Exam (elaborations)

ATI MEDICAL SURGICAL EXAM - RESPIRATORY

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ATI MED SURG RESPIRATORY

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ATI MED SURG RESPIRATORY

ATI MEDICAL SURGICAL EXAM - RESPIRATORY 1- A nurse is reviewing the discharge instruction for a client who is recovering from pneumonia. Which of the following statements should the nurse make? -“You should avoid crowed areas.” 2- A nurse in an emergency department is assessing a client who ha...

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Uploaded on August 24, 2023
Number of pages 32
Written in 2023/2024
Type Exam (elaborations)
Contains Questions & answers

Institution ATI MED SURG RESPIRATORY
Course ATI MED SURG RESPIRATORY

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ATI MED SURG RESPIRATORY

1- A nurse is reviewing the discharge instruction for a client who is
recovering from pneumonia. Which of the following statements
shouldthe nurse make?

-“You should avoid crowed areas.”

2- A nurse in an emergency department is assessing a client who has a flail
chest from blunt chest trauma. Which of the following findings should
thenurse expect: (SATA)

-Cyanosis
-Dyspnea
-Paradoxical chest movement

3- A nurse is caring for an adolescent with cystic fibrosis. Which finding requires
immediate intervention when caring for this client?

-Chest pain with dyspnea

Rational: chest pain and dyspnea are signs of pneumothorax and should betreated
immediately.

4- A nurse in the emergency department is assessing a client admitted to the
emergency department who has sustained crushing chest injuries in a car
accident. Which of the following signs indicate a possible pneumothorax?

-Diminished or absent breath sounds on the affected side

5- A client who had extensive pelvic surgery 24 hr ago becomes cyanotic, is
gasping for breath, and complains of right-sided chest pain. What should
thenurse do first?

-Administer oxygen using a face mask

6- A client is admitted with second degree burns on face, neck, anterior chest, and
hands.
The nurse’s priority action would be:

, -Assess for dyspnea and stridor

7- A client who underwent a left lower lobectomy is forty-eight hrs post op. The
client is receiving morphine sulfate via a patient-controlled analgesia (PCA)
system and report having pain in the left thorax that worsens coughing. The
nurse should:

-Obtain a more detailed assessment of the client’s pain using a pain scale.

8- A nurse is caring for a client who is undergoing tracheostomy. The nurse
understands that which of the following is a complication of this
procedure?

-Damage to the recurrent laryngeal nerve.

9- A nurse is assessing a client’s arterial blood results. The results are pH 7.50,
bicarbonate 32mEq/L, and PaCO2 36 mmHg. Which of the following do these
arterial gas results indicate?

-Metabolic alkalosis

10- A nurse is caring for a client on a ventilator who has ventilator settings with a
preset tidal volume. Which best describes the tidal volume (VT) in this
setting:

-The amount of air inhaled with each breath

11- The nurse is caring for a client who has just been intubated for respiratory
failure. The physician orders the ventilator to be set SIMV mode. Which
best describes SIMV?

-A preset number of breaths delivered to the client at certain volume

12- A client with asthma is scheduled for treatment with methylxanthine for
nocturnal wheezing. Which of the following drugs are methylxanthine drugs that
are appropriate for the treatment of this client? (SATA)

-Theophylline
-Aminophylline

13- The nurse is administering cromolyn sodium (Intal) for client with asthma.
Which of the following are true about this drug? (SATA)

, -It causes headache

-It prevents an attack

14- A nurse caring for a client with hemothorax. The physician plans to insert a
right-sided chest tube. (La pregunta pide ordenar los cuadritos en el orden
correcto)
-Check the physician order and gather the chest tube supplies

-Assist the client to the correct position for placement.
-Assist the provider with the chest tube insertion

-Move the drainage system unit so that it is below the level of the chest

-Administer pain medication as required

-Encourage the client to cough and deep breathe.

15- A 33-year-old client is in the ICU for treatment of acute respiratory distress
syndrome (ARDS). (la pregunta pide ordenar los pasos para realizar endotraqueal
suctioning enorden)
-Turn on the suction to 80-120 mmHg

-Pre-oxygenate the client by providing 100% oxygen through the ET tube

-Insert the suction catheter into the ET tube until resistance is met, taking care not to
applysuction with insertion.

-Apply suction while withdrawing the catheter from the ET tube

-Suction the in-line catheter with saline to clear for next use.

16- The nurse is assessing a client with ARDS (acute respiratory distress
syndrome).Which of the following may have caused the client’s condition?
(SATA)

- Heroin
- Pancreatitis
- Burns
- Fat emboli

17- The nurse is assessing a client with extra pulmonary tuberculosis.

, Which of the following is true about this type of condition? (SATA)

-Genitourinary system is affected

-Osteomyelitis occurs

18- Which of the following devices is most appropriate for delivering a
predicted oxygen concentration in a client with unstable chronic
obstructivepulmonary disease (COPD)?
-Venturi mask
Rational: this mas allowing delivery of fixed FiO2 that depends on the flow rate
and size of the entrainment port. It can delivery oxygen concentration ranging
from 24-60 % and flow rates between 4-12 L/min. Used to titrate the oxygen
concentration in clients with unstable COPD.

19- A nurse is assessing a client with emphysema. Which assessment findings
does the nurse anticipate in this form of COPD? (SATA)

-Hyperresonance on percussion of the lung area
-Increased respiratory effort

-Increased chest diameter when measured anteriorly and posteriorly

20- A nurse is caring for 4 new clients. When receiving reports, the nurse
should prioritize assessment of which of the following?
-A 70-year-old client after knee replacement complaining of sudden-onset dyspnea
accompanied by chest pain

21- A charge nurse is admitting an elderly client with influenza. Which of the
following precautions are necessary for preventing the transmission of
influenza virus to other clients? (SATA)

-The client should wear a face mas when leaving the room
-The client should be assigned to a private room
-Visitor contact with the client should be limited

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