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NR - 324: Respiratory ATI Latest
Questions and 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
Ans: 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
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D.) pH 7.30, PO2 80 mm Hg, PaCO2 55 mm Hg, HCO3- 22
mEq/L
Ans: 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°
Ans: 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?
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Arterial pH 7.50
PaCO2 25 mm Hg
SaO2 92%
PaO2 58 mm Hg
Ans: 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."
Ans: "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.
Up to Date Content
NR - 324: Respiratory ATI Latest
Questions and 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
Ans: 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
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D.) pH 7.30, PO2 80 mm Hg, PaCO2 55 mm Hg, HCO3- 22
mEq/L
Ans: 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°
Ans: 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?
Up to Date Content
, Comprehensive Study 3 Up to Date Content
Arterial pH 7.50
PaCO2 25 mm Hg
SaO2 92%
PaO2 58 mm Hg
Ans: 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."
Ans: "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.
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