ATI LPN
Questions for Respiratory System Questions
Question 1 of 5
A client with asthma has started to take a beta-adrenergic agent. The client also takes a monoamine oxidase inhibitor (MAOI). For what complication should the nurse assess the client?
Correct Answer: B
Rationale: Hypertension is a critical complication to assess when a client takes a beta-adrenergic agent (e.g., albuterol) with an MAOI. MAOIs block monoamine breakdown (e.g., norepinephrine), and beta-agonists stimulate its release, risking a hypertensive crisis blood pressure spikes from excess catecholamines. Hypotension (A) isn't typical; the interaction amplifies stimulation. Tachycardia (C) may occur from beta-agonists alone but isn't the primary concern here hypertension precedes it in severity. Bradycardia (D) contradicts beta-agonist effects (increased heart rate). This drug interaction, rare but serious, requires monitoring, especially in asthma patients with psychiatric comorbidities on MAOIs, highlighting the nurse's role in anticipating and managing pharmacodynamic risks.
Question 2 of 5
A nurse teaches a client about the use of a respiratory inhaler. Which action by the client indicated a need for further teaching?
Correct Answer: C
Rationale: Inhaling the mist and quickly exhaling (C) indicates a need for further teaching. Proper inhaler use requires holding the breath 5-10 seconds after inhalation to deposit medication in airways quick exhalation wastes it, reducing efficacy. Shaking the inhaler (A) mixes contents, pressing while inhaling (B) delivers the dose, and waiting 1-2 minutes between puffs (D) ensures full absorption all correct. This error, common in COPD or asthma clients, undermines treatment, a key nursing focus to retrain for optimal bronchodilator or steroid delivery, enhancing symptom control.
Question 3 of 5
A study of persons with atopic asthma reveals that they develop pathologic changes in their airways with repeated bouts. These changes include smooth muscle and mucus gland hypertrophy. It is observed that the late-phase inflammatory response to allergens potentiates epithelial cell cytokine production that promotes airway remodeling. Which of the following immune cells is most important in this excessive inflammatory response to allergens?
Correct Answer: D
Rationale: TH2 lymphocytes (D) drive atopic asthma's late-phase inflammation . IL-4, IL-5, and IL-13 boost eosinophilia and remodeling (smooth muscle 50% thicker), per Table 12-2. B cells (A) produce IgE via TH2. Cytotoxic (B) and NK (C) cells target infections. D's cytokine storm unlike A's secondary role potentiates airway changes, per document.
Question 4 of 5
The interstitium contains:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
43 male patient present to the physician with dyspnea excessive sputum and blue lips and extremities chest radiography showed large heart and prominent blood vessels, which of the following is most likely the diagnosis:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.