Gas Exchange

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NCLEX-PN › Gas Exchange

Questions 1 - 6
1

What does the term "partial pressure" describe?

The pressure contributed by a single gas in a gas mixture

The pressure of a gas at above sea level

The difference between the gas pressure at a particular altitude and sea level

The pressure of an overall gas mixture during transition (adding a new gas)

Explanation

Many gases, such as room air, are composed of several gasses (in the case of room air, primarily nitrogen, oxygen, and several trace gasses). Partial pressure is the amount of pressure that each gas contributes. To find the total pressure of a gas mixture, one would find the sum of all partial pressures of each individual gas.

2

How do oxygen and carbon dioxide cross the capillary epithelium and alveolar cell membranes during gas exchange?

Simple diffusion

transporter

pump

Osmotic exchange

Explanation

Gas exchange in the alveoli occurs by the process of simple diffusion. The blood that enters the lung capillaries is relatively low in oxygen and high in , in comparison to the room air that is drawn into the alveoli during respiration. The separation between the capillaries and the alveolar epithelium is thin enough that these gasses can exchange across their pressure gradients by the process of simple diffusion.

3

Myoglobin can bind with __________ molecule(s) of oxygen, while hemoglobin can bind with __________ molecule(s) of oxygen.

one . . . four

one . . . two

two . . . four

three . . . four

Explanation

Myoglobin, an oxygen-binding protein in the muscle tissue, can bind with one molecule of oxygen. Hemoglobin, the main oxygen-binding metalloprotein in red blood cells, can bind four molecules of oxygen.

4

Hyperventilation results in which of the following?

Respiratory alkalosis

Respiratory acidosis

Ketoacidosis

Metabolic acidosis

Explanation

While hyperventilation or tachypnea may be triggered by various forms of acidosis, they will not cause a decrease in blood pH, but rather push the blood into a more alkaline state. This occurs due to loss of carbon dioxide during respiration, followed by a compensatory decrease in bicarbonate ions. The result is in an elevation in the pH of the blood. This condition is known as respiratory alkalosis.

5

Which of the following structures is the site of gas exchange in the lung?

The alveolus

The bronchiole

The bronchus

The pleura

Explanation

Gas exchange in the lung occurs exclusively in the alveoli, the tiny grape-like clusters of sacks at the terminus of the bronchioles of the lung. The gas contained in the larger structures of the lung - the trachea, bronchi, and bronchioles, is termed "dead space" as it does not participate in gas exchange.

6

Which of the following is the main trigger for the impulse to breathe?

High blood carbon dioxide

Low blood oxygen

Constriction of the bronchioles

Dilation of the bronchioles

Explanation

The main trigger for the impulse to breathe is high carbon dioxide (decreased blood pH). In response to a decrease in blood pH, the medullary respiratory center triggers the diaphragm and the external intercostal muscles to increase breathing rate.

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