ATI RN
Respiratory System Exam Questions Questions
Question 1 of 5
A nurse is assessing a client who is recovering from a lung biopsy. The client's breath sounds are absent. While another nurse calls the Rapid Response Team
Correct Answer: B
Rationale: The correct answer is B, taking a full set of vital signs, as it is crucial in assessing the client's overall condition and detecting any signs of deterioration. Vital signs include blood pressure, heart rate, respiratory rate, and temperature, which provide valuable information about the client's cardiovascular and respiratory status. In this scenario, absent breath sounds indicate potential respiratory compromise, making it essential to monitor vital signs for any signs of respiratory distress or instability. Choice A is incorrect because calling the Rapid Response Team is important, but assessing the client's vital signs should take priority to provide immediate information on the client's condition. Choice C, obtaining pulse oximetry reading, is also important but may not provide a comprehensive assessment of the client's overall condition compared to a full set of vital signs. Choice D, asking about hemoptysis, is not the most urgent action to take in this situation as assessing vital signs would provide more immediate and critical information for the client's management.
Question 2 of 5
A charge nurse is rounding on several older clients on ventilators in the Intensive Care Unit whom the nurse identifies as being at high risk for ventilator-associated pneumonia. To reduce this risk what activity would the nurse delegate to the assistive personnel (AP)?
Correct Answer: C
Rationale: The correct answer is C: Provide oral care every 4 hours. Oral care helps prevent ventilator-associated pneumonia by reducing the risk of oral bacteria being aspirated into the lungs. The AP can assist with oral care under the nurse's supervision. A: Encouraging between-meal snacks does not directly address pneumonia risk. B: Monitoring temperature is important but not specific to ventilator-associated pneumonia prevention. D: Reporting new cough onset is important but does not directly reduce the risk of ventilator-associated pneumonia.
Question 3 of 5
What does a nurse assess postoperatively in a client with a nasal fracture?
Correct Answer: B
Rationale: The correct answer is B. Airway obstruction is a critical concern after a nasal fracture due to potential swelling or displacement of bone fragments. A (allergic reaction) is unrelated. C (extreme sense of smell) is not a concern postoperatively. D (stridor) indicates severe airway compromise but is less common in nasal fractures.
Question 4 of 5
You are the team leader RN working with a student nurse. The student nurse is to teach the client how to use a multidose inhaler without a spacer. Put the steps that the student nurse should teach the client in correct order.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
What keeps alveoli from collapsing?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.