ATI RN
Questions About the Respiratory System With Answers Questions
Question 1 of 5
Which sign would indicate possible heart failure in a client with heart disease in the immediate postoperative period?
Correct Answer: A
Rationale: The correct answer is A: Tachypnea. In the immediate postoperative period, tachypnea in a client with heart disease could indicate possible heart failure. Tachypnea is a common sign of heart failure as the heart struggles to pump effectively, leading to increased respiratory rate to compensate. Bradycardia (B) is a slow heart rate, which is not typically associated with heart failure. Hypotension (C) is low blood pressure, which can be a sign of shock but not specific to heart failure. Increased wound bleeding (D) may indicate issues with clotting or surgical complications, but it is not directly related to heart failure.
Question 2 of 5
The organ of the respiratory system where air is warmed moistened and cleaned is the:
Correct Answer: D
Rationale: The correct answer is D, "All of the above." The nose warms, moistens, and filters air, the pharynx continues this process, and the larynx further filters and humidifies air. Choosing option D is correct because all three structures work together to prepare air for the lungs. Option A, the nose, is correct but does not cover the entire process. Options B and C, the pharynx and larynx, are also involved in the warming, moistening, and cleaning of air, but individually they do not perform all these functions.
Question 3 of 5
Nurse Reynolds caring for a client with a chest tube turns the client to the side, and the chest tube accidentally disconnects. The initial nursing action is to:
Correct Answer: B
Rationale: The correct initial nursing action is to place the tube in a bottle of sterile water (Choice B) because it prevents air from entering the pleural space, reducing the risk of a tension pneumothorax. Placing the tube in sterile water maintains the water seal, allowing for proper lung expansion. Calling the physician (Choice A) can cause a delay in addressing the issue. Immediately replacing the chest tube system (Choice C) without maintaining the water seal can lead to complications. Placing a sterile dressing (Choice D) may not prevent air leakage effectively.
Question 4 of 5
Nurse Oliver observes constant bubbling in the water-seal chamber of a closed chest drainage system. What should the nurse conclude?
Correct Answer: C
Rationale: The nurse should conclude that the closed chest drainage system has an air leak. Constant bubbling in the water-seal chamber indicates air is escaping from the system, which can lead to a loss of negative pressure needed for proper chest drainage. This could result in inadequate lung re-expansion and increased risk of pneumothorax. A: Incorrect, constant bubbling is not normal. B: Incorrect, pneumothorax would not cause constant bubbling. D: Incorrect, chest tube obstruction would not cause bubbling in the water-seal chamber.
Question 5 of 5
The characteristic of COPD that puts the patient at risk for the nursing diagnosis of "Imbalanced nutrition: less than body requirements" is:
Correct Answer: D
Rationale: The correct answer is D, Excessive respiratory effort. In COPD, the increased work of breathing due to impaired lung function leads to higher energy expenditure, resulting in decreased appetite and weight loss. This increased respiratory effort can lead to fatigue, making it difficult for the patient to eat adequately, resulting in imbalanced nutrition. Choices A, B, and C do not directly contribute to imbalanced nutrition in COPD patients. A, Increased metabolism, is not a typical feature of COPD. B, Anxiety, may affect appetite but is not the primary reason for imbalanced nutrition in COPD. C, Chronic constipation, may cause discomfort but does not directly impact nutritional intake in the same way as excessive respiratory effort.