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ATI Respiratory Exam/74 Questions and Answers 2024
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ATI Respiratory Exam/74 Questionsand Answers 2024
A nurse is assessing a patient who has a chest tube in place following a
thoracic surgery. Which of the following findings indicates a need for
intervention:
1. Fluctuation of drainage in the tubing with inspiration.
2. Continuous bubbling in the water seal chamber.
3. Drainage of 75 mL in the first hour after surgery.
4. Several small, dark-red blood clots in the tubing. - -2. Continuous bubbling
in the water seal chamber.
Continuous bubbling in the water seal chamber suggests an air leak.
-A nurse is caring for an elderly patient who suffers from COPD with
pneumonia. The nurse should monitor the patient for which of the following
acid-base imbalances?
1. Respiratory alkalosis
2. Respiratory acidosis
3. Metabolic alkalosis
4. Metabolic acidosis - -2. Respiratory acidosis
Respiratory acidosis is a common complication of COPD. This complication
occurs because patients who have COPD are unable to exhale carbon dioxide
due to a loss of elastic recoil in the lungs.
-A nurse is preparing to administer cisplatin IV to a patient with lung cancer.
The nurse should identify that which of the following findings is an adverse
effect of this medication?
1. Hallucinations
2. Pruritis
3. Hand and foot syndrome
4. Tinnitis - -4. Tinnitis
An adverse effect of cisplatin is ototoxicity, which can cause tinnitis.
-A nurse is preparing to assist a provider to withdraw arterial blood from a
patient's radial artery for measurement of ABG. Which of the following
actions should the nurse plan to take?
,1. Hyperventilate the patient with 100% oxygen prior to obtaining the
specimen.
2. Apply ice to the site after obtaining the specimen.
3. Perform an Allen's test prior to obtaining the specimen.
4. Release pressure applied to the puncture site 1 minute after the needle is
withdrawn. - -3. Perform an Allen's test prior to obtaining the specimen.
The nurse should ensure that circulation to the hand is adequate from the
ulnar artery in case the radial artery is injured from the blood draw. The most
common site for withdrawal of arterial blood gases is the radial artery.
-A nurse is providing instructions about pursed-lip breathing for a patient
who has COPD with emphysema. The nurse should explain that this
breathing technique accomplishes which of the following:
1. Increases oxygen intake
2. Promotes carbon dioxide elimination
3. Uses the intercostal muscles
4. Strengthens the diaphram - -2. Promotes carbon dioxide elimination
A patient who has COPD with emphysema should use pursed-lip breathing
when experiencing dyspnea. This is one of the simplest ways to control
dyspnea. It slows the patient's pace of breathing, making each breath more
effective. Pursed-lip breathing releases trapped air in the lungs and prolongs
exhalation to slow the breathing rate. This improved breathing pattern
moves carbon dioxide out of the lungs more efficiently.
-A nurse is preparing a patient for a thoracentesis. In which of the following
positions should the nurse place the patient:
1. Lying flat on the affected site
2. Prone with arms raised over the head
3. Supine with the head of the bed elevated
4. Sitting while leaning forward over the bedside table - -4. Sitting while
leaning forward over the bedside table
When preparing a patient for a thoracentesis, the nurse should have the
patient sit on the edge of the bed and lean forward over the bedside table
because this position maximizes the space between the patient's ribs and
allows for aspiration of accumulated fluid and air.
-A nurse on a med-surg unit is caring for a patient who is postoperative
following a hip replacement surgery. The patient reports feeling
apprehensive and restless. Which of the follow findings should the nurse
recognize as an indication of a PE:
, 1. Sudden onset of dyspnea
2. Tracheal deviation
3. Bradycardia
4. Difficulty swallowing - -1. Sudden onset of dyspnea
Clinical manifestations of a PE have a rapid onset. Dyspnea occurs due to
reduced blood flow to the lungs.
-A nurse is planning care for a patient who has COPD and is malnourished.
Which of the following recommendations to promote nutritional intake should
the nurse include in the plan:
1. Eat high-calorie foods first
2. Increase intake of water at meal times
3. Perform active range of motion exercises before meals
4. Keep saltine crackers nearby for snacking - -1. Eat high-calorie foods first
The client who has COPD often experiences early satiety. Therefore, the
patient should eat high-calorie foods first.
-A nurse is developing a teaching plan for a patient about preventing acute
asthma attacks. Which of the following points should the nurse plan to
discuss first:
1. How to eliminate environmental triggers that precipitate attacks
2. The patient's perception of the disease process and what might have
triggered attacks in the past
3. The patient's medication regimen
4. Manifestations of respiratory infections - -2. The patient's perception of
the disease process and what might have triggered attacks in the past
The nurse should apply the nursing process priority-setting framework. The
nurse can use the nursing process to plan patient care and prioritize nursing
actions. Each step of the nursing process builds on the previous step,
beginning with assessment. Before the nurse can formulate a plan of action,
implement a nursing intervention, or notify a provider of a change in a
patient's status, the nurse must first collect adequate data from the patient.
Assessing the patient will provide the nurse with knowledge to make an
appropriate decision. Therefore, the first step the nurse should take is to
assess the patient's current knowledge.
-A nurse in a provider's office is assessing a patient who states he was
recently exposed to TB. Which of the following findings is a clinical
manifestation of pulmonary TB:
1. Pericardial friction rub
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