ATI RN
Multiple Choice Questions About Respiratory System Questions
Question 1 of 5
In which part of respiratory system gaseous exchange takes place?
Correct Answer: A
Rationale: The correct answer is A: alveoli. Alveoli are tiny air sacs in the lungs where gas exchange occurs. Oxygen from the air we breathe diffuses into the blood, and carbon dioxide from the blood diffuses into the alveoli to be exhaled. The pharynx, larynx, and trachea are parts of the respiratory system but do not participate in gaseous exchange. The pharynx serves as a passage for air and food, the larynx houses the vocal cords, and the trachea carries air to and from the lungs. Only the alveoli have the thin walls and large surface area necessary for efficient exchange of gases.
Question 2 of 5
The nurse is assessing a patient with chronic obstructive pulmonary disease (COPD). Which assessment finding indicates a potential complication and requires the nurse's immediate attention?
Correct Answer: A
Rationale: The correct answer is A: Distended neck veins. This finding indicates potential right-sided heart failure, a complication of COPD called cor pulmonale. The nurse should address this immediately to prevent further deterioration. Distended neck veins suggest increased central venous pressure and impaired right heart function. Left lower quadrant tenderness (B) is unrelated to COPD. Urinary output of 40 mL/hr (C) is within normal range. Excessive coughing (D) is a common symptom of COPD but does not indicate an immediate complication.
Question 3 of 5
Which metal ion is often present in the active site of carbonic anhydrase enzymes?
Correct Answer: C
Rationale: The correct answer is C: Zinc (Zn). Zinc is often present in the active site of carbonic anhydrase enzymes because it plays a crucial role in catalyzing the conversion of carbon dioxide to bicarbonate and protons. Zinc ions have the appropriate coordination geometry and charge to facilitate this reaction efficiently. Iron (Fe) is not typically found in the active site of carbonic anhydrase enzymes. Calcium (Ca) and Magnesium (Mg) do not have the appropriate properties to serve as the catalytic metal ion in this enzyme. Therefore, zinc (Zn) is the correct answer due to its specific role and properties in the catalytic mechanism of carbonic anhydrase enzymes.
Question 4 of 5
A nurse in a medical unit is caring for a client with heart failure. The client suddenly develops extreme dyspnea,tachycardia and lung crackles. The nurse immediately asks another nurse to contact the primary health care provider and prepares to implement ALL priority interventions EXCEPT?
Correct Answer: C
Rationale: Rationale: Option C, transporting the client to the coronary care unit, is not the priority intervention because the client is presenting with acute pulmonary edema, a sign of worsening heart failure. Administering oxygen (Option A) is crucial to improve oxygenation. Administering furosemide (Option B) helps reduce fluid overload. Obtaining a stat Hepatic Panel (Option D) may be necessary to assess liver function due to medication side effects. However, immediate actions to address respiratory distress and tachycardia take precedence over moving the client to another unit.
Question 5 of 5
When CO2 diffuses into blood in systemic capillaries most of it:
Correct Answer: C
Rationale: The correct answer is C because the majority of CO2 diffusing into blood combines with water inside red blood cells (RBC) to form carbonic acid, which then dissociates into bicarbonate ions and hydrogen ions. This reaction is facilitated by the enzyme carbonic anhydrase. This process allows for efficient transport of CO2 in the bloodstream. Choices A and B are incorrect as CO2 primarily undergoes conversion to bicarbonate ions, not remaining in solution as CO2 or forming carbamino compounds. Option D is incorrect as CO2 does not directly combine with hemoglobin.