ATI RN
NCLEX Questions for Respiratory System Questions
Question 1 of 5
Which statement by a client is consistent with a diagnosis of heart failure?
Correct Answer: D
Rationale: The correct answer is D: "I have trouble breathing when I climb a flight of stairs." This statement indicates exertional dyspnea, a common symptom of heart failure due to impaired cardiac function leading to inadequate oxygen delivery. Shortness of breath with exertion is a hallmark sign of heart failure, as the heart's inability to pump effectively results in fluid accumulation in the lungs, causing difficulty in breathing during physical activities. Choices A, B, and C do not directly correlate with heart failure symptoms. Seeing spots before eyes (A) may suggest visual issues, tiredness at the end of the day (B) is a common complaint and can be due to various reasons, while feeling bloated after a meal (C) could be related to gastrointestinal issues.
Question 2 of 5
The organs of the respiratory system include all the following EXCEPT:
Correct Answer: D
Rationale: The correct answer is D: body tissues. The respiratory system is responsible for breathing and exchanging gases, involving organs like the nose, trachea, and lungs. Body tissues, on the other hand, are not specific organs exclusively dedicated to respiration. They may play a role in gas exchange, but they are not organs of the respiratory system. Therefore, the correct answer is D. Choices A, B, and C are incorrect because the nose, trachea, and lungs are all integral parts of the respiratory system involved in the process of breathing and gas exchange.
Question 3 of 5
Nurse Lei, caring for a client with a pneumothorax and who has had a chest tube inserted, continues gentle bubbling in the suction control chamber. What action is appropriate?
Correct Answer: A
Rationale: The correct answer is A: Do nothing, because this is an expected finding. When managing a client with a chest tube for a pneumothorax, gentle bubbling in the suction control chamber indicates that the system is functioning properly. This bubbling represents the movement of air and fluid out of the pleural space. It is important not to clamp the chest tube or increase suction pressure as this can lead to complications. Checking for an air leak is unnecessary in this scenario as continuous bubbling is an expected finding. Therefore, the appropriate action is to monitor the bubbling and ensure it remains gentle, as this signifies effective drainage.
Question 4 of 5
A male client is asking the nurse a question regarding the Mantoux test for tuberculosis. The nurse should base her response on the fact that the:
Correct Answer: B
Rationale: The correct answer is B. The Mantoux test for tuberculosis is a skin test that detects the presence of the tuberculosis bacteria in the body. It does not differentiate between active and dormant infection because it only measures the immune response to the infection. The presence of a wheal or area of redness at the injection site is a normal response to the test and does not indicate active tuberculosis. Measuring the area of redness in 3 days or requiring a second test in 3 months are not accurate statements about the Mantoux test. Therefore, the best response is B as it aligns with the purpose and limitations of the Mantoux test.
Question 5 of 5
A client diagnosed with pleurisy is being started on medication therapy with a nonsteroidal anti-inflammatory drug. A nurse teaches the client that this medication?
Correct Answer: D
Rationale: The correct answer is D because nonsteroidal anti-inflammatory drugs (NSAIDs) help relieve pain by reducing inflammation, which can improve breathing and coughing for a client with pleurisy. NSAIDs do not act as mild narcotic analgesics (B) or glucocorticoids (C). While NSAIDs may alleviate surface pain (A), their primary mechanism is reducing inflammation to relieve pain and improve respiratory function.