ATI RN
Respiratory System Questions Questions
Question 1 of 5
Expiratory muscles contract at the time of
Correct Answer: C
Rationale: The correct answer is C: Forceful expiration. During forceful expiration, expiratory muscles such as the internal intercostals and abdominal muscles contract to increase the force of exhalation. This helps in pushing air out of the lungs more effectively. In contrast, during normal expiration (choice D), the expiratory muscles are not significantly engaged as the process is passive. Choices A and B are incorrect because deep inspiration and normal inspiration do not involve the contraction of expiratory muscles.
Question 2 of 5
A client has a tracheostomy that is 3 days old. Upon assessment the nurse notes that the client's face is puffy and the eyelids are swollen. What action by the nurse takes best?
Correct Answer: A
Rationale: The correct answer is A: Assess the client's oxygen saturation. Puffy face and swollen eyelids could indicate a potential airway obstruction or compromised oxygenation. Assessing oxygen saturation will help determine if the client is adequately oxygenated. If oxygen saturation is low, immediate intervention may be needed. Choice B: Notifying the Rapid Response Team is premature without confirming the client's oxygen status first. Choice C: Oxygenating with a bag-valve-mask assumes the issue is solely related to oxygenation, which may not be the case. Choice D: Palpating the skin of the upper chest does not directly address the potential respiratory issue indicated by the client's presentation.
Question 3 of 5
A nurse teaches a client to use a room humidifier after a laryngectomy. Which statement would the nurse include in this patient's teaching?
Correct Answer: B
Rationale: The correct answer is B: Make sure you clean the humidifier to prevent infection. This is important because a dirty humidifier can harbor bacteria and mold, leading to respiratory infections in a laryngectomy patient who is already at a higher risk of respiratory complications. Cleaning the humidifier regularly helps maintain a safe and healthy environment for the patient. Incorrect choices: A: Adding peppermint oil can irritate the airway and is not recommended for laryngectomy patients. C: Keeping the humidifier filled with water at all times can lead to bacterial growth if the water is not changed regularly. D: Using the humidifier constantly can lead to over-humidification, which can also increase the risk of respiratory infections.
Question 4 of 5
During the physical examination of a client, which of the following methods does the examiner use to palpate for tactile or vocal fremitus?
Correct Answer: A
Rationale: The correct answer is A. Tactile or vocal fremitus is assessed by placing the palms of the hands or the ulnar surface of the fingers on the chest wall while asking the patient to say 'ninety-nine' or '11'. This method allows the examiner to feel vibrations transmitted through the lung tissue. B is incorrect because repeating '11' is part of auscultation, not palpation. C refers to percussion, which is unrelated. D is incorrect as no vibrations are observed when the client remains quiet.
Question 5 of 5
Which of the following interventions are implemented for a client with empyema?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.