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ATI Respiratory Exam Questions And A

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ATI Respiratory Exam Questions And
Answers
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. -
correct 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

,ATI Respiratory Exam Questions And
Answers
4. Metabolic acidosis -
correct 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
2. Pruritis
3. Hand and foot syndrome
4. Tinnitis -
correct answer ✅4. Tinnitis


An adverse effect of cisplatin is ototoxicity, which can cause tinnitis.

,ATI Respiratory Exam Questions And
Answers
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needle is withdrawn. -
correct 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:

, ATI Respiratory Exam Questions And
Answers
1. Increases oxygen intake
2. Promotes carbon dioxide elimination
3. Uses the intercostal muscles
4. Strengthens the diaphram -
correct 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 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

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