ARELLANO UNIVERSITY

College of Nursing
PACUCOA Level III Re-Accredited Status
2600 Legarda St., Sampaloc, Manila
www.arellano.edu.ph

NAME: ________________________________________________________________________________

Class Schedule / Section: ______________________________ Date: _________________________

WORKSHEET #2: Post - Task Activity

Critical Thinking Exercise
(30 points)

Welcome to Critical Thinking Exercise!

Instruction:
1. Select the best answer or all that applied as the case may require. State your RATIONALE for choosing
your answer
2. Note:
• Each number is 2 points (1 point for correct answer; 1 point for correct rationale)
• Correct answer but incorrect rationale: 1 point
• Correct answer but no rationale provided: 0 point only
• Incorrect answer even with rationale: 0 point

3. Date of Submission: August 17, 2021 (NLT 12:00nn)

4. Submit your Worksheet2 at : amelia.manaois@arellano.edu.ph

CRITICAL THINKING EXERCISES:

1. A client with asthma has low pitched wheezes present on the final half of exhalation. One hour later the
client has high pitched wheezes extending throughout exhalation. This change in assessment indicates to
the nurse that the client
A. Has increased airway obstruction
B. Has improved airway obstruction
C. Needs to be suctioned
D. Exhibits hyperventilation

RATIONALE: _________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

2. Which of the following parameters should be checked when assessing respirations?

A. Rate
B. Rhythm
C. Symmetry
D. All of the above

RATIONALE: _________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

3. A 38-year old patient’s vital signs at 8 a.m. are : temperature 37.6 C; pulse rate, 88; respiratory rate, 30.
Which findings should be reported?
A. Respiratory rate only
B. Temperature only
C. Pulse rate and temperature
D. Temperature and respiratory rate

RATIONALE: _________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________
4. All of the following can cause tachycardia except:
A. Fever
B. Exercise
C. Sympathetic nervous system stimulation
D. Parasympathetic nervous system stimulation

RATIONALE: _________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

5. A patient has exacerbation of chronic obstructive pulmonary disease (COPD) manifested by shortness
of breath; orthopnea: thick, tenacious secretions; and a dry hacking cough. An appropriate nursing
diagnosis would be:
A. Ineffective airway clearance related to thick, tenacious secretions.
B. Ineffective airway clearance related to dry, hacking cough.
C. Ineffective individual coping related to COPD.
D. Pain related to immobilization of affected leg.

RATIONALE: _________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

6. Which one of the following is NOT a function of the Upper airway?

A. For clearance mechanism such as coughing
B. Transport gases to the lower airways
C. Warming, Filtration and Humidification of inspired air
D. Protect the lower airway from foreign mater

RATIONALE: _________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

7. Surfactant is produced by what cells in the alveoli?

A. Type I pneumocytes
B. Type II pneumocytes
C. Goblet cells
D. Adipose cells

RATIONALE: _________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

8. Which of the following is the initial sign of hypoxemia in an adult client? (select all that apply)
A. Tachypnea
B. Tachycardia
C. Cyanosis
D. Pallor
E. Confusion
E. Flaring of Nares

RATIONALE: _________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

9. Dyspnea is the hallmark chief complaint related to respiratory system. What nursing care management
should be done in this condition? (select all that apply)
A. Placing the patient at rest
B. Head must be elevated (High fowler’s position)
C. Position client to trendelenburg position
D. O2 administration in severe cases
RATIONALE: _________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

10. Indicator/s of respiratory alkalosis (select all that apply)

A. pH 7.55
B. paO2 – 110mmHg
C. paCO2 – 22mmHg
D. HCO3 – 30mEq/L

RATIONALE: _________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

11. The following is a condition of hyperventilation (select all that apply)

A. Respiratory acidosis
B. Excessive O2 administration
C. Respiratory alkalosis
D. Excessive CO2 in blood plasma

RATIONALE: _________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

12. Respiratory acidosis is a result of the following conditions: (select all that apply)
A. Inadequate excretion of CO2
B. Hyperventilation
C. Inadequate ventilation
D. Hypoventilation

RATIONALE: _________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

13. A patient will undergo bronchoscopy, which among the following nursing action is/are accurate and
correct? (select all that apply)
A. Signed consent form must be signed before the procedure
B. NPO for 6 hours before the test
C. Administer preoperative medications (atropine and a sedative to inhibit vagal stimulation)
D. After the procedure, the patient can immediately eat and drink

RATIONALE: _________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

14. Normal values for pCO2:

A. 20-40 mm Hg
B. 30-40 mmHg
C. 25-30 mm Hg
D. 35-45 mm Hg

RATIONALE: _________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

15. Which of the following matches the definition: The volume of air that can be inhaled following
exhalation of tidal volume?
 A. Expiratory reserve volume
B. Inspiratory capacity
C. Inspiratory reserve volume
D. Vital capacity

RATIONALE: _________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________