ATI LPN
Questions for the Respiratory System Questions
Question 1 of 5
Regarding the work of breathing during quiet inspiration:
Correct Answer: B
Rationale: viscous resistance (tissue friction) is ≈7% of quiet breathing work. Choice A is close; elastic work (lung/chest recoil) is 65-80%, but 80% is high. Choice C is reasonable; airway resistance is 10-20%, ≈13% in normals. Choice D is false; the plot shows hysteresis (loop), not a straight line, due to elastic/resistive differences. Choice E is true; total system work exceeds lung-only work (chest wall adds). In quiet breathing (500 ml TV), total work is ≈0.5 J, with elastic work dominant, viscous minor, and airway moderate. B's precision reflects tissue drag's small role, aligning with physiological data.
Question 2 of 5
The diffusion constant is proportional to:
Correct Answer: D
Rationale: the diffusion constant (D) is proportional to gas solubility (Fick's law: V = D·A·ΔP/T, where D ∠solubility/MW). Choice A is false; D is inversely proportional to thickness (T). Choice B is wrong; D is inversely proportional to √MW (Graham's law component). ' D is independent of partial pressure difference (ΔP drives flux, not D). Solubility, critical for O₂ (low) vs. CO₂ (high), determines D's magnitude (e.g., DₗCO₂ ≈ 20x DₗO₂), making E the accurate factor in lung diffusion.
Question 3 of 5
The major site of resistance in the bronchial tree is the:
Correct Answer: B
Rationale: medium-sized bronchi (2-4 mm diameter) are the major resistance site due to turbulent flow and peak cumulative resistance before total cross-sectional area rises. Choice A (segmental) and Choice D (large bronchioles) have less resistance due to size or area. Choice C (small bronchi) contributes less individually. Choice E (terminal bronchioles) has high total area, minimizing resistance. Poiseuille's law and airway branching show resistance peaks in medium bronchi, where radius narrows significantly, making B the primary site.
Question 4 of 5
Which respond to blood CO₂, not O₂ or H⺠concentrations?
Correct Answer: A
Rationale: central chemoreceptors respond to blood COâ‚‚ via CSF pH changes (COâ‚‚ diffuses, forms Hâº), not directly to Oâ‚‚ or Hâº. Choice B (carotid) and C (aortic) sense POâ‚‚, PCOâ‚‚, and pH. Choice D (stretch) is mechanical. Located in the medulla, central receptors drive 70-80% of COâ‚‚ response, insensitive to hypoxia, making A the specific match.
Question 5 of 5
The transport of which of the following gases is DIFFUSION LIMITED?
Correct Answer: D
Rationale: CO is diffusion-limited its high Hb affinity and low solubility prevent equilibration in 0.75 s transit. Choice A (Oâ‚‚) is perfusion-limited at rest (equilibrates in 0.25 s). Choice B (Nâ‚‚O) is perfusion-limited (high solubility). Choice C (COâ‚‚) equilibrates fast (20x Oâ‚‚ diffusion). Choice E (halothane) is perfusion-limited. CO's slow uptake (Dâ‚—CO measures lung capacity) distinguishes D as diffusion-limited.