needle in the left ninth intercostal space at mid-axillary line wouldn't affect

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Introduction of Respiratory System NCLEX Questions PN Questions

Question 1 of 5

needle in the left ninth intercostal space at mid-axillary line wouldn't affect

Correct Answer: C

Rationale: A needle at the 9th intercostal space, midaxillary, below the lung's lower border (C), affects pleura (D), diaphragm (A), or spleen (B), but not the lung. C is correct.

Question 2 of 5

All are mesodermal derivatives except:

Correct Answer: D

Rationale: Mesoderm forms blood vessels (A), dermis (B), and spleen (C), shaping connective and vascular tissues. The nervous system (D), including brain and spinal cord, derives from ectoderm via the neural tube. D is the exception its ectodermal origin contrasts with the mesodermal lineage of the others.

Question 3 of 5

Spirometry can measure all except

Correct Answer: C

Rationale: Spirometry measures lung volumes and capacities but cannot directly measure functional residual capacity (FRC), making choice C correct. Inspiratory capacity (IC, choice A) is the sum of tidal volume (TV) and inspiratory reserve volume (IRV), both measurable via spirometry. Expiratory reserve volume (ERV, choice B) is the additional air exhaled after a normal exhalation, also directly measured. Vital capacity (choice D) is the total of IRV, TV, and ERV, calculated from spirometry data. Tidal volume (TV, choice E) is the normal breathing volume, easily measured. FRC, however, is the volume remaining in the lungs after a normal expiration (ERV + residual volume, RV), and RV cannot be expelled or measured by spirometry alone it requires techniques like helium dilution or body plethysmography. Thus, FRC's dependence on RV excludes it from direct spirometry measurement, confirming C as the exception.

Question 4 of 5

Which statement is false?

Correct Answer: D

Rationale: Choice D is false. The dorsal respiratory group (DRG) is in the medulla, not upper pons (choice A is wrong but not the falsest). The apneustic centre (lower pons) promotes inspiration and can inhibit expiration, not directly the inspiratory centre (choice B is true-ish). The pneumotaxic centre (upper pons) regulates breathing rate, not causing prolonged gasps that's apneustic behavior (choice C is false but less so). Choice D's cortex claim is incorrect; intrinsic periodic firing originates in the medulla's pre-Bötzinger complex, not cortex. Voluntary override occurs via cortical input, but the rhythm's source is medullary, not cortical. Choice E (none) is invalid as D is clearly false. D's misrepresentation of respiratory control origin makes it the falsest statement here.

Question 5 of 5

Regarding airway resistance

Correct Answer: C

Rationale: decreased alveolar pCO₂ (e.g., hyperventilation) causes bronchodilation via chemoreceptor feedback, reducing airway resistance, not increasing it. Choice A is false; Poiseuille's law (R = 8ηL/πr⁴) applies to laminar flow, not turbulent. Choice B is wrong; medium-sized bronchi, not smallest bronchioles, contribute most resistance due to cumulative cross-sectional area changes. ' as lung volume drops, resistance rises bronchioles narrow without radial traction. Choice E (adrenergic contraction increasing resistance) is false; adrenergic stimulation relaxes bronchial muscle, lowering resistance. Low pCO₂ signals reduced CO₂ clearance need, relaxing airways to adjust ventilation, opposite to bronchoconstriction (e.g., high pCO₂). This physiological response makes C the true statement about resistance dynamics.

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