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ATI Targeted MS Respiratory Exam/29 Questions with Answers
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ATI Targeted MS RespiratoryExam/29 Questions with Answers
A nurse is planning care for a client who has asthma. Which of the following
medications should the nurse plan to administer during an acute asthma
attack?
A. Cromolyn sodium
B. Prdnisone
C.Fluticasone/salmeterol
D. Albuterol - -D. Albuterol
The nurse should administer albuterol because it acts quickly to produce
bronchodilation during an acute asthma attack.
Cromolyn is for maintenance therapy of asthma
Prednisone is for after acute attack to promote anti-inflammatory effects
Fluticasone/salmeterol is for maintenance therapy of asthma
-A nurse is preparing a client for discharge following a bronchoscopy with
the use of moderate sedation. The nurse should identify that which of the
following assessments is the priority?
A. Presence of gag reflex
B. Pain level rating using a 0 to 10 scale
C. Hydration status
D. Appearance of the IV insertion site - -A. Presence of gag reflex
Greatest risk to the client is aspiration due to a depressed gag reflex.
At risk for increased pain, hydration (due to NPO for 4-8hrs which increase
risk for dehydration), and for phlebitis (should assess redness, warmth, and
drainage at IV insertion site) but not priority
-A nurse receives prescriptions from the provider for performing
nasopharyngeal suctioning on four clients. For which of the following clients
should the nurse clarify the provider's prescription?
A. A client who has epistaxis
B. A client who has amyotrophic lateral sclerosis
C. A client who has pneumonia
D. A client who has emphysema - -A. A client who has epistaxis
Should avoid providing nasopharyngeal suctioning for a client who has nasal
bleeding because the intervention might cause an increase in bleeding
, amyotrophic lateral sclerosis, pneumonia, and emphysema can receive NGT
suction
-A nurse is assessing a patient who has bacterial pneumonia. Which of the
following manifestations should the nurse expect?
A. Decreased fremitus
B. SaO2 95% on RA
C. T 38.8C (101.8F)
D. Bradypnea - -T 38.8C
Elevated T, increased fremitus, lower than 95% SaO2, and tachypnea are
expecting finding for a client who has bacterial pneumonia
-A charge nurse is reviewing the care of a client who has a chest tube
connected to a water seal drainage system in place following thoracic
surgery with a newly licensed nurse. Which of the following statements by
the newly licensed nurse indicates an understanding of when to notify the
provider?
A. "I will notify provider if there is a fluctuation of drainage in the tubing with
inspection"
B. " I will notify the provider if there is a continuous bubbling in the water
seal chamber"
C. "I will notify the provider if there is drainage of 60mL in the first hour after
surgery"
D. "I will notify the provider if there are several small, dark-red blood clots in
the tubing" - -B. " I will notify the provider if there is a continuous bubbling
in the water seal chamber"
Continuous bubbling suggests air leak and requires notification of the
providers. The nurse should check the system for external correctable leaks
while waiting for instructions from provider
-fluctuation of drainage in tubing with inspiration is expected finding, need
cont. monitoring but not notifying
- Drainage of 60mL in the first hour after surgery is expected finding
- small, dark-red blood clots is expected finding
-A nurse is assessing a client who has acute respiratory distress syndrome
(ARDS). Which of the following findings should the nurse report to the
provider?
A. Decreased bowel sounds
B. Oxygen saturation 92%
C. CO2 24mEq/L
D. Intercostal retractions - -D. Intercostal retractions
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