Exam (elaborations)
ATI MED SURG RESPIRATORY 2024 EXAM COMPREHENSIVE QUESTIONS AND ANSWERS
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ATI MED SURG RESPIRATORY 2024 EXAM COMPREHENSIVE QUESTIONS AND ANSWERS
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ATI MED SURG RESPIRATORY 2024 EXAM COMPREHENSIVEQUESTIONS AND ANSWERS
Question 1
A patient with chronic obstructive pulmonary disease (COPD) is admitted with
worsening dyspnea. Which of the following interventions should the nurse
implement first?
A. Administer prescribed bronchodilator
B. Teach the patient pursed-lip breathing
C. Encourage small, frequent meals
D. Provide low-flow oxygen therapy
Answer: A. Administer prescribed bronchodilator
Question 2
A nurse is caring for a client who has asthma and is experiencing an acute
exacerbation. Which of the following findings indicates the client’s respiratory
status is declining? (Select all that apply.)
A. Wheezing
B. Bradycardia
C. Use of accessory muscles
D. Decreased respiratory rate
E. Retraction of sternal muscles
Answer: A. Wheezing, C. Use of accessory muscles, E. Retraction of sternal
muscles
Question 3
A nurse is providing discharge teaching to a client who has a new prescription for a
corticosteroid inhaler for asthma. Which of the following instructions should the
nurse include?
A. Use the inhaler immediately when you experience symptoms
B. Rinse your mouth thoroughly after each use
,C. Take this medication on an empty stomach
D. Shake the inhaler well before use
Answer: B. Rinse your mouth thoroughly after each use
Question 4
Which of the following is a priority nursing intervention for a client who has a
chest tube connected to a water-seal drainage system?
A. Ensure the chest tube is securely taped at the insertion site
B. Maintain the client in a supine position
C. Clamp the chest tube during client movement
D. Monitor the client for tracheal deviation
Answer: A. Ensure the chest tube is securely taped at the insertion site
Question 5
A nurse is teaching a client who has tuberculosis (TB) about the disease. Which of
the following statements should the nurse include in the teaching?
A. "You will need to wear a mask at all times for 6 months."
B. "You will need to provide sputum samples every 2 to 4 weeks until you
have three negative cultures."
C. "You can resume work and social activities immediately."
D. "You should avoid all dairy products during treatment."
Answer: B. "You will need to provide sputum samples every 2 to 4 weeks until
you have three negative cultures."
Question 6
A nurse is caring for a client who has pneumonia. Which of the following
assessment findings indicates that the client needs immediate intervention?
A. Respiratory rate of 32/min
B. Oral temperature of 101.2°F (38.4°C)
C. Productive cough with green sputum
D. Peripheral capillary oxygen saturation (SpO2) of 94%
,Answer: A. Respiratory rate of 32/min
Question 7
A nurse is assessing a client who has pleurisy. Which of the following findings
should the nurse expect?
A. Bradycardia
B. Hypertension
C. Pain that worsens with deep inspiration
D. Peripheral edema
Answer: C. Pain that worsens with deep inspiration
Question 8
A client with pulmonary embolism (PE) is receiving anticoagulation therapy.
Which of the following instructions should the nurse provide to the client?
A. "Use an electric razor when shaving."
B. "Avoid green leafy vegetables."
C. "Limit fluid intake to 1 liter per day."
D. "Increase your daily intake of vitamin K."
Answer: A. "Use an electric razor when shaving."
Question 9
Which of the following manifestations should the nurse expect to find in a client
with a pneumothorax?
A. Bradycardia
B. Hypertension
C. Decreased or absent breath sounds on the affected side
D. Bilateral crackles
Answer: C. Decreased or absent breath sounds on the affected side
Question 10
, A nurse is teaching a client who has obstructive sleep apnea about measures to
manage his condition. Which of the following instructions should the nurse
include?
A. "Sleep on your back for better airflow."
B. "Avoid alcohol and sedatives before bedtime."
C. "Use a soft pillow to elevate your head."
D. "Limit fluid intake in the evening."
Answer: B. "Avoid alcohol and sedatives before bedtime."
Question 11
A nurse is assessing a client who has emphysema. Which of the following findings
should the nurse expect?
A. Barrel-shaped chest
B. Frequent productive cough
C. Cyanosis of the lips and fingertips
D. Sudden weight gain
Answer: A. Barrel-shaped chest
Question 12
A client is receiving mechanical ventilation. Which of the following interventions
should the nurse implement to prevent ventilator-associated pneumonia (VAP)?
A. Position the client in supine position
B. Perform oral care with chlorhexidine
C. Administer antibiotics prophylactically
D. Suction the client every 2 hours
Answer: B. Perform oral care with chlorhexidine
Question 13
A nurse is providing discharge teaching to a client who has cystic fibrosis. Which
of the following instructions should the nurse include in the teaching?
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