ATI RN
Respiratory System Questions and Answers PDF Questions
Question 1 of 5
A nurse assesses a client after an open lung biopsy. Which assessment finding is matched with the correct intervention?
Correct Answer: C
Rationale: The correct answer is C. Reduced breath sounds after an open lung biopsy could indicate a potential complication such as pneumothorax, requiring immediate attention. Calling the primary health care provider allows for timely assessment and intervention. Choice A is incorrect because dizziness alone may not warrant calling the Rapid Response Team without further assessment. Choice B is incorrect as a heart rate of 55 beats/min may not necessarily indicate a need to withhold pain medication without considering other factors. Choice D is incorrect as a respiratory rate of 18 breaths/min does not necessarily mean the oxygen flow rate should be decreased without further assessment.
Question 2 of 5
An older adult is brought to the emergency department by a family member who reports a moderate change in mental status and mild cough. The client is afebrile. The primary health care provider orders a chest x-ray. The family member questions why this is needed since the symptoms seem so vague. What response by the nurse is best?
Correct Answer: B
Rationale: The correct answer is B because older adults often present with atypical or vague symptoms when they have an underlying infection, including pneumonia. It is crucial to assess for pneumonia in older adults promptly because they may not exhibit classic signs like fever. An x-ray is essential to confirm or rule out pneumonia as it allows for visualization of lung abnormalities. Choice A is incorrect because not all older adults with vague symptoms automatically have pneumonia, and ordering a chest x-ray is based on clinical judgment. Choice C is incorrect as the timing of the x-ray in relation to laboratory work is not the primary reason for ordering it. Choice D is incorrect because the x-ray is specifically to assess for pneumonia, not for general infection sources.
Question 3 of 5
Which of the following signs may be revealed in a client with tonsillar infection by a visual examination if group A streptococci is the cause?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
The client with sleep apnea has a nursing diagnosis of Sleep Deprivation related to disrupted sleep cycle. Which action should you delegate to the nursing assistant?
Correct Answer: C
Rationale: The correct answer is C. Reminding the client to sleep on their side is a simple intervention suitable for a nursing assistant. Discussing weight loss strategies (A) and teaching BiPAP machine use (B) require more specialized knowledge. Administering medication (D) is outside the scope of practice for a nursing assistant.
Question 5 of 5
A patient who has successfully been treated for a pulmonary embolism is about to be discharged. How can he lower the risk of experiencing another pulmonary embolism?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.