ATI COPD AND ASTHMA OXYGENATION,
MED SURG QUIZ QUESTIONS (TEST 2),
NURSING 330 EXAM 3 QUESTIONS
RESP/GI/GU, ATI PULMONARY QUESTIONS,
ATI AIRWAY MANAGEMENT (2 - EXAM 1),
ATI MED SURGE CH. 18 CHEST TUBE
INSERTION QUESTIONS, ATI CLOSED-CHEST
PRETEST, R
,ATI COPD and Asthma Oxygenation, Med surg quiz questions (test 2), Nursing 330 Exam 3 questions
resp/gi/gu, ATI pulmonary questions, ATI Airway Management (2 - Exam 1), ATI Med Surge Ch. 18
Chest Tube Insertion Questions, ATI closed-chest pretest, R
A nurse is providing oral care for a client who is immoblie. Which of the following actions
should the nurse take? - correct answer Turn the client on his side before starting oral care.
A nurse is providing discharge teaching to a client who has asthma and a new prescription for
fluticasone/salmeterol. For which of the following adverse effects should the nurse instruct the
client to report to the provider? - correct answer White coating in the mouth
A nurse is preparing an adolescent client who has pneumonia for percussion, vibration, and
postural drainage. Prior to the procedure which of the following nursing actions should the
nurse complete first? - correct answer Auscultate lung fields.
A nurse is caring for four hospitalized clients. Which of the following clients should the nurse
identify as being at risk for fluid volume deficit? - correct answer The client who has
gastroenteritis and is febrile.
A nurse in an urgent care center is caring for a client who is having a acute asthma
exacerbation. Which of the following actions is the nurse's highest priority? - correct answer
Administering a nebulized beta-adrenergic
A nurse caring for a client who has hypertension and asks the nurse about a prescription for
propranolol. The nurse should inform the client that this medication is contraindicated in clients
who have a history of which of the following condition? - correct answer Asthma
A client is admitted to the ED with a respiratory rate of 7/min. Arterial blood gases (ABG) reveal
the following values. Which of the following is an appropriate of the ABG's?
ph 7.22
PaCO2 68mm Hg
Base excess -2
PaO2 78 mm Hg
Saturation 80%
Bicarbonate 26 mEq/q - correct answer Respiratory acidosis
Respiratory acidosis occurs when there is retention of CO2 due to an impairment of respiratory
function. It can be the result of respiratory depression, seen with anesthesia or opioid
administration; inadequate chest expansion, due to a weakness of the respiratory muscles or
constriction to the thorax; an obstruction of the airway, seen in aspiration, bronchoconstriction,
or laryngeal edema; or from an inability of the lungs to adequately diffuse gases (O2 and CO2),
resulting from conditions such as pneumonia, COPD, chest trauma, or pulmonary emboli.
Arterial blood gases will reveal a pH that is lower than the normal reference range (7.35 - 7.45)
and a CO2 level that is higher than the normal reference range (35 - 45 mm Hg).
,ATI COPD and Asthma Oxygenation, Med surg quiz questions (test 2), Nursing 330 Exam 3 questions
resp/gi/gu, ATI pulmonary questions, ATI Airway Management (2 - Exam 1), ATI Med Surge Ch. 18
Chest Tube Insertion Questions, ATI closed-chest pretest, R
A nurse is suctioning the endotracheal tube of a client who is on a ventilator. The client's heart
rate increases from 86/min to 110/min and becomes irregular. Which of the following actions
should the nurse take? - correct answer Perform pre-oxygenation prior to suctioning
A nurse is providing discharge teaching to a client who has a new prescription for home oxygen
therapy via a nasal cannula. Which of the following should the nurse include in the teaching?
(sata) - correct answer Check the cannula position on a regular basis
Check the tops of the ears for skin breakdown
Post "no smoking" signs in a prominent location in the home
A nurse is developing a plan of care for a client who is postoperative. Which of the following
interventions should the nurse included in the plan to prevent pulmonary complications? -
correct answer Encourage the use of an incentive spirometer
A nurse is providing teaching to a client who is postoperative following coronary artery bypass
graft (CABG) surgery and is receiving opioid medications to manage discomfort. Aside form
managing plan, which of the following desired effects of medications should the nurse identify
as most important for the client's recovery? - correct answer It facilitates the client's deep
breathing
A nurse is assessing a client for hypoxemia during an asthma attack. Which of the following
manifestations should the nurse expect? - correct answer Agitation
due to neurological changes from poor oxygen exchange.
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). The client
tells the nurse, I can feel the congestion in my lungs, and I certainly cough a lot, but I can't seem
to bring anything up". Which of the following actions should the nurse take to help this client
with tenacious bronchial secretions? - correct answer Encouraging the client to drink 2 to 3 L of
water daily
A nurse is caring for a client who has emphysema. Which of the following findings should the
nurse expect to assess in the client? (SATA) - correct answer Dyspnea
Barrel Chest
Clubbing of the fingers
, ATI COPD and Asthma Oxygenation, Med surg quiz questions (test 2), Nursing 330 Exam 3 questions
resp/gi/gu, ATI pulmonary questions, ATI Airway Management (2 - Exam 1), ATI Med Surge Ch. 18
Chest Tube Insertion Questions, ATI closed-chest pretest, R
Emphysema is a lung disease involving damage to the alveoli in which they become weakened
and collapse. Dyspnea is seen in clients with emphysema as the lungs try to increase the
amount of oxygen available to the tissues.
Clients with emphysema lose lung elasticity; the diaphragm becomes permanently flattened by
hyperinflation of the lungs; the muscles of the rib cage become rigid; and the ribs flare
outward. This produces the barrel chest typical of emphysema clients.
Clubbing results from chronic low arterial-oxygen levels. The tips of the fingers enlarge and the
nails become extremely curved from front to back.
A nurse is caring for a client who has asthma and developed viral pharyngitis. Which of the
following findings should the nurse expect? - correct answer Severe hyperemia of pharyngeal
mucosa
A client who has viral pharyngitis will have scant or no tonsillar exudate with slight erythema of
the pharynx and tonsils. A client who has bacterial pharyngitis is likely to have severe
hyperemia of pharyngeal mucosa, tonsils, tongue and uvula, as well as erythema of the tonsils
with yellow exudate and petechiae on the soft palate.
A nurse is caring for a client whose arterial blood gas results show a pH of 7.3 and a PaCO2 of
50 mm Hg. The nurse should identify that the client is experiencing which of the following acid
base imbalances? - correct answer Respiratory acidosis
A nurse is auscultating the breath of a client who has asthma. When the client exhales, the
nurse hears continues pitched squeaking sounds. The nurse should document this as which of
the following adventitious breath sounds? - correct answer Wheezes
Wheezes are continuous, high-pitched squeaking sounds, first evident on expiration, but
possibly evident on inspiration as the airway obstruction of asthma worsens. Wheezes are often
audible without a stethoscope.
A nurse is teaching a client who has asthma how to use a metered-dose inhaler (MDI). The
nurse identifies the sequence of steps the client should follow. - correct answer Inhaling
deeply and then exhaling completely is the first step. Next, the client should place her lips
firmly around the mouthpiece to direct the spray to the airways, then breathe in deeply over 2
to 3 seconds while pushing down on the canister. This slow, deep inhalation directs the
medication down into the lower respiratory tract. Holding her breath for 10 seconds is next; it
allows time for absorption of the medication. Then, pursed-lip breathing keeps the small
