ATI LPN
Questions on Respiratory System Questions
Question 1 of 5
Which of the following concerning rheumatoid lung disease is (are) true:
Correct Answer: D
Rationale: All (D) are true for rheumatoid lung disease. Rheumatoid arthritis (RA) raises idiopathic pulmonary fibrosis risk (A) interstitial inflammation scars lungs, a known extra-articular feature. Nodular lesions (B), akin to subcutaneous rheumatoid nodules, appear in lung parenchyma, histologically identical (necrobiotic centers). Progressive fibrosis in coal miners with RA and positive rheumatoid factor (C) Caplan's syndrome combines pneumoconiosis and RA's immune response. These manifestations, from fibrosis to nodules, reflect RA's systemic nature, complicating lung function (restrictive patterns), key in rheumatology-pulmonology overlap for diagnosis (e.g., HRCT) and management (e.g., immunosuppression).
Question 2 of 5
Match the following: 656. chylothorax
Correct Answer: C
Rationale: Chylothorax milky pleural fluid results from thoracic duct rupture (C), often traumatic or malignant, leaking lymph (high triglycerides, >110 mg/dL). Friction rub (A) is pleuritis. CHF (B) gives transudate. Pseudomonas (D) ties to empyema. Bleb causes pneumothorax. Duct injury's lymphatic spill is distinct, key in nursing for drainage or surgical consult.
Question 3 of 5
A well developed male had on routine examination an RBCs of 8 million, hemoglobin of 18 grams, hematocrit of 61, with normal leucocytes, thrombocytes & O2 saturation. There was no splenic enlargement. What test might give a clue to the probable diagnosis:
Correct Answer: C
Rationale: For polycythemia (RBC 8M, Hb 18 g/dL, Hct 61%), intravenous pyelogram (C) clues diagnosis renal tumors (e.g., hypernephroma) cause secondary polycythemia via erythropoietin, no splenomegaly fits. Splenic aspirate (A) targets primary PV. Scalene biopsy (B) checks lymphoma. LE test (D) is lupus, unrelated. Bronchoscopy assesses lung. IVP screens renal etiology, key in nursing for imaging prep and erythropoietin assay.
Question 4 of 5
Which of the following is not correct concerning aplastic anemia:
Correct Answer: C
Rationale: Aplastic anemia marrow failure lacks usually associated with splenomegaly' (C); spleen enlarges in hemolysis, not aplasia pancytopenia (low platelets, B) reflects marrow hypoplasia (D), often drug-induced (A, e.g., chloramphenicol) or idiopathic (E, 50%). C's falsehood contrasts aplasia's etiology, key in nursing for avoiding splenomegaly confusion and focusing on transfusion or transplant.
Question 5 of 5
In which of these disease is there not a high incidence of peptic ulcer:
Correct Answer: C
Rationale: Pulmonary emphysema lacks a high peptic ulcer incidence no direct mechanism links obstructive lung disease to gastric ulceration. Cirrhosis (A) increases ulcers via portal hypertension or coagulopathy. Cushing's (B) raises cortisol, eroding mucosa. Hyperparathyroidism (C) boosts acid via hypercalcemia. Pernicious anemia (D) ties to gastritis, not ulcers directly. Emphysema's respiratory focus spares GI, key in nursing for differential symptom management e.g., dyspnea vs. epigastric pain.