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ATI RN · ATI Medical Surgical · Multiple Choice Questions on Respiratory System

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A patient has been diagnosed with heart failure that has not yet responded to treatment. What breath sound should the nurse expect to assess on auscultation?

A. Expiratory wheezes

B. Inspiratory wheezes

C. Rhonchi

D. Crackles

Expert Explanatory Rationale

Correct Answer: Crackles

Question 2 of 5

For a female patient with chronic obstructive pulmonary disease, which nursing intervention would help maintain a patent airway?

A. Restricting fluid intake to 1,000 ml per day.

B. Enforcing absolute bed rest.

C. Teaching the patient how to perform controlled coughing.

D. Administering prescribed sedatives regularly and in large amounts.

Expert Explanatory Rationale

Correct Answer: Teaching the patient how to perform controlled coughing.

Question 3 of 5

Delegation Decision: The nurse is caring for a patient with COPD. Which intervention could be delegated to unlicensed assistive personnel (UAP)?

A. Assist the patient to get out of bed.

B. Auscultate breath sounds every 4 hours.

C. Plan patient activities to minimize exertion.

D. Teach the patient pursed lip breathing technique.

Expert Explanatory Rationale

Correct Answer: Assist the patient to get out of bed.

Question 4 of 5

After inspiration commences the:

A. Intrapleural pressure and intrapulmonary P both fall

B. Intrapleural pressure falls and intrapulmonary P rises

C. Intrapleural pressure falls and venous return decreases

D. Intrapulmonary pressure rises and volume of the alveoli is momentarily unchanged

Expert Explanatory Rationale

Correct Answer: Intrapleural pressure and intrapulmonary P both fall

Question 5 of 5

After receiving a change-of-shift report on four patients admitted to a heart failure unit ,which patient should the nurse assess first?

A. A patient who reported dizziness after receiving the first dose of captopril.

B. A patient who has new-onset confusion and restlessness and cool clammy skin.

C. A patient who is receiving IV nesiritide (Natrecor)

D. A patient who is receiving oxygen and has crackles bilaterally in the lung bases.

Expert Explanatory Rationale

Correct Answer: A patient who has new-onset confusion and restlessness and cool clammy skin.

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