ATI Respiratory Questions 74 complete
correct solutions.
ATI Respiratory Questions 74 complete
correct solutions.
A nurse is assessing a patient who has a chest tube in place following a thoracic surgery. Which of the
following findings indicates a need for intervention:
1. Fluctuation of drainage in the tubing with inspiration.
2. Continuous bubbling in the water seal chamber.
3. Drainage of 75 mL in the first hour after surgery.
4. Several small, dark-red blood clots in the tubing. - ANSWER 2. Continuous bubbling in the water seal
chamber.
Continuous bubbling in the water seal chamber suggests an air leak.
A nurse is caring for an elderly patient who suffers from COPD with pneumonia. The nurse should
monitor the patient for which of the following acid-base imbalances?
1. Respiratory alkalosis
2. Respiratory acidosis
3. Metabolic alkalosis
4. Metabolic acidosis - ANSWER 2. Respiratory acidosis
Respiratory acidosis is a common complication of COPD. This complication occurs because patients who
have COPD are unable to exhale carbon dioxide due to a loss of elastic recoil in the lungs.
A nurse is preparing to administer cisplatin IV to a patient with lung cancer. The nurse should identify
that which of the following findings is an adverse effect of this medication?
1. Hallucinations
,ATI Respiratory Questions 74 complete
correct solutions.
2. Pruritis
3. Hand and foot syndrome
4. Tinnitis - ANSWER 4. Tinnitis
An adverse effect of cisplatin is ototoxicity, which can cause tinnitis.
A nurse is preparing to assist a provider to withdraw arterial blood from a patient's radial artery for
measurement of ABG. Which of the following actions should the nurse plan to take?
1. Hyperventilate the patient with 100% oxygen prior to obtaining the specimen.
2. Apply ice to the site after obtaining the specimen.
3. Perform an Allen's test prior to obtaining the specimen.
4. Release pressure applied to the puncture site 1 minute after the needle is withdrawn. - ANSWER 3.
Perform an Allen's test prior to obtaining the specimen.
The nurse should ensure that circulation to the hand is adequate from the ulnar artery in case the radial
artery is injured from the blood draw. The most common site for withdrawal of arterial blood gases is
the radial artery.
A nurse is providing instructions about pursed-lip breathing for a patient who has COPD with
emphysema. The nurse should explain that this breathing technique accomplishes which of the
following:
1. Increases oxygen intake
2. Promotes carbon dioxide elimination
3. Uses the intercostal muscles
4. Strengthens the diaphram - ANSWER 2. Promotes carbon dioxide elimination
A patient who has COPD with emphysema should use pursed-lip breathing when experiencing dyspnea.
This is one of the simplest ways to control dyspnea. It slows the patient's pace of breathing, making each
,ATI Respiratory Questions 74 complete
correct solutions.
breath more effective. Pursed-lip breathing releases trapped air in the lungs and prolongs exhalation to
slow the breathing rate. This improved breathing pattern moves carbon dioxide out of the lungs more
efficiently.
A nurse is preparing a patient for a thoracentesis. In which of the following positions should the nurse
place the patient:
1. Lying flat on the affected site
2. Prone with arms raised over the head
3. Supine with the head of the bed elevated
4. Sitting while leaning forward over the bedside table - ANSWER 4. Sitting while leaning forward over
the bedside table
When preparing a patient for a thoracentesis, the nurse should have the patient sit on the edge of the
bed and lean forward over the bedside table because this position maximizes the space between the
patient's ribs and allows for aspiration of accumulated fluid and air.
A nurse on a med-surg unit is caring for a patient who is postoperative following a hip replacement
surgery. The patient reports feeling apprehensive and restless. Which of the follow findings should the
nurse recognize as an indication of a PE:
1. Sudden onset of dyspnea
2. Tracheal deviation
3. Bradycardia
4. Difficulty swallowing - ANSWER 1. Sudden onset of dyspnea
Clinical manifestations of a PE have a rapid onset. Dyspnea occurs due to reduced blood flow to the
lungs.
A nurse is planning care for a patient who has COPD and is malnourished. Which of the following
recommendations to promote nutritional intake should the nurse include in the plan:
, ATI Respiratory Questions 74 complete
correct solutions.
1. Eat high-calorie foods first
2. Increase intake of water at meal times
3. Perform active range of motion exercises before meals
4. Keep saltine crackers nearby for snacking - ANSWER 1. Eat high-calorie foods first
The client who has COPD often experiences early satiety. Therefore, the patient should eat high-calorie
foods first.
A nurse is developing a teaching plan for a patient about preventing acute asthma attacks. Which of the
following points should the nurse plan to discuss first:
1. How to eliminate environmental triggers that precipitate attacks
2. The patient's perception of the disease process and what might have triggered attacks in the past
3. The patient's medication regimen
4. Manifestations of respiratory infections - ANSWER 2. The patient's perception of the disease process
and what might have triggered attacks in the past
The nurse should apply the nursing process priority-setting framework. The nurse can use the nursing
process to plan patient care and prioritize nursing actions. Each step of the nursing process builds on the
previous step, beginning with assessment. Before the nurse can formulate a plan of action, implement a
nursing intervention, or notify a provider of a change in a patient's status, the nurse must first collect
adequate data from the patient. Assessing the patient will provide the nurse with knowledge to make an
appropriate decision. Therefore, the first step the nurse should take is to assess the patient's current
knowledge.
A nurse in a provider's office is assessing a patient who states he was recently exposed to TB. Which of
the following findings is a clinical manifestation of pulmonary TB:
1. Pericardial friction rub
2. Weight gain
correct solutions.
ATI Respiratory Questions 74 complete
correct solutions.
A nurse is assessing a patient who has a chest tube in place following a thoracic surgery. Which of the
following findings indicates a need for intervention:
1. Fluctuation of drainage in the tubing with inspiration.
2. Continuous bubbling in the water seal chamber.
3. Drainage of 75 mL in the first hour after surgery.
4. Several small, dark-red blood clots in the tubing. - ANSWER 2. Continuous bubbling in the water seal
chamber.
Continuous bubbling in the water seal chamber suggests an air leak.
A nurse is caring for an elderly patient who suffers from COPD with pneumonia. The nurse should
monitor the patient for which of the following acid-base imbalances?
1. Respiratory alkalosis
2. Respiratory acidosis
3. Metabolic alkalosis
4. Metabolic acidosis - ANSWER 2. Respiratory acidosis
Respiratory acidosis is a common complication of COPD. This complication occurs because patients who
have COPD are unable to exhale carbon dioxide due to a loss of elastic recoil in the lungs.
A nurse is preparing to administer cisplatin IV to a patient with lung cancer. The nurse should identify
that which of the following findings is an adverse effect of this medication?
1. Hallucinations
,ATI Respiratory Questions 74 complete
correct solutions.
2. Pruritis
3. Hand and foot syndrome
4. Tinnitis - ANSWER 4. Tinnitis
An adverse effect of cisplatin is ototoxicity, which can cause tinnitis.
A nurse is preparing to assist a provider to withdraw arterial blood from a patient's radial artery for
measurement of ABG. Which of the following actions should the nurse plan to take?
1. Hyperventilate the patient with 100% oxygen prior to obtaining the specimen.
2. Apply ice to the site after obtaining the specimen.
3. Perform an Allen's test prior to obtaining the specimen.
4. Release pressure applied to the puncture site 1 minute after the needle is withdrawn. - ANSWER 3.
Perform an Allen's test prior to obtaining the specimen.
The nurse should ensure that circulation to the hand is adequate from the ulnar artery in case the radial
artery is injured from the blood draw. The most common site for withdrawal of arterial blood gases is
the radial artery.
A nurse is providing instructions about pursed-lip breathing for a patient who has COPD with
emphysema. The nurse should explain that this breathing technique accomplishes which of the
following:
1. Increases oxygen intake
2. Promotes carbon dioxide elimination
3. Uses the intercostal muscles
4. Strengthens the diaphram - ANSWER 2. Promotes carbon dioxide elimination
A patient who has COPD with emphysema should use pursed-lip breathing when experiencing dyspnea.
This is one of the simplest ways to control dyspnea. It slows the patient's pace of breathing, making each
,ATI Respiratory Questions 74 complete
correct solutions.
breath more effective. Pursed-lip breathing releases trapped air in the lungs and prolongs exhalation to
slow the breathing rate. This improved breathing pattern moves carbon dioxide out of the lungs more
efficiently.
A nurse is preparing a patient for a thoracentesis. In which of the following positions should the nurse
place the patient:
1. Lying flat on the affected site
2. Prone with arms raised over the head
3. Supine with the head of the bed elevated
4. Sitting while leaning forward over the bedside table - ANSWER 4. Sitting while leaning forward over
the bedside table
When preparing a patient for a thoracentesis, the nurse should have the patient sit on the edge of the
bed and lean forward over the bedside table because this position maximizes the space between the
patient's ribs and allows for aspiration of accumulated fluid and air.
A nurse on a med-surg unit is caring for a patient who is postoperative following a hip replacement
surgery. The patient reports feeling apprehensive and restless. Which of the follow findings should the
nurse recognize as an indication of a PE:
1. Sudden onset of dyspnea
2. Tracheal deviation
3. Bradycardia
4. Difficulty swallowing - ANSWER 1. Sudden onset of dyspnea
Clinical manifestations of a PE have a rapid onset. Dyspnea occurs due to reduced blood flow to the
lungs.
A nurse is planning care for a patient who has COPD and is malnourished. Which of the following
recommendations to promote nutritional intake should the nurse include in the plan:
, ATI Respiratory Questions 74 complete
correct solutions.
1. Eat high-calorie foods first
2. Increase intake of water at meal times
3. Perform active range of motion exercises before meals
4. Keep saltine crackers nearby for snacking - ANSWER 1. Eat high-calorie foods first
The client who has COPD often experiences early satiety. Therefore, the patient should eat high-calorie
foods first.
A nurse is developing a teaching plan for a patient about preventing acute asthma attacks. Which of the
following points should the nurse plan to discuss first:
1. How to eliminate environmental triggers that precipitate attacks
2. The patient's perception of the disease process and what might have triggered attacks in the past
3. The patient's medication regimen
4. Manifestations of respiratory infections - ANSWER 2. The patient's perception of the disease process
and what might have triggered attacks in the past
The nurse should apply the nursing process priority-setting framework. The nurse can use the nursing
process to plan patient care and prioritize nursing actions. Each step of the nursing process builds on the
previous step, beginning with assessment. Before the nurse can formulate a plan of action, implement a
nursing intervention, or notify a provider of a change in a patient's status, the nurse must first collect
adequate data from the patient. Assessing the patient will provide the nurse with knowledge to make an
appropriate decision. Therefore, the first step the nurse should take is to assess the patient's current
knowledge.
A nurse in a provider's office is assessing a patient who states he was recently exposed to TB. Which of
the following findings is a clinical manifestation of pulmonary TB:
1. Pericardial friction rub
2. Weight gain
