ATI Med Surg Respiratory Proctored
Exam Test Bank 2025
ATI Med Surg Respiratory Proctored
Exam Test Bank 2025 – 350 Verified
Questions and Detailed Answers WITH
DETAILED RATIONALES
The 75-year-old patient asks the nurse if the Pneumovax immunization he took when he was
65 is still protecting him. The nurse's most helpful reply is:
a. "Yes. Pneumovax protects you for your lifetime."
b. "No. The immunity afforded you by Pneumovax lasts only 2 years."
c. "Yes, but it loses strength and may not protect you from all 23 pneumococcal organisms
anymore."
d. "No. A second dose is needed 6 years after the first for full immunity."
- ANS :ANS: D
Pneumovax, an immunization that protects against 23 pneumococcal organisms, is repeated 6
years after the first dose.
The 75-year-old resident in the nursing home who cares for 40 birds in an aviary complains of
shortness of breath and fatigue and a dry cough. Based on this information, the nurse
suspects the resident may be suffering from:
A GRADE 1
, ATI Med Surg Respiratory Proctored
Exam Test Bank 2025
a. coccidioidomycosis.
b. histoplasmosis.
c. tuberculosis.
d. atypical pneumonia.
- ANS :ANS: B
Histoplasmosis is caused by a fungus that lives in bird droppings. The symptoms are dry
cough, shortness of breath, and fatigue. Coccidioidomycosis is contracted by people who
engage in desert recreational activities or are working in occupations that require digging in
the earth. Tuberculosis and atypical pneumonia are not supported by the resident's history
and symptoms.
The 30-year-old American Indian female who is taking Rifater, a drug containing rifampin,
isoniazid, and pyrazinamide, complains that she is tired of taking medicine and having to spit
in a bottle all the time. She asks, "When can I stop all this and get on with my life?" The
nurse's best response is that she will no longer be considered contagious when:
a. the sputum culture comes back negative.
b. the medication has been taken for 9 months.
c. three consecutive sputum cultures are negative.
d. the tuberculin skin test (TST) is no longer positive. –
ANS :ANS: C
This drug is given to treat active tuberculosis. The active tuberculosis patient is considered
noncontagious when three consecutive sputum cultures are negative. Taking the medication
A GRADE 2
, ATI Med Surg Respiratory Proctored
Exam Test Bank 2025
for a given period of time does not make the patient noncontagious. The TST will always be
positive.
The nurse reading a tuberculin skin test (TST) on a new employee who lives in the Midwest, is
20 years old, and has no known history of contact with any persons with tuberculosis (TB) will
record it as positive if the area around the injection site has an area of swelling of _____ mm
_____ hours after the injection.
a. 15; 48
b. 10; 72
c. 5; 48
d. 0 to 5; 72 - ANS :ANS: A
All TSTs are read at 48 to 72 hours after the injection. A positive reading of a TST for a person
who is low risk for exposure is an area of swelling 15 mm or more. For individuals who are at
high risk for TB (such as recent immigrants from countries where TB is prevalent, medically
underserved groups, and the homeless), swelling of more than 10 mm is considered positive.
Individuals with a history of contact with infectious TB or who are immunocompromised are
considered to have a positive TST if there is more than 5 mm of swelling.
The nurse explains that a serious complication of a patient's chronic obstructive pulmonary
disease (COPD) is cor pulmonale, which is exhibited by:
a. distended neck veins.
b. weight loss.
c. confusion and disorientation.
d. excessive coughing. - ANS :ANS: A
A GRADE 3
, ATI Med Surg Respiratory Proctored
Exam Test Bank 2025
Cor pulmonale is exhibited by distended neck veins, enlarged right side of the heart, liver
engorgement, and edema.
The patient with asthma is prescribed a leukotriene modifier drug, montelukast (Singulair).
The nurse points out that the major advantage of this drug is it:
a. has no GI side effects.
b. provides bronchodilation and anti-inflammatory effects.
c. controls acute asthma episodes.
d. can be substituted for all other asthma remedies. - ANS :ANS: B
Singulair provides both bronchodilation and anti-inflammatory effects, but it has numerous GI
side effects and is not effective in controlling acute asthmatic attacks.
The patient with chronic airflow limitation (CAL) changed to the use of a simple face mask
from a nasal cannula delivery system. The nasal equipment oxygen was set at 3 L/min. The
nurse instructs the patient that, with the change in delivery systems, the oxygen should be
_____ L/min.
a. decreased to 2
b. decreased to 1
c. increased to 4
d. increased to 6 - ANS :ANS: D
When changing to a mask from a nasal cannula, the oxygen should be increased by
approximately 100% to get the same concentration. Simple face masks deliver approximately
the same range of concentration of oxygen as the nasal cannula. However, the nasal cannula
flow rates range from 1 L to 6 L, delivering 24% to 44% oxygen, whereas the simple face mask
delivers 35% to 50% oxygen which is achieved with flow rates from 6 L to 12 L.
A GRADE 4
Exam Test Bank 2025
ATI Med Surg Respiratory Proctored
Exam Test Bank 2025 – 350 Verified
Questions and Detailed Answers WITH
DETAILED RATIONALES
The 75-year-old patient asks the nurse if the Pneumovax immunization he took when he was
65 is still protecting him. The nurse's most helpful reply is:
a. "Yes. Pneumovax protects you for your lifetime."
b. "No. The immunity afforded you by Pneumovax lasts only 2 years."
c. "Yes, but it loses strength and may not protect you from all 23 pneumococcal organisms
anymore."
d. "No. A second dose is needed 6 years after the first for full immunity."
- ANS :ANS: D
Pneumovax, an immunization that protects against 23 pneumococcal organisms, is repeated 6
years after the first dose.
The 75-year-old resident in the nursing home who cares for 40 birds in an aviary complains of
shortness of breath and fatigue and a dry cough. Based on this information, the nurse
suspects the resident may be suffering from:
A GRADE 1
, ATI Med Surg Respiratory Proctored
Exam Test Bank 2025
a. coccidioidomycosis.
b. histoplasmosis.
c. tuberculosis.
d. atypical pneumonia.
- ANS :ANS: B
Histoplasmosis is caused by a fungus that lives in bird droppings. The symptoms are dry
cough, shortness of breath, and fatigue. Coccidioidomycosis is contracted by people who
engage in desert recreational activities or are working in occupations that require digging in
the earth. Tuberculosis and atypical pneumonia are not supported by the resident's history
and symptoms.
The 30-year-old American Indian female who is taking Rifater, a drug containing rifampin,
isoniazid, and pyrazinamide, complains that she is tired of taking medicine and having to spit
in a bottle all the time. She asks, "When can I stop all this and get on with my life?" The
nurse's best response is that she will no longer be considered contagious when:
a. the sputum culture comes back negative.
b. the medication has been taken for 9 months.
c. three consecutive sputum cultures are negative.
d. the tuberculin skin test (TST) is no longer positive. –
ANS :ANS: C
This drug is given to treat active tuberculosis. The active tuberculosis patient is considered
noncontagious when three consecutive sputum cultures are negative. Taking the medication
A GRADE 2
, ATI Med Surg Respiratory Proctored
Exam Test Bank 2025
for a given period of time does not make the patient noncontagious. The TST will always be
positive.
The nurse reading a tuberculin skin test (TST) on a new employee who lives in the Midwest, is
20 years old, and has no known history of contact with any persons with tuberculosis (TB) will
record it as positive if the area around the injection site has an area of swelling of _____ mm
_____ hours after the injection.
a. 15; 48
b. 10; 72
c. 5; 48
d. 0 to 5; 72 - ANS :ANS: A
All TSTs are read at 48 to 72 hours after the injection. A positive reading of a TST for a person
who is low risk for exposure is an area of swelling 15 mm or more. For individuals who are at
high risk for TB (such as recent immigrants from countries where TB is prevalent, medically
underserved groups, and the homeless), swelling of more than 10 mm is considered positive.
Individuals with a history of contact with infectious TB or who are immunocompromised are
considered to have a positive TST if there is more than 5 mm of swelling.
The nurse explains that a serious complication of a patient's chronic obstructive pulmonary
disease (COPD) is cor pulmonale, which is exhibited by:
a. distended neck veins.
b. weight loss.
c. confusion and disorientation.
d. excessive coughing. - ANS :ANS: A
A GRADE 3
, ATI Med Surg Respiratory Proctored
Exam Test Bank 2025
Cor pulmonale is exhibited by distended neck veins, enlarged right side of the heart, liver
engorgement, and edema.
The patient with asthma is prescribed a leukotriene modifier drug, montelukast (Singulair).
The nurse points out that the major advantage of this drug is it:
a. has no GI side effects.
b. provides bronchodilation and anti-inflammatory effects.
c. controls acute asthma episodes.
d. can be substituted for all other asthma remedies. - ANS :ANS: B
Singulair provides both bronchodilation and anti-inflammatory effects, but it has numerous GI
side effects and is not effective in controlling acute asthmatic attacks.
The patient with chronic airflow limitation (CAL) changed to the use of a simple face mask
from a nasal cannula delivery system. The nasal equipment oxygen was set at 3 L/min. The
nurse instructs the patient that, with the change in delivery systems, the oxygen should be
_____ L/min.
a. decreased to 2
b. decreased to 1
c. increased to 4
d. increased to 6 - ANS :ANS: D
When changing to a mask from a nasal cannula, the oxygen should be increased by
approximately 100% to get the same concentration. Simple face masks deliver approximately
the same range of concentration of oxygen as the nasal cannula. However, the nasal cannula
flow rates range from 1 L to 6 L, delivering 24% to 44% oxygen, whereas the simple face mask
delivers 35% to 50% oxygen which is achieved with flow rates from 6 L to 12 L.
A GRADE 4
