ATI RN
Questions of Respiratory System Questions
Question 1 of 5
The home health nurse is making an initial call on a newly diagnosed tuberculosis (TB) patient. The patient lives with his wife and child. Which infection control instructions shouldn't the nurse include in the teaching plan?
Correct Answer: C
Rationale: The correct answer is C because TB is transmitted through droplet transmission, not airborne. The nurse should include hand hygiene (D) to prevent spread through contact, proper medication adherence (B) to treat TB effectively, and proper disposal of contaminated materials (A) to prevent spread through fomites. Implementing airborne precautions is not necessary for TB, as it does not remain suspended in the air for long periods.
Question 2 of 5
A client with pneumonia has a fever of 101.4° F (38.6° C) a nonproductive cough and an O2 saturation of 88%. The client is weak and needs assistance to get out of bed. Which client problem should the nurse assign as the priority?
Correct Answer: D
Rationale: The correct answer is D, Impaired gas exchange. This is the priority because the client's O2 saturation of 88% indicates poor oxygenation, which can lead to serious complications like hypoxemia. The fever and nonproductive cough are symptoms of pneumonia contributing to impaired gas exchange. Addressing this issue is crucial to prevent respiratory distress. A: Fatigue - While important, fatigue is a secondary concern compared to impaired gas exchange, which directly affects oxygenation and can be life-threatening. B: Hyperthermia - The client's fever is likely related to the pneumonia but managing impaired gas exchange takes precedence as it directly impacts oxygen delivery to tissues. C: Impaired mobility - While assisting the client out of bed is necessary, the priority is to address the underlying problem of impaired gas exchange to prevent respiratory compromise.
Question 3 of 5
If his R = 0.8 how much will his arterial pO2 fall?
Correct Answer: D
Rationale: The correct answer is D (50mmHg). To calculate the fall in arterial pO2, we use the formula: Fall in pO2 = (Initial pO2) - (Initial pO2 x R). If R = 0.8, the fall in pO2 = (100mmHg) - (100mmHg x 0.8) = 100mmHg - 80mmHg = 20mmHg. Therefore, the arterial pO2 will fall by 20mmHg. Among the choices, D (50mmHg) is the closest to the calculated value of 20mmHg, making it the correct answer. Other choices (A, B, C) do not align with the calculated fall in pO2.
Question 4 of 5
The organ of the respiratory system that is kept open by rings of cartilage is the:
Correct Answer: D
Rationale: The correct answer is D: trachea. The trachea is kept open by rings of cartilage to prevent collapse during inhalation. The nose (A) is primarily involved in filtering, warming, and moistening air. The pharynx (B) is a common pathway for both air and food. The larynx (C) houses the vocal cords and aids in sound production but does not have cartilage rings to keep it open.
Question 5 of 5
An emergency room nurse is assessing a male client who has sustained a blunt injury to the chest wall. Which of these signs would indicate the presence of a pneumothorax in this client?
Correct Answer: B
Rationale: The correct answer is B: Diminished breath sounds. In the case of a pneumothorax, air leaks into the pleural space, causing the lung to collapse partially. This results in diminished or absent breath sounds on the affected side. A low respiratory rate (A) is a general sign of respiratory distress but not specific to pneumothorax. The presence of a barrel chest (C) is associated with conditions like chronic obstructive pulmonary disease (COPD) but not indicative of a pneumothorax. A sucking sound at the site of injury (D) is characteristic of an open pneumothorax, not necessarily present in all cases of pneumothorax.