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Exam (elaborations)

Respiratory System Question Bank Questions and Answers 2025

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Respiratory System Question Bank Questions and Answers 2025

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Institution
Shadow Health
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Shadow Health

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Uploaded on
April 14, 2025
Number of pages
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Written in
2024/2025
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Respiratory System Question Bank
Questions and Answers 2025
TheAunlicensedAassistiveApersonnelA(UAP)isAbathingAtheAclientAdiagnosedAwithAacuteA
respiratoryAdistressAsyndromeA(ARDS).ATheAbedAisAinAaAhighAposition,AwithAtheAoppositeA
sideArailAinAaAlowAposition.AWhichAactionAshouldAtheAnurseAimplement?
1.ADemonstrateAtheAcorrectAtechniqueAforAgivingAaAbedAbath.
2.AEncourageAtheAUAPAtoAputAtheAbedAinAtheAlowestAposition.
3.AInstructAtheAUAPAtoAgetAanotherApersonAtoAhelpAwithAtheAbath.
4.AProvideApraiseAforAtheAclientAandAtheAUAPAforAperformingAtheAbathAsafely.A-
ACORRECTAANSWERS-1.ADemonstrateAtheAcorrectAtechniqueAforAgivingAaAbedAbath.




AlthoughAtheAtestAtakerAshouldAalwaysAbeAconcernedAwithAtheAdiseaseAprocessAofAtheAclie
nt,AmanyAtimesAtheAanswerAmayAbeAselectedAbasedAonAbasicAnursingAskillsAnotArequiringAa
nAunderstandingAofAtheAclient'sAdiseaseAprocess.
TheAclientAdiagnosedAwithAARDSAisAtransferredAtoAtheAintensiveAcareAdepartmentAandApla
cedAonAaAventilator.AWhichAinterventionAshouldAtheAnurseAimplementAfirst?
1.AConfirmAthatAtheAventilatorAsettingsAareAcorrect.
2.AVerifyAthatAtheAventilatorAalarmsAareAfunctioningAproperly.
3.AAssessAtheArespiratoryAstatusAandApulseAoximeterAreading.
4.AMonitorAtheAclient'sAarterialAbloodAgasAresults.A-ACORRECTAANSWERS-
AssessAtheArespiratoryAstatusAandApulseAoximeterAreading.

TheAtestAtakerAshouldAapplyAtheAnursingAprocess,AwhichAidentifiesAassessmentAasAtheAfirst
Astep.ATherefore,AifAtheAtestAtakerAisAnotAsureAofAtheAanswer,AtheAbestAeducatedAchoiceAisAt

oAselectAanAoptionAad-AdressingAassessmentAdata.
TheAnurseAsuspectsAtheAclientAmayAbeAdevelopingAARDS.AWhichAassessmentAdataAconfir
mAtheAdiagnosisAofAARDS?
1.ALowAarterialAoxygenAwhenAadministering
highAconcentrationAofAoxygen.
2.ATheAclientAhasAdyspneaAandAtachycardiaAand
isAfeelingAanxious.
3.ABilateralAbreathAsoundsAclearAandApulse
oximeterAreadingAisA95%.
4.ATheAclientAhasAjugularAveinAdistentionAand
frothyAsputum.A-ACORRECTAANSWERS-1.ALowAarterialAoxygenAwhenAadministering
highAconcentrationAofAoxygen.
TheAclientAwhoAsmokesAtwoA(2)ApacksAofAcigarettesAaAdayAdevelopsAARDSAafterAaAnear-
Adrowning.ATheAclientAasksAtheAnurse,A"WhatAisAhappeningAtoAme?AWhyAdidAIAgetAthis?"AW

hichAstatementAbyAtheAnurseAisAmostAappropriate?A
1.A"MostApeopleAwhoAalmostAdrownAendAupAdevelopingAARDS."
"PlateletsAandAfluidAenterAtheAalveoliAdueAto
permeabilityAinstability."

,"YourAlungsAareAfillingAupAwithAfluid,Acausing
breathingAproblems."
"SmokingAhasAcausedAyourAlungsAtoAbecome
weakened,AsoAyouAgotAARDS."A-ACORRECTAANSWERS-
"YourAlungsAareAfillingAupAwithAfluid,AcausingAbreathingAproblems."

ThisAisAaAbasicAlayperson'sAtermsAexplanationAofAARDSAandAexplainsAwhyAtheAclientAisAha
vingAtroubleAbreathing.
WhichAassessmentAdataAindicateAtoAtheAnurseAtheAclientAdiagnosedAwithAARDSAhasAexper
iencedAaAcomplicationAsecondaryAtoAtheAventilator?
1.ATheAclient'sAurineAoutputAisA100AmLAinAfourA(4)Ahours.
2.ATheApulseAoximeterAreadingAisAgreaterAthanA95%.
3.ATheAclientAhasAasymmetricalAchestAexpansion.
4.ATheAtelemetryAreadingAshowsAsinusAtachycardia.A-ACORRECTAANSWERS-
3.ATheAclientAhasAasymmetricalAchestAexpansion
AsymmetricalAchestAexpansionAindicatesAtheAclientAhasAhadAaApneumothorax,AwhichAisAaA
complicationAofAmechanicalAventilation.
TheAclientAwithAARDSAisAonAaAmechanicalAventilator.AWhichAinterventionAshouldAbeAinclud
edAinAtheAnursingAcareAplanAaddressingAtheAendotrachealAtubeA(ET)Acare?
1.ADoAnotAmoveAorAtouchAtheAETAtube.A
2.AObtainAaAchestAx-rayAdaily.
3.ADetermineAifAtheAETAcuffAisAdeflated.A
4.AEnsureAthatAtheAETAtubeAisAsecure.A-ACORRECTAANSWERS-
4.AEnsureAthatAtheAETAtubeAisAsecure.

TheETtubeshouldbesecuretoensureAitAdoesAnotAenterAtheArightAmainAbronchus.ATheAETAt
ubeAshouldAbeAoneA(1)AinchAaboveAtheAbifurcationAofAtheAbronchi.
WhichAmedicationAshouldAtheAnurseAanticipateAtheAhealth-
careAproviderAorderingAforAtheAclientAdiagnosedAwithAARDS?
1.AAnAaminoglycosideAantibiotic.
2.AAAsyntheticAsurfactant.
3.AAApotassiumAcation.
4.AAAnonsteroidalAanti-inflammatoryAdrug.A-ACORRECTAANSWERS-
2.AAAsyntheticAsurfactant.

SurfactantAtherapyAmayAbeAprescribedAtoAreduceAtheAsurfaceAtensionAinAtheAalveoli.ATheAs
urfactantAhelpsAmaintainAopenAalveoli,AdecreasesAtheAworkAofAbreathing,AimprovesAcompli
ance,AandAhelpsApreventAatelectasis.
TheAclientAdiagnosedAwithAARDSAisAinArespiratoryAdistress,AandAtheAventilatorAisAmalfuncti
oning.AWhichAinterventionAshouldAtheAnurseAimplementAfirst?
1.ANotifyAtheArespiratoryAtherapistAimmediately.
2.AVentilateAwithAaAmanualAresuscitationAbag.
3.ARequestASTATAarterialAbloodAgases.
4.AAuscultateAtheAclient'sAlungAsounds.A-ACORRECTAANSWERS-
2.AVentilateAwithAaAmanualAresuscitationAbag.

, IfAtheAventilatorAsystemAmalfunctions,theAnurseAmustAventilateAtheAclientAwithaAmanualAres
uscitationA(Ambu)AbagAuntilAtheAproblemAisAresolved.
TheAnurseAisAcaringAforAtheAclientAdiagnosedAwithAARDS.AWhichAinterventionsAshouldAtheA
nurseAimplement?ASelectAallAthatAapply.
1.AAssessAtheAclient'sAlevelAofAconsciousness.A
2.AMonitorAurineAoutputAeveryAshift.
3.ATurnAtheAclientAeveryAtwoA(2)Ahours.
4.AMaintainAintravenousAfluidsAasAordered.A
5.APlaceAtheAclientAinAtheAFowler'sAposition.A-ACORRECTAANSWERS-
AssessAtheAclient'sAlevelAofAconsciousness
2.AMonitorAurineAoutputAeveryAshiftA
3.ATurnAtheAclientAeveryAtwoA(2)Ahours.
4.AMaintainAintravenousAfluidsAasAordered.A
5.APlaceAtheAclientAinAtheAFowler'sAposition.

AlteredAlevelAofAconsciousnessAisAthe
earliestAsignAofAhypoxemia.
TheAclientAisAatAriskAforAcomplicationsAofAimmobility;Atherefore,AtheAnurseAshouldAturnAtheAc
lientAatAleastAeveryAtwoA(2)AhoursAtoApreventApressureAulcers.
TheAclientAisAatAriskAforAfluidAvolumeAoverload,AsoAtheAnurseAshouldAmonitorAandAmaintainAt
heAfluidAintake.
Fowler'sApositionAfacilitatesAlungAex-ApansionAandAreducesAtheAworkloadAofAbreathing.
WhichAinstructionAisAaApriorityAforAtheAnurseAtoAdiscussAwithAtheAclientAdiagnosedAwithAAR
DSAwhoAisAbeingAdischargedAfromAtheAhospital?A
1.AAvoidAsmokingAandAexposureAtoAsmoke.
2.ADoAnotAreceiveAfluAorApneumoniaAvaccines.A
3.AAvoidAanyAtypeAofAalcoholAintake.
4.AItAwillAtakeAaboutAoneA(1)AmonthAto
recuperate.A-ACORRECTAANSWERS-1.AAvoidAsmokingAandAexposureAtoAsmoke.
TheAclientAdiagnosedAwithAARDSAisAonAaAventilatorAandAtheAhighAalarmAindicatesAanAincre
aseAinAtheApeakAairwayApressure.AWhichAinterventionAshouldAtheAnurseAimplementAfirst?A
1.ACheckAtheAtubingAforAanyAkinks.
2.ASuctionAtheAairwayAforAsecretions.
3.AAssessAtheAlipAlineAofAtheAETAtube.
4.ASedateAtheAclientAwithAaAmuscleArelaxant.A-ACORRECTAANSWERS-
1.ACheckAtheAtubingAforAanyAkinks.

WhenApeakAairwayApressureAisAincreased,AtheAnurseAshouldAimplementAtheAinter-
AventionAleastAinvasiveAforAtheAclient.AThisAalarmAgoesAoff AwithAaApluggedAairway,A"bucking

"AinAtheAventilator,AdecreasingAlungAcompliance,AkinkedAtubing,AorApneumothorax.
TheAnurseAisAassessingAaA79-year-
oldAclientAdiagnosedAwithApneumonia.AWhichAsignsAandAsymptomsAshouldAtheAnurseAexpe
ctAtoAassessAinAtheAclient?A
1.AConfusionAandAlethargy.A
2.AHighAfeverAandAchills.A
3.AFrothyAsputumAandAedema.A

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