COMPETENCY APPRAISAL I
Instructions:

You may print this examination or get a piece of paper to write down your answers.

Answer the following questions without using any guide or references to assess your level of
knowledge on the following concepts.

Also, try to take this exam with time limit using a timer, and let us know how many minutes/hours
you have taken the exam on our next meeting.
Items 1-10: Concept/Topic-RESPIRATORY
SITUATION– Respiratory disease is a medical term that encompasses pathological conditions affecting
the organs and tissues that
make
gas
exchange
possible
in
higher organisms,
and
includes
conditions
of
the upper
respiratory tract, trachea, bronchi,
bronchioles, alveoli, pleura and pleural cavity, and the nerves and muscles of breathing. The following
questions apply.
1. The nurse is reviewing the parts of the respiratory system. Which part of the lungs found at the end of the
terminal bronchioles does gas exchange occurs?
A.
Alveoli
B.
Bronchi
C.
Bronchioles
D.
Carina

2. A nurse was assigned to an elderly patient with pneumonia. He is aware that the factor MOST likely
contributing to the patient’s development of pneumonia is:

3.
An elderly client developed pneumonia. The nurse is aware that the INITIAL symptom the
client may manifest is:

4. The nurse is assessing a 69-year-old client who appears thin and cachectic. The client is short of breath
at rest, dyspneic with the slightest exertion, and has diminished breath sounds with deep inspiration. The
nurse interprets these assessment findings as indicative of:

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