ATI RN
Questions and Answers on Respiratory System Questions
Question 1 of 5
While assessing a client who has facial trauma the nurse auscultates stridor. The client is anxious and restless. What action would the nurse take first?
Correct Answer: A
Rationale: Rationale: Stridor indicates upper airway obstruction, which can quickly progress to respiratory distress. As the client is anxious and restless, immediate intervention is crucial. Contacting the primary health care provider and preparing for intubation is the priority to secure the airway and ensure adequate oxygenation. Administering albuterol, positioning in high-Fowler, or deep-breathing exercises are not appropriate as they do not address the acute airway compromise.
Question 2 of 5
Which of the following would be the most appropriate nursing intervention when caring for a client with a fractured rib?
Correct Answer: A
Rationale: The correct answer is A. Applying an immobilization device after physician evaluation helps stabilize the rib and reduce pain. B (discouraging deep breaths) is harmful as it can lead to atelectasis. C (advising against analgesics) is incorrect because pain management is essential. D (increasing fluid intake) is secondary and depends on the presence of pulmonary complications.
Question 3 of 5
What instructions will you give the nursing assistant who will assist the client with ADLs? (Choose all that apply.)
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
Following assessment of a patient with pneumonia, the nurse identifies a nursing diagnosis of impaired gas exchange based on which finding?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
In an adult patient with bronchiectasis, what is a nursing assessment likely to reveal?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.