ATI RN
Respiratory System Practice Questions Questions
Question 1 of 5
A client is wearing a Venturi mask to deliver oxygen and the dinner tray has arrived. What action by the nurse is best?
Correct Answer: B
Rationale: The correct answer is B. Switching to a nasal cannula during meals allows the client to eat comfortably while still receiving oxygen. This ensures proper oxygenation during meals without compromising nutrition. Option A is incorrect because oxygen should not be turned off without a healthcare provider's order. Option C is incorrect as lifting the mask can reduce oxygen delivery. Option D is incorrect as oxygen should not be turned off abruptly. Switching to a nasal cannula is the safest and most appropriate option for clients using a Venturi mask during meals.
Question 2 of 5
Which of the following is an important preventive factor that the nurse should teach a client with rhinitis?
Correct Answer: D
Rationale: In the context of rhinitis, which is inflammation of the mucous membrane of the nose causing symptoms like a runny nose, sneezing, and nasal congestion, the correct answer is D) Wash hands frequently. This is because rhinitis can be triggered by various allergens like dust, pollen, or infections. By washing hands frequently, the client can reduce the likelihood of introducing these allergens into their respiratory system through touching surfaces and then their face. Option A) Not to blow the nose is incorrect because blowing the nose can actually help clear mucus and alleviate symptoms of rhinitis. It is a common practice recommended for managing nasal congestion. Option B) Consuming small doses of ice chips is unrelated to preventing rhinitis. While staying hydrated is important for overall health, consuming ice chips does not have a direct impact on preventing rhinitis. Option C) Not to lift objects weighing more than 5 to 10 lbs is also irrelevant to preventing rhinitis. Lifting heavy objects may exacerbate other health conditions like back pain or muscle strains but has no direct connection to rhinitis prevention. In an educational context, it is crucial for nurses to teach clients with rhinitis about preventive measures to manage their condition effectively. By explaining the rationale behind proper hand hygiene practices, nurses empower clients to take control of their health and minimize exposure to potential triggers of rhinitis. This knowledge not only helps in symptom management but also in preventing exacerbations of the condition, leading to improved quality of life for the client.
Question 3 of 5
You are supervising an RN who was pulled from the medical-surgical floor to the emergency department (ED). The nurse is providing care for a client admitted with anterior epistaxis (nosebleed). Which of these directions will you clearly provide to the RN? (Choose all that apply.)
Correct Answer: D
Rationale: The correct answer includes B, C, and D. Applying direct pressure (B), maintaining universal precautions (C), and applying ice or cool compresses (D) are appropriate interventions for managing epistaxis. Positioning the client supine and turned on their side (A) is incorrect as it could lead to aspiration of blood.
Question 4 of 5
The patient is apprehensive about undergoing bronchoscopy. He cannot imagine having anything inserted into his throat. What is the best response?
Correct Answer: C
Rationale: The best response to the patient's apprehension about undergoing bronchoscopy is option C. This response acknowledges the patient's feelings and addresses the underlying cause of anxiety by offering reassurance and an opportunity for the physician to provide more information. Option A is incorrect because simply stating the frequency of the procedure being performed does not address the patient's concerns. Option B is irrelevant as the physician's experience from three years ago does not alleviate the current patient's fears. Option D oversimplifies the procedure and dismisses the patient's emotional distress. In an educational context, it is crucial to teach healthcare professionals the importance of patient-centered care. Acknowledging and addressing patient concerns, providing information, and ensuring patient comfort are essential aspects of delivering quality healthcare. Understanding and empathizing with patients' fears can lead to better outcomes and patient satisfaction.
Question 5 of 5
A pulmonary embolus is suspected in a patient with a deep vein thrombosis who develops hemoptysis, tachycardia, and chest pain. Diagnostic testing is scheduled. Which test should the nurse plan to teach the patient about?
Correct Answer: B
Rationale: In this scenario, the correct test that the nurse should plan to teach the patient about is option B) Spiral (helical) CT scan. This diagnostic test is the preferred method for diagnosing a pulmonary embolism due to its high sensitivity and specificity. A CT scan can visualize blood flow in the lungs and detect any blockages caused by a pulmonary embolus. Option A) Chest x-rays may show indirect signs of a pulmonary embolism, but they are not as sensitive or specific as a CT scan in diagnosing this condition. Option C) Taking the patient's pulse and blood pressure is important for assessing their vital signs, but it will not provide diagnostic information about a pulmonary embolism. Option D) Ventilation-perfusion lung scan is another imaging test used to diagnose a pulmonary embolism, but it is less commonly used compared to a CT scan due to limitations in sensitivity and specificity. In an educational context, it is crucial for nurses to understand the rationale behind selecting the most appropriate diagnostic test for a suspected condition. Teaching patients about the importance of diagnostic tests, their procedures, and possible outcomes empowers them to be active participants in their healthcare decisions and promotes better understanding and adherence to the treatment plan.