ATI LPN
Questions for the Respiratory System Questions
Question 1 of 5
A client diagnosed with influenza asks the nurse what he can to do to recover more quickly. Which should the nurse recommend to this client?
Correct Answer: D
Rationale: For a client with influenza, the nurse recommends resting in bed and drinking plenty of fluids to speed recovery. Rest conserves energy, letting the immune system combat the virus efficiently, while fluids prevent dehydration from fever and thin mucus, easing airway clearance core self-care for this viral illness. Acetaminophen reduces fever and aches, improving comfort but not hastening recovery itself. Antibiotics treat bacteria, not viruses, so they're irrelevant unless a secondary infection emerges, needing medical assessment. Zinc lozenges lack robust evidence for shortening flu duration and aren't standard care. The nurse prioritizes rest and hydration as proven, accessible measures, per CDC guidelines, supporting the body's natural healing without unnecessary drugs, ensuring the client recovers optimally from uncomplicated flu.
Question 2 of 5
Regarding the pathogenesis of chronic bronchitis
Correct Answer: D
Rationale: Chronic bronchitis is most frequent in middle-aged men (D), with 90% being smokers'. Choice A is false; infection maintains, not develops, disease (smoking initiates). Choice B is incorrect; emphysema, not bronchiolitis, dominates with obstruction. Choice C is wrong; goblet cell overactivity is metaplastic, not dysplastic (protective, not precancerous). Choice E (none true) is invalid. Page 722 notes D's demographic men's higher smoking rates historically sustain prevalence, contrasting with A's infection focus or C's terminology error.
Question 3 of 5
Regarding interstitial lung disease
Correct Answer: C
Rationale: Desquamative interstitial pneumonia (DIP) is smoking-related (C), linked to macrophage accumulation. Choice A is false; idiopathic pulmonary fibrosis (IPF) is T_H2-mediated (IL-4/IL-13). Choice B is incorrect; IPF is alveolitis, not bronchiolitis. Choice D is wrong; radiation pneumonitis causes fibrosis, not granulomas (sarcoid does). Choice E (late clubbing) is true. Page 729 confirms C DIP's smoking tie contrasts with IPF's T_H2-driven fibrosis, distinguishing it over A's cell type or D's granuloma error.
Question 4 of 5
Simple pulmonary eosinophilia
Correct Answer: D
Rationale: Simple pulmonary eosinophilia (Loffler syndrome) has striking radiographs but a benign course (D), resolving spontaneously. Choice A is false; acute eosinophilic pneumonia responds to corticosteroids, not antibiotics. Choice B is incorrect; Loffler is benign, not fatal. Choice C is wrong; it's extrinsic (allergic), not intrinsic. Choice E (giant cells) is true. Page 740 confirms D's profile transient infiltrates and eosinophilia contrast with A's treatment or B's severity error.
Question 5 of 5
Regarding Legionella pneumonia
Correct Answer: A
Rationale: Organ transplant recipients are highly susceptible to Legionella pneumonia (A), with mortality up to 50% in immunocompromised. Choice B is false; urine antigens aid rapid diagnosis, but culture is the gold standard. Choice C is incorrect; Pontiac fever is a mild, distinct Legionella illness. Choice D is wrong; transmission is via aerosol aspiration, not drinking. Choice E (none true) is invalid. Page 747 confirms A's risk immunosuppression amplifies severity, unlike B's diagnostic error or C's nomenclature.