ATI Respiratory Learning System Med-
Surg Exam Questions With 100%
Verified 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: -
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?
A. Respiratory alkalosis
B. Respiratory acidosis
C. Metabolic alkalosis
D. 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.
,ATI Respiratory Learning System Med-
Surg Exam Questions With 100%
Verified Answers
Respiratory alkalosis -
correct answer ✅hyperventilation
Occurs when pt exhales too much carbon dioxide
Metabolic alkalosis -
correct answer ✅high pH, high HCO3
Pt has excessive amount of bicarbonate
Clients who use bicarbonate of soda as an antacid are at risk for the
development of metabolic alkalosis.
Excessive vomiting also places a client at risk for development of
metabolic alkalosis.
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?
,ATI Respiratory Learning System Med-
Surg Exam Questions With 100%
Verified Answers
A. Hallucinations
B. Pruritus
C. Hand and foot syndrome
D. Tinnitus -
correct answer ✅Tinnitis
An adverse effect of cisplatin is ototoxicity, which can cause tinnitis.
Hand and foot syndrome = adverse effect of capecitabine, an
antineoplastic
- medication used to treat breast and colorectal cancer.
Pruritus is an adverse effect of methotrexate, which is used to treat
cancer and rheumatoid arthritis.
Hallucinations are an adverse effect of asparaginase, which is an
antineoplastic medication used to treat acute lymphocytic leukemi
, ATI Respiratory Learning System Med-
Surg Exam Questions With 100%
Verified 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?
A. Hyperventilate the client with 100% oxygen prior to obtaining
the specimen.
B. Apply ice to site after obtaining the specimen
C. Perform an Allen's test prior to obtaining the specimen
D. Release pressure applied to puncture site 1 min after 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.
Surg Exam Questions With 100%
Verified 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: -
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?
A. Respiratory alkalosis
B. Respiratory acidosis
C. Metabolic alkalosis
D. 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.
,ATI Respiratory Learning System Med-
Surg Exam Questions With 100%
Verified Answers
Respiratory alkalosis -
correct answer ✅hyperventilation
Occurs when pt exhales too much carbon dioxide
Metabolic alkalosis -
correct answer ✅high pH, high HCO3
Pt has excessive amount of bicarbonate
Clients who use bicarbonate of soda as an antacid are at risk for the
development of metabolic alkalosis.
Excessive vomiting also places a client at risk for development of
metabolic alkalosis.
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?
,ATI Respiratory Learning System Med-
Surg Exam Questions With 100%
Verified Answers
A. Hallucinations
B. Pruritus
C. Hand and foot syndrome
D. Tinnitus -
correct answer ✅Tinnitis
An adverse effect of cisplatin is ototoxicity, which can cause tinnitis.
Hand and foot syndrome = adverse effect of capecitabine, an
antineoplastic
- medication used to treat breast and colorectal cancer.
Pruritus is an adverse effect of methotrexate, which is used to treat
cancer and rheumatoid arthritis.
Hallucinations are an adverse effect of asparaginase, which is an
antineoplastic medication used to treat acute lymphocytic leukemi
, ATI Respiratory Learning System Med-
Surg Exam Questions With 100%
Verified 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?
A. Hyperventilate the client with 100% oxygen prior to obtaining
the specimen.
B. Apply ice to site after obtaining the specimen
C. Perform an Allen's test prior to obtaining the specimen
D. Release pressure applied to puncture site 1 min after 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.
