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NR - 324: Respiratory ATI Exam Questions with A+ Graded Answers
NR - 324: Respiratory ATI Exam Questions with A+ Graded Answers
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NR - 324: Respiratory ATI ExamQuestions with A+ Graded
Answers
A nurse is assessing a client who has emphysema. Which of the following
findings should the nurse report to the provider?
A.) Rhonchi on inspiration
B.) Elevated temperature
C.) Barrel-shaped chest
D.) Diminished breath sounds - -Elevated temperature
The nurse should report an elevated temperature to the provider because it
can indicate a possible respiratory infection. Clients who have emphysema
are at risk for the development of pneumonia and other respiratory
infections.
-A nurse is caring for a client who is post operative and has a respiratory
rate of 9/min secondary to general anesthesia effects and incisional pain.
Which of the following ABG values indicates the client is experiencing
respiratory acidosis?
A.) pH 7.50, PO2 95 mm Hg, PaCO2 25 mm Hg, HCO3- 22 mEq/L
B.) pH 7.50, PO2 87 mm Hg, PaCO2 35 mm Hg, HCO3- 30 mEq/L
C.) pH 7.30, PO2 90 mm Hg, PaCO2 35 mm Hg, HCO3- 20 mEq/L
D.) pH 7.30, PO2 80 mm Hg, PaCO2 55 mm Hg, HCO3- 22 mEq/L - -pH 7.30,
PO2 80 mm Hg, PaCO2 55 mm Hg, HCO3- 22 mEq/L
These ABG values indicate respiratory acidosis. The pH is less than 7.35 and
the PaCO2 is greater than 45 mm Hg, which indicates respiratory acidosis.
-A nurse is caring for a newly-admitted client who has emphysema. The
nurse should place the client in which of the following positions to promote
effective breathing?
Lateral position with a pillow at the back and over the chest to support the
arm
High-Fowler's position with the arms supported on the overbed table
Semi-Fowler's position with pillows supporting both arms
Supine position with the head of the bed elevated to 15° - -High-Fowler's
position with the arms support on the over-bed table.
The nurse should place the client in a position that allows for greater
expansion of the chest, such as sitting upright and leaning slightly forward
while supporting both arms with pillows for comfort on the overbed table.
, -A nurse in the emergency department is caring for a client who is
experiencing acute respiratory failure. Which of the following laboratory
findings should the nurse expect?
Arterial pH 7.50
PaCO2 25 mm Hg
SaO2 92%
PaO2 58 mm Hg - -PaO2 58 mm Hg
The nurse should expect the client to have lower partial pressures of oxygen.
-A nurse is providing discharge teaching to a client who has pulmonary
tuberculosis and a new prescription for rifampin. Which of the following
instructions should the nurse include?
"Ringing in the ears is an adverse effect of this medication."
"Have your skin test repeated in 4 months to show a positive result."
"Expect your urine and other secretions to be orange while taking this
medication."
"Remember to take this medication with a sip of water just before your first
bite of each meal." - -"Expect your urine and other secretions to be orange
while taking this medication."
The nurse should inform the client that rifampin will turn urine and other
secretions orange. Rifampin is hepatotoxic, so the nurse should also instruct
the client to notify the provider if manifestations of hepatitis occur, including
jaundice, fatigue, or malaise.
-A nurse is working in the emergency department is caring for a client
following an acute chest trauma. Which of the following findings indicates to
the nurse the client is possibly experiencing a tension pneumothorax?
Collapsed neck veins on the affected side
Collapsed neck veins on the affected side
Tracheal deviation to the affected side
Tracheal deviation to the unaffected side - -Tracheal deviation to the
unaffected side
The nurse should recognize that deviation of the trachea to the unaffected
side is a possible indicator that the client is experiencing a tension
pneumothorax. A tension pneumothorax results from free air filling the chest
cavity, causing the lung to collapse and forcing the trachea to deviate to the
unaffected side.
-A nurse in a provider's office is assessing a client who has COPD. Which of
the following findings is the priority for the nurse to report to the provider?
A.) Increased anterior-posterior chest diameter
B.) Productive cough with green sputum
C.) Clubbing of the fingers
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