All Free Anatomy and Physiology for Nursing MCQs with Answers
Every Anatomy and Physiology for Nursing question in the bank, across all chapters, each with the correct answer and a written explanation. Free and unlimited, with no account needed.
400 questions · page 16 of 20
301. Which structure is the main site of gas exchange between inspired air and pulmonary capillary blood?
- A. Terminal bronchioles
- B. Alveolar sacs
- C. Laryngeal cavity
- D. Main bronchi
Explanation: Alveolar sacs contain thin-walled alveoli surrounded by pulmonary capillaries, allowing rapid diffusion of gases.
Correct answer: Alveolar sacs- A. It decreases thoracic volume
- B. It increases thoracic volume
- C. It closes the small bronchioles
- D. It increases pressure inside the lungs
Explanation: When the diaphragm contracts, it flattens and increases the volume of the thoracic cavity.
Correct answer: It increases thoracic volume- A. Air inhaled during a normal breath
- B. Air exhaled after a normal breath
- C. Air remaining after maximal exhalation
- D. Air moved during forced inspiration
Explanation: Residual volume is the air that remains in the lungs after the strongest possible exhalation.
Correct answer: Air remaining after maximal exhalation- A. 2 litres per minute
- B. 4 litres per minute
- C. 6 litres per minute
- D. 12 litres per minute
Explanation: Minute ventilation equals respiratory rate multiplied by tidal volume: 12 × 500 mL = 6000 mL, or 6 litres per minute.
Correct answer: 6 litres per minute- A. Pulmonary artery
- B. Pulmonary vein
- C. Aorta
- D. Superior vena cava
Explanation: The pulmonary artery carries deoxygenated blood from the right ventricle to the pulmonary capillaries.
Correct answer: Pulmonary artery- A. Breathe rapidly through the mouth
- B. Use pursed-lip breathing during exhalation
- C. Hold the breath after every inspiration
- D. Lie flat and breathe shallowly
Explanation: Pursed-lip breathing creates slight back pressure during exhalation and helps keep narrowed airways open longer.
Correct answer: Use pursed-lip breathing during exhalation- A. Diaphragm
- B. Internal intercostal muscle
- C. Abdominal muscle
- D. Sternocleidomastoid muscle
Explanation: The diaphragm is the primary muscle used during quiet inspiration. The accessory muscles, including the sternocleidomastoid, are recruited…
Correct answer: Diaphragm- A. Respiratory rate of 30 per minute
- B. Mild dryness of the lips
- C. Reduced appetite at breakfast
- D. Difficulty sleeping overnight
Explanation: Tachypnoea with shallow breathing may indicate inadequate ventilation and developing hypoxaemia, so it requires prompt assessment and…
Correct answer: Respiratory rate of 30 per minute- A. A fall in arterial carbon dioxide
- B. A rise in arterial carbon dioxide
- C. A rise in blood oxygen above normal
- D. A fall in body temperature
Explanation: A rise in arterial carbon dioxide increases hydrogen ion concentration and stimulates respiratory centres to increase ventilation.
Correct answer: A rise in arterial carbon dioxide- A. Uvula
- B. Epiglottis
- C. Soft palate
- D. Vocal cord
Explanation: The epiglottis folds downward over the laryngeal opening during swallowing.
Correct answer: Epiglottis- A. It becomes lower than atmospheric pressure
- B. It becomes equal to venous pressure
- C. It becomes higher than atmospheric pressure
- D. It becomes equal to pleural pressure
Explanation: During quiet expiration, the respiratory muscles relax and elastic recoil decreases lung volume.
Correct answer: It becomes higher than atmospheric pressure- A. Tidal ventilation
- B. Alveolar ventilation
- C. Residual ventilation
- D. Inspiratory reserve
Explanation: Alveolar ventilation is the volume of fresh air reaching the alveoli each minute after dead-space air is excluded.
Correct answer: Alveolar ventilation- A. 1,800 mL
- B. 4,200 mL
- C. 6,000 mL
- D. 7,800 mL
Explanation: Alveolar ventilation equals (tidal volume minus dead space) multiplied by respiratory rate: (500 minus 150) × 12 = 4,200 mL per minute.
Correct answer: 4,200 mL- A. Parietal pleura
- B. Visceral pleura
- C. Mediastinal fascia
- D. Endothoracic fascia
Explanation: The visceral pleura closely covers the lungs and enters the fissures between lobes.
Correct answer: Visceral pleura- A. Respiratory alkalosis
- B. Metabolic alkalosis
- C. Respiratory acidosis
- D. Metabolic acidosis
Explanation: Hypoventilation causes carbon dioxide retention, and carbon dioxide combines with water to increase carbonic acid.
Correct answer: Respiratory acidosis- A. Air in alveoli that receives no blood flow
- B. Air in conducting passages that does not exchange gases
- C. Air remaining after maximum forced expiration
- D. Air exchanged during normal quiet breathing
Explanation: Anatomical dead space includes air in the nose, pharynx, larynx, trachea and bronchi, where gas exchange does not occur.
Correct answer: Air in conducting passages that does not exchange gases- A. Expiratory wheezing
- B. Pulse rate of 104 beats per minute
- C. Silent chest with increasing drowsiness
- D. Mild anxiety about breathing
Explanation: A silent chest with drowsiness suggests severely reduced airflow and worsening respiratory failure, so airway and breathing take priority.
Correct answer: Silent chest with increasing drowsiness- A. Pulmonary artery
- B. Pulmonary vein
- C. Superior vena cava
- D. Bronchial artery
Explanation: Pulmonary veins carry oxygenated blood from the pulmonary capillaries to the left atrium.
Correct answer: Pulmonary vein- A. Loss of voluntary swallowing only
- B. Irregular or inadequate breathing
- C. Increased production of surfactant
- D. Improved response to carbon dioxide
Explanation: The medulla contains vital respiratory centres that generate and regulate the basic breathing rhythm.
Correct answer: Irregular or inadequate breathing- A. Haemoglobin releases more oxygen to the tissues
- B. Haemoglobin binds oxygen more strongly in the tissues
- C. Haemoglobin releases less oxygen to the tissues
- D. Haemoglobin stops carrying oxygen in the blood
Explanation: Increased temperature and carbon dioxide reduce haemoglobin's affinity for oxygen, shifting the oxyhaemoglobin dissociation curve to the…
Correct answer: Haemoglobin releases more oxygen to the tissues