ATI LPN
Acute Respiratory Care Nursing Questions Questions
Question 1 of 4
The nurse needs to hyperinflate a client prior to suctioning. How should the nurse proceed with this requirement?
Correct Answer: C
Rationale: Hyperinflation before suctioning prevents hypoxia by delivering 2-3 breaths at 1.5 times the tidal volume (C) typically via a manual resuscitator or ventilator setting. Adjusting suction level (A) does not address oxygenation. Increasing oxygen flow (B) is insufficient for hyperinflation. Coughing (D) does not ensure adequate oxygenation making C the correct method to maintain oxygen levels during suctioning.
Question 2 of 4
A client is experiencing atelectasis. The nurse anticipates that this client will have an alteration in
Correct Answer: A
Rationale: Atelectasis (collapsed alveoli) reduces lung compliance impairing ventilation (A) the movement of air into and out of the lungs. Alveolar gas exchange (B) is affected secondarily. Transportation (C) and systemic diffusion (D) are downstream processes not directly altered by atelectasis making A the primary alteration to anticipate.
Question 3 of 4
A client is diagnosed with congestive heart failure. The nurse should assess the client for which conditions that can alter this clients respiratory function?
Correct Answer: B
Rationale: Congestive heart failure (CHF) reduces cardiac output impairing oxygen transport (B) from lungs to tissues and $\mathrm{CO} 2$ return affecting respiratory function. Airway conditions (A) air movement (C) and diffusion (D) are less directly impacted by CHF making B the primary concern for assessing respiratory alterations.
Question 4 of 4
The nurse wants to delegate the Yankauer suctioning of a client to UAP. What will the nurse ensure that UAP know before delegating this activity?
Correct Answer: B
Rationale: Yankauer suctioning (oral) is nonsterile and delegable to UAP. Not applying suction during insertion (B) prevents mucosal trauma a key point for UAP training. Applying suction during insertion (A) is incorrect. Sterile technique (C) is unnecessary for oral suctioning. Listening for lung sounds (D) is beyond UAP scope making B essential for safe delegation.