1. A nurse is planning care for a client who has asthma. d. Albuterol
Which of the following medications should the nurse
plan to administer during an acute asthma attack?
a. Cromolyn sodium
b. Prednisone
c. Fluticasone/salmeterol
d. Albuterol
2. A nurse is preparing a client for discharge following a. Presence of gag
a bronchoscopy with the use of moderate sedation. reflex
The nurse should identify that which of the following
assessments is the priority?
a. Presence of gag reflex
b. Pain level rating using a 0 to 10 scale
c. Hydration status
d. Appearance of the IV insertion site
3. A nurse receives prescriptions from the provider
for performing nasopharyngeal suctioning on four
clients. For which of the following clients should the
nurse clarify the provider's prescription?
a. A client who has epistaxis
b. A client who has amyotrophic lateral sclerosis
c. A client who has pneumonia
d. A client who has emphysema
4. A nurse is assessing a client who has bacterial pneu- c. Temperature
monia. Which of the following manifestations should 38.8° C (101.8° F)
the nurse expect?
a. Decreased fremitus
b. SaO2 95% on room air
c. Temperature 38.8° C (101.8° F)
d. Bradypnea
5. A charge nurse is reviewing the care of a client who b. "I will notify the
has a chest tube connected to a water seal drainage provider if there
system in place following thoracic surgery with a new- is continuous bub-
ly licensed nurse. Which of the following statements bling in the water
by the newly licensed nurse indicates an understand- seal chamber."
1/8
, ATI - Medical Surgical Respiratory
ing of when to notify the provider?
a. "I will notify the provider if there is a fluctuation of
drainage in the tubing with inspiration."
b. "I will notify the provider if there is continuous
bubbling in the water seal chamber."
c. "I will notify the provider if there is drainage of 60
milliliters in the first hour after surgery."
d. "I will notify the provider if there are several small,
dark-red blood clots in the tubing."
6. A nurse is caring for a client who is postoperative and d. pH 7.30, PO2 80
has a respiratory rate of 9/min secondary to general mm Hg, PaCO2 55
anesthesia effects and incisional pain. Which of the mm Hg, HCO3- 22
following ABG values indicates the client is experienc- mEq/L
ing 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
7. A nurse is assessing a client who has acute respirato- d. Intercostal re-
ry distress syndrome (ARDS). Which of the following tractions
findings should the nurse report to the provider?
a. Decreased bowel sounds
b. Oxygen saturation 92%
c. CO2 24 mEq/L
d. Intercostal retractions
8. A nurse is caring for a client who is receiving mechan- c. Artificial airway
ical ventilation when the low-pressure alarm sounds. cuff leak
Which of the following situations should the nurse
recognize as a possible cause of the alarm?
a. Excess secretions
b. Kinks in the tubing
2/8
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