100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
ATI MED SURG RESPIRATORY 2024 COMPREHENSIVE QUESTIONS WITH DETAILED ANSWER AND RATIONALES//A+ GRADED $22.99
Add to cart
Quickly navigate to
Preview
  2.  
  3. ATI MED SURG RESPIRATORY 2024
  4.  
  5. ATI MED SURG RESPIRATORY 2024

Exam (elaborations)

ATI MED SURG RESPIRATORY 2024 COMPREHENSIVE QUESTIONS WITH DETAILED ANSWER AND RATIONALES//A+ GRADED

3 reviews
 3 purchases
  • Course
  • ATI MED SURG RESPIRATORY 2024
  • Institution
  • ATI MED SURG RESPIRATORY 2024

ATI MED SURG RESPIRATORY 2024 COMPREHENSIVE QUESTIONS WITH DETAILED ANSWER AND RATIONALES//A+ GRADED

Preview 4 out of 101  pages

Document information

  • May 16, 2024
  • 101
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • ati med surg respiratory 2024

Written for

  • ATI MED SURG RESPIRATORY 2024
  • ATI MED SURG RESPIRATORY 2024

3  reviews

review-writer-avatar

By: ProLabs • 6 months ago

review-writer-avatar

By: stuuviaa • 7 months ago

Excellent Job!!

review-writer-avatar

By: MEGAMINDS • 7 months ago

GREAT DOC!!

Seller

avatar-seller
TheAlphanurse

Reviews received

Content preview

ATI MED SURG RESPIRATORY 2024 COMPREHENSIVE QUESTIONS
WITH DETAILED ANSWER AND RATIONALES//A+ GRADED

1. You are called to examine an acutely dyspneic and hypotensive patient and you
note the following: reduced chest expansion on the left side, hyperresonant
percussion note and tactile fremitus on the left side, absent breath sounds on the
left side, and a tracheal shift to the right. What do these findings suggest?
A. Pleural effusion on the left side
B. Pneumothorax on the left side
C. Atelectasis on the left side
D. Consolidation on the left side

By assessing this patient, you can quickly determine that the correct answer is a left-
sided pneumothorax.

The unilateral findings of reduced chest expansion, a hyperresonant percussion note,
absent breath sounds and tactile fremitus all on the left side. That to go along with
a tracheal shift to the right — this indicates that the patient has most likely suffered a
large pneumothorax on the left side.

Remember, for a pneumothorax, the trachea will shift away from the affected side.
You can rule out left-sided atelectasis because the trachea would shift to that side.
And also, if the pneumothorax is severe enough, it can disrupt cardiac function which
can cause the blood pressure to decrease. That explains why this patient is
hypotensive.

The correct answer is: B. Pneumothorax on the left side


2. You are asked to assess a 39-year-old man that was admitted through the
emergency department with an abrupt onset of fever and chills. The man shows
signs of bilateral rhonchi with a productive cough and his SpO2 is 88% on room
air. What should you recommend?
A. Intubate and provide mechanical ventilation with 40% oxygen
B. Provide noninvasive positive pressure ventilation using a full face mask
C. Implement postural drainage and percussion with directed coughing
D. Provide oxygen therapy, give an antibiotic, and obtain a sputum sample
for Culture and Sensitivity

, Based on the information provided, we can easily figure out that D is the correct
answer.

The likely problem is some type of bacterial pneumonia because it tells us that the
patient has fever and chills. That is why you would want to obtain a sputum sample.

Antibiotics and oxygen therapy would be the proper initial treatment in this case, and
the sputum sample is needed to help identify the type of organism.

Intubation nor NPPV is indicated in this case. And postural drainage and percussion
are not recommended either. So we know that there can only be one correct answers,
and it’s D.

The correct answer is: D. Provide oxygen therapy, give an antibiotic, and obtain a
sputum sample for Culture and Sensitivity


3. A 50-year-old man is intubated and receiving mechanical ventilation with a size
8.0 mm endotracheal tube that is secured in place. The patient’s cuff pressure is
measured at 36 cm H2O. What would you recommend in this situation?
A. Withdraw the tube 1-2 cm and reassess the patient’s breath sounds
B. Recommend reintubation with a smaller endotracheal tube
C. Lower the cuff pressure to < 30 cm H2O
D. Recommend ventilation via a tracheostomy instead

In order to answer this one correctly, you have to know what the normal values are for
cuff pressure. And in this case, you must know that 36 cm H2O is way too high and
could potentially cause tracheal damage.

So your first action should be to lower the cuff pressure to < 30 cm H2O and check to
make sure that there are not any leaks.

Remember, the cuff pressure should stay between 20–30 cm H2O.

There is no indication to withdraw the tube, and using a smaller tube would only
cause the patient’s peak pressure to increase, which is something that we do not want.

And also, there is no indication for the insertion of a tracheostomy, so this tells us that
the correct answer has to be C.

, The correct answer is: C. Lower the cuff pressure to < 30 cm H2O


4. While making a routine equipment check, you hear the patient’s bubble
humidifier is making a whistling noise. Which of the following is the most likely
cause of this problem?
A. There is an obstruction in the delivery tube
B. There is a rise in the patient’s ventilation
C. There is a clogged system diffuser
D. The wall outlet pressure is set too high

If you’ve ever accidentally stepped on the tubing when a bubble humidifier is being
used, then you will automatically know that the correct answer is A.

The relief valve of a humidifier sounds when the pressure in the reservoir container
exceeds the valve’s threshold pressure. And of course, the most common reason for
this to occur is when there is a downstream obstruction to outflow.

Flowmeter restriction prevents high wall outlet pressures from affecting the pressure
in the humidifier because it is limited at 50 psig. Changes in patient ventilation would
have no effect on the pressure in the humidifier. So we know that there can only be
one correct answer and it’s A.

The correct answer is: A. There is an obstruction in the delivery tube


5. A forced expiratory measurement obtained after the administration of a
bronchodilator shows an increase in the patient’s FEV1 from 60% to 80% of the
predicted value. What does this indicate?
A. A fixed airway obstruction
B. A reversible airway obstruction
C. A normal diffusion capacity
D. A restrictive process

As you can see, the patient’s airway obstruction was relieved because the FEV1
increased from 60% to 80% of the predicted value. But was it enough to classify it as
a reversible obstruction?

In order to achieve clinical significance, the post-bronchodilator results of an FVC,
FEV1 or FEV1/FVC% should be at least 12-15% greater than the pre-bronchodilator
value.

, So in this case, there was a 20% increase, which means — yes — the increase was
enough and this indicates that there is a reversible airway obstruction.

We can rule out all of the other answer choices because we know that the correct
answer has to be B.

The correct answer is: B. A reversible airway obstruction


6. You are called to assess an intubated patient that is breathing asynchronously
with the ventilator. Her breath sounds are absent on the left, with dullness to
percussion and a left shift of the trachea. Which of the following is the most likely
explanation of the problem?
A. A tracheoesophageal fistula has developed
B. A tension pneumothorax has developed on the left side
C. The endotracheal tube is in the right mainstem bronchus
D. The patient is experiencing diffuse bronchospasm

This is a question that we can determine the correct answer right away by looking at
the information that they give us in the question.

It states that the patient has a dull percussion note on the left side, tracheal shift
toward the left side, and absent breath sounds on the left side. These are all signs of
atelectasis!
So now you have to think, “What would cause atelectasis?” In this instance, slippage
of the endotracheal tube into the right mainstem bronchus would be the most likely
cause left-sided atelectasis.

Diffuse bronchospasm would cause bilateral wheezing and a left-sided pneumothorax
would cause a hyperresonant percussion note, not a dull percussion note. So we know
that there can only be one correct answer, and it’s C.

The correct answer is: C. The endotracheal tube is in the right mainstem bronchus


7. A 63-year-old female patient is receiving pressure controlled A/C mechanical
ventilation. Which of the following changes would occur if her compliance were
to decrease?
A. Her delivered volume will decrease
B. Her peak pressure will increase
C. Her inspiratory time will increase

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller TheAlphanurse. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $22.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

69052 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling

Recently viewed by you

Summary ·

(0)

Ökologie Abitur Biologie
$22.99  3x  sold
  • (3)
Add to cart
Added