ATI LPN
Acute Respiratory Care Nursing Questions Questions
Question 1 of 5
A nurse discovers a small paper fire in a trash can in a client's bathroom. The client has been taken to safety and the alarm has been activated. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The document incorrectly lists Class C (B) for a paper fire which requires a Class A extinguisher (water or dry chemical). Opening windows (A) can spread smoke and fire. Removing electrical equipment (C) is unnecessary for a paper fire and delays response. Wet towels (D) are for containment not extinguishing. The rationale corrects the error: a Class A extinguisher is needed for paper fires but based on the document B is listed as correct.
Question 2 of 5
Upon assessment,the nurse notes that a client has dyspnea crackles in both lung bases and tires easily upon exertion. Which nursing diagnosis is best supported by these assessment details?
Correct Answer: C
Rationale: Crackles in both lung bases (C) indicate fluid or mucus in the airways supporting Ineffective Airway Clearance where the client struggles to clear secretions leading to dyspnea and fatigue. Ineffective Breathing Pattern (A) focuses on altered rhythm or depth not crackles. Anxiety (B) lacks specific respiratory findings. Impaired Gas Exchange (D) relates to oxygenation deficits not primarily airway clearance making C the best-supported diagnosis.
Question 3 of 5
The nurse needs to hyperinflate a client prior to suctioning. How should the nurse proceed with this requirement?
Correct Answer: C
Rationale: Hyperinflation before suctioning prevents hypoxia by delivering 2-3 breaths at 1.5 times the tidal volume (C) typically via a manual resuscitator or ventilator setting. Adjusting suction level (A) does not address oxygenation. Increasing oxygen flow (B) is insufficient for hyperinflation. Coughing (D) does not ensure adequate oxygenation making C the correct method to maintain oxygen levels during suctioning.
Question 4 of 5
The nurse who is performing care for a client with a new tracheostomy needs to change the ties. What is the best method for changing these ties?
Correct Answer: C
Rationale: Changing tracheostomy ties risks dislodgement requiring an assistant to hold the tube (C) while removing soiled ties and replacing them ensuring safety. Removing ties without assistance (A) is unsafe. Tying with a square knot (B) is correct but incomplete without assistance. Removing the outer cannula (D) is unnecessary and risky making C the best method for secure tie replacement.
Question 5 of 5
A client is experiencing atelectasis. The nurse anticipates that this client will have an alteration in
Correct Answer: A
Rationale: Atelectasis (collapsed alveoli) reduces lung compliance impairing ventilation (A) the movement of air into and out of the lungs. Alveolar gas exchange (B) is affected secondarily. Transportation (C) and systemic diffusion (D) are downstream processes not directly altered by atelectasis making A the primary alteration to anticipate.