NURSING
enhance food security, sustainable La Trinidad, Benguet “The College of Nursing is committed
communities, industry innovation, climate to provide a strong academic and
resilience, gender equality, institutional
www.bsu.edu.ph/ 422- 2127 professional foundation for the
development and partnerships. practice of nursing.”

6. Which respiratory defense mechanism is most impaired by smoking?

a. Cough reflex
b. Filtration of air
c. Mucociliary clearance
d. Reflex bronchoconstriction

7. Which age-related changes in the respiratory system causes decreased secretion clearance
(select all that apply)?
a. Decreased functional cilia
b. Decreased force of cough
c. Decreased chest wall compliance
d. Small airway closure earlier in expiration?
e. Decreased functional immunoglobulin A(IgA)

8. The abnormal assessment findings of dullness and hyperresonance are found with which
assessment technique?
a. Inspection
b. Palpation
c. Percussion
d. Auscultation

9. Palpation is the assessment technique used to find which abnormal assessment findings (select
all that apply)?
a. Stridor
b. Finger clubbing
c. Tracheal deviation
d. Limited chest expansion
e. Increased tactile fremitus
f. Use of accessory muscles

10. When does the nurse record the presence of an increased anteroposterior (AP) diameter of the
chest?
a. There is a prominent protrusion of the sternum.
b. The width of the chest is equal to the depth of the chest.
c. There is equal but diminished movement of the two sides of the chest.
d. The patient cannot fully expand the lungs because of kyphosis of the spine.

Part 2: Match the descriptions or possible etiologies with the appropriate abnormal assessment findings.

7
_____ a. Finger clubbing 1. Lung consolidation with fluid or exudate
6
_____ b. Stridor 2. Air trapping
5
_____ c. Wheezes 3. Atelectasis
8
_____ d. Pleural friction rub 4. Interstitial filling with fluid
1
_____ e. Increased tactile fremitus 5. Bronchoconstriction
2
_____ f. Hyperresonance 6. Partial obstruction of trachea or larynx
4
_____ g. Fine crackles 7. Chronic hypoxemia
3
_____ h. Absent breath sounds 8. Pleurisy
Vision: A PREMIER UNIVERSITY delivering
“Excellent nursing education that
world-class education that promotes
provides graduates with self-
sustainable development amidst climate
change.
Benguet State University direction, competence and
compassion.”
Mission: To provide quality education to COLLEGE OF NURSING
enhance food security, sustainable La Trinidad, Benguet “The College of Nursing is committed
communities, industry innovation, climate to provide a strong academic and
resilience, gender equality, institutional
www.bsu.edu.ph/ 422- 2127 professional foundation for the
development and partnerships. practice of nursing.”

Part 3: Identify the following items

Figure 1

4. Eustachian Tube

1. Nose

2. Epiglottis

5. Oropharynx

3. Larynx

GUIDE QUESTIONS.

1. This is the organ of smell with receptors from cranial nerve I (olfactory) located in the upper
areas. This organ is rigid and contains two passages separated by the septum.
_____________________
2. It is a leaf-shaped, elastic structure that is attached along one edge to the top of the larynx. Its
hingelike action prevents food from entering the trachea (aspiration) by closing over the glottis
during swallowing. It opens during breathing and opens and closes synchronously during
coughing. _____________________
3. Also known as the “voice box” and is located above the trachea, just below the throat at the
base of the tongue. It is controlled by the recurrent laryngeal nerves and it is composed of
several cartilages. _____________________
4. It connects the nasopharynx with the middle ears and open during swallowing to equalize
pressure within the middle ear. _____________________
5. It is located behind the mouth, below the nasopharynx and extends from the soft palate to the
base of the tongue. This is the common pathway of the respiratory and digestive system and it is
used for breathing and swallowing. _____________________
Vision: A PREMIER UNIVERSITY delivering
“Excellent nursing education that
world-class education that promotes
provides graduates with self-
sustainable development amidst climate
change.
Benguet State University direction, competence and
compassion.”
Mission: To provide quality education to COLLEGE OF NURSING
enhance food security, sustainable La Trinidad, Benguet “The College of Nursing is committed
communities, industry innovation, climate to provide a strong academic and
resilience, gender equality, institutional
www.bsu.edu.ph/ 422- 2127 professional foundation for the
development and partnerships. practice of nursing.”

Figure 2
4

1
5
2

3
6

7 8 9

12
10

11
13

1. Right Superior Lobe

____________________________________________
2. Right Middle Lobe
____________________________________________
3. Right Inferior Lobe
____________________________________________
4. Trachea
____________________________________________
5. Left Superior Lobe
____________________________________________
6. Left Inferior Lobe
____________________________________________
7. Axillary Line
____________________________________________
8. Midclavicular Line
____________________________________________
9. Midsternal Line
____________________________________________
10. Left Upper Lobe
____________________________________________
11. Left Lower Lobe
____________________________________________
12. Right Upper Lobe
____________________________________________
13. Right Lower Lobe
____________________________________________