ATI RN
Questions on Respiratory System Questions
Question 1 of 5
Inflammation of the lungs covering causing severe chest pain is
Correct Answer: B
Rationale: The correct answer is B: Pleurisy. Pleurisy is inflammation of the pleura, the lining around the lungs, causing severe chest pain. Emphysema (A) is a chronic lung condition causing shortness of breath, not chest pain. Asphyxia (C) is a condition of insufficient oxygen, not related to lung inflammation. Hypoxia (D) is low oxygen levels in tissues, not specific to lung covering inflammation. Pleurisy is the only choice directly related to inflammation of the lungs' covering, making it the correct answer.
Question 2 of 5
An assistive personnel (AP) was feeding a client with a tracheostomy. Later that evening the UAP reports that the client had a coughing spell during the meal. What action by the nurse is best?
Correct Answer: A
Rationale: Correct Answer: A - Assess the client's lung sounds. Rationale: 1. Assessing lung sounds helps determine if the client is experiencing respiratory distress. 2. Coughing during a meal with a tracheostomy can indicate aspiration or airway obstruction. 3. Prompt assessment can prevent potential complications and guide further interventions. Summary: - B: Assigning a different AP does not address the client's immediate respiratory status. - C: Reporting the AP to the manager is not necessary before assessing the client's condition. - D: Requesting thicker liquids does not address the underlying issue of potential aspiration or airway obstruction.
Question 3 of 5
The nurse is teaching a client with obstructive sleep apnea (OSA) about the prescribed CPAP. What information does the nurse NOT include?
Correct Answer: A
Rationale: The correct answer is A because insurance coverage for CPAP machines is generally not based on the number of hours it is worn per day but rather on medical necessity. The nurse would not include this information as it could lead to misunderstanding and incorrect assumptions. Choice B is incorrect because adjusting the mask may be necessary for comfort. Choice C is correct as CPAP does provide pressure to keep airways open. Choice D is also correct as cleaning the mask regularly is essential to prevent infections.
Question 4 of 5
Sputum specimens are examined to detect which of the following?
Correct Answer: B
Rationale: The correct answer is B. Sputum specimens are often examined for cancer cells in cases of suspected lung cancer. While foreign bodies (A) can sometimes be identified, they are less common in routine sputum analysis. Pulmonary emboli (C) cannot be detected via sputum examination; imaging studies are required. Inflammation (D) may be inferred from white blood cell counts, but detecting cancer cells is more specific and clinically significant.
Question 5 of 5
Which of the following factors predispose a client to the development of TB?
Correct Answer: D
Rationale: The correct answer is D) Malnutrition. Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis. Malnutrition weakens the immune system, making individuals more susceptible to infections like TB. When a person is malnourished, their body's ability to fight off infections is compromised, increasing the likelihood of contracting TB. Option A) Exposure to toxic gases is not a direct predisposing factor for TB. TB is primarily spread through the air via droplets from the coughs or sneezes of an infected person. Option B) Obstruction by tumor is a mechanical issue and does not directly predispose a client to TB. Tumors can compress airways, leading to respiratory symptoms, but they do not increase the risk of developing TB. Option C) Congenital abnormalities refer to structural defects present at birth. While some congenital abnormalities may affect the respiratory system, they do not specifically predispose a client to TB unless they impact the immune function or respiratory health in a way that increases susceptibility to infections. Educationally, understanding the risk factors for TB is crucial for healthcare professionals to effectively identify and support individuals at higher risk. By recognizing that malnutrition can predispose individuals to TB, healthcare providers can implement strategies to address nutritional deficiencies and improve overall health outcomes in at-risk populations. This knowledge is essential for promoting preventive measures and providing holistic care to individuals vulnerable to TB.