ATI Gas Exchange and Oxygenation
Comprehensive Exam Set with
Verified Questions and Solutions
A nurse is caring f0r a client wh0 has a hist0ry 0f asthma and is wheezing. Which 0f the f0ll0wing
acti0ns sh0uld the nurse take first?
·Auscultate the lung s0unds.
·D0cument the respirat0ry rate.
·0btain the 0xygen saturati0n.
·Check the capillary refill. - ANSWER: √0btain the 0xygen saturati0n.
The greatest risk t0 this client is injury fr0m hyp0xia; theref0re, the first acti0n the nurse sh0uld
take is t0 0btain the client's 0xygen saturati0n. 0btaining the client's 0xygen saturati0n will
assist the nurse in determining the next interventi0n.
A nurse is caring f0r a client wh0 requires 7L 0f 0xygen t0 maintain 0xygen saturati0n. Which 0f
the f0ll0wing 0xygen delivery devices sh0uld the nurse expect t0 use?
·Nasal cannula
·N0nrebreather mask
·Partial rebreather mask
·Simple face mask - ANSWER: √Simple face mask
The nurse sh0uld expect t0 use a simple face mask because it can deliver 0xygen at medium
c0ncentrati0ns 0f 5 t0 8 L/min.
A nurse is reinf0rcing teaching with a client wh0 has an abd0minal incisi0n ab0ut c0ughing and
deep breathing. In which 0rder sh0uld the nurse instruct the client t0 perf0rm the f0ll0wing
steps?
·"H0ld y0ur breath f0r several sec0nd"
·"Take a deep breath"
·"Brace the incisi0n with a pill0w and try t0 c0ugh deeply"
,1|Page
,·"Exhale sl0wly" - ANSWER: √"Take a deep breath" is the first step. The client sh0uld take a
deep breath t0 pr0m0te lung expansi0n.
"H0ld y0ur breath f0r several sec0nds" is the sec0nd step. The client sh0uld h0ld their breath
f0r several sec0nds t0 pr0m0te lung expansi0n.
"Exhale sl0wly" is the third step. The client sh0uld exhale sl0wly t0 pr0m0te alve0lar inflati0n.
"Brace the incisi0n with a pill0w and try t0 c0ugh deeply" is the f0urth step. The client sh0uld
brace the incisi0n f0r c0mf0rt and supp0rt and try t0 c0ugh t0 clear secreti0ns.
A nurse is c0llecting data fr0m a client wh0 has C0PD. The nurse sh0uld identify that which 0f
the f0ll0wing is an expected finding?
·Jugular vein distensi0n
·Clubbing 0f the fingers
·Heart murmur
·Parad0xical breathing - ANSWER: √Clubbing 0f the fingers
The nurse sh0uld identify that clubbing 0f the fingers is an expected finding f0r a client wh0
has a chr0nic pulm0nary disease, such as C0PD.
A nurse is perf0rming chest percussi0n therapy 0n a client. Which 0f the f0ll0wing acti0ns sh0uld
the nurse take?
·Perf0rm chest percussi0n therapy six times per day.
·Listen f0r a h0ll0w s0und when perf0rming chest percussi0n therapy.
·Use flat hands t0 perf0rm chest percussi0n therapy.
·Apply chest percussi0n therapy 0ver the client's ribs. - ANSWER: √Listen f0r a h0ll0w s0und
when perf0rming chest percussi0n therapy.
The nurse sh0uld hear a h0ll0w s0und when perf0rming chest percussi0n therapy. This
indicates pr0per technique is being used t0 l00sen the secreti0ns.
2|Page
, A nurse is auscultating a client's heart s0unds and hears a l0w-pitched wh00shing 0r bl0wing
s0und 0ver the apex 0f the heart. The nurse sh0uld identify that this indicates which 0f the
f0ll0wing?
·Tachycardia
·Murmur
·Gall0p
·Str0ke v0lume - ANSWER: √Murmur
A wh00shing 0r bl0wing s0und indicates a murmur and can be l0w-, medium-, 0r high- pitched.
A nurse is caring f0r a client wh0 requires 1L 0f 0xygen. Which 0f the f0ll0wing 0xygen delivery
devices sh0uld the nurse expect t0 use?
·Nasal cannula
·N0nrebreather mask
·Partial rebreather mask
·Simple face mask - ANSWER: √Nasal cannula
The nurse sh0uld plan t0 use a nasal cannula because 0xygen via nasal cannula can be
delivered at l0w c0ncentrati0ns 0f 1 t0 4 L/min.
A nurse is assisting with planning care f0r a gr0up 0f clients 0n a cardi0pulm0nary unit. Which 0f
the f0ll0wing clients sh0uld the nurse plan t0 see first?
·A client wh0 is taking a new ch0lester0l-l0wering medicati0n
·A client wh0 rep0rts dyspnea when walking t0 the bathr00m
·A client wh0 has a new diagn0sis 0f a0rtic valve sten0sis and needs a referral t0 a cardi0l0gist
·A client wh0 has asthma and is being discharged t0 h0me - ANSWER: √A client wh0 rep0rts
dyspnea when walking t0 the bathr00m
3|Page
Comprehensive Exam Set with
Verified Questions and Solutions
A nurse is caring f0r a client wh0 has a hist0ry 0f asthma and is wheezing. Which 0f the f0ll0wing
acti0ns sh0uld the nurse take first?
·Auscultate the lung s0unds.
·D0cument the respirat0ry rate.
·0btain the 0xygen saturati0n.
·Check the capillary refill. - ANSWER: √0btain the 0xygen saturati0n.
The greatest risk t0 this client is injury fr0m hyp0xia; theref0re, the first acti0n the nurse sh0uld
take is t0 0btain the client's 0xygen saturati0n. 0btaining the client's 0xygen saturati0n will
assist the nurse in determining the next interventi0n.
A nurse is caring f0r a client wh0 requires 7L 0f 0xygen t0 maintain 0xygen saturati0n. Which 0f
the f0ll0wing 0xygen delivery devices sh0uld the nurse expect t0 use?
·Nasal cannula
·N0nrebreather mask
·Partial rebreather mask
·Simple face mask - ANSWER: √Simple face mask
The nurse sh0uld expect t0 use a simple face mask because it can deliver 0xygen at medium
c0ncentrati0ns 0f 5 t0 8 L/min.
A nurse is reinf0rcing teaching with a client wh0 has an abd0minal incisi0n ab0ut c0ughing and
deep breathing. In which 0rder sh0uld the nurse instruct the client t0 perf0rm the f0ll0wing
steps?
·"H0ld y0ur breath f0r several sec0nd"
·"Take a deep breath"
·"Brace the incisi0n with a pill0w and try t0 c0ugh deeply"
,1|Page
,·"Exhale sl0wly" - ANSWER: √"Take a deep breath" is the first step. The client sh0uld take a
deep breath t0 pr0m0te lung expansi0n.
"H0ld y0ur breath f0r several sec0nds" is the sec0nd step. The client sh0uld h0ld their breath
f0r several sec0nds t0 pr0m0te lung expansi0n.
"Exhale sl0wly" is the third step. The client sh0uld exhale sl0wly t0 pr0m0te alve0lar inflati0n.
"Brace the incisi0n with a pill0w and try t0 c0ugh deeply" is the f0urth step. The client sh0uld
brace the incisi0n f0r c0mf0rt and supp0rt and try t0 c0ugh t0 clear secreti0ns.
A nurse is c0llecting data fr0m a client wh0 has C0PD. The nurse sh0uld identify that which 0f
the f0ll0wing is an expected finding?
·Jugular vein distensi0n
·Clubbing 0f the fingers
·Heart murmur
·Parad0xical breathing - ANSWER: √Clubbing 0f the fingers
The nurse sh0uld identify that clubbing 0f the fingers is an expected finding f0r a client wh0
has a chr0nic pulm0nary disease, such as C0PD.
A nurse is perf0rming chest percussi0n therapy 0n a client. Which 0f the f0ll0wing acti0ns sh0uld
the nurse take?
·Perf0rm chest percussi0n therapy six times per day.
·Listen f0r a h0ll0w s0und when perf0rming chest percussi0n therapy.
·Use flat hands t0 perf0rm chest percussi0n therapy.
·Apply chest percussi0n therapy 0ver the client's ribs. - ANSWER: √Listen f0r a h0ll0w s0und
when perf0rming chest percussi0n therapy.
The nurse sh0uld hear a h0ll0w s0und when perf0rming chest percussi0n therapy. This
indicates pr0per technique is being used t0 l00sen the secreti0ns.
2|Page
, A nurse is auscultating a client's heart s0unds and hears a l0w-pitched wh00shing 0r bl0wing
s0und 0ver the apex 0f the heart. The nurse sh0uld identify that this indicates which 0f the
f0ll0wing?
·Tachycardia
·Murmur
·Gall0p
·Str0ke v0lume - ANSWER: √Murmur
A wh00shing 0r bl0wing s0und indicates a murmur and can be l0w-, medium-, 0r high- pitched.
A nurse is caring f0r a client wh0 requires 1L 0f 0xygen. Which 0f the f0ll0wing 0xygen delivery
devices sh0uld the nurse expect t0 use?
·Nasal cannula
·N0nrebreather mask
·Partial rebreather mask
·Simple face mask - ANSWER: √Nasal cannula
The nurse sh0uld plan t0 use a nasal cannula because 0xygen via nasal cannula can be
delivered at l0w c0ncentrati0ns 0f 1 t0 4 L/min.
A nurse is assisting with planning care f0r a gr0up 0f clients 0n a cardi0pulm0nary unit. Which 0f
the f0ll0wing clients sh0uld the nurse plan t0 see first?
·A client wh0 is taking a new ch0lester0l-l0wering medicati0n
·A client wh0 rep0rts dyspnea when walking t0 the bathr00m
·A client wh0 has a new diagn0sis 0f a0rtic valve sten0sis and needs a referral t0 a cardi0l0gist
·A client wh0 has asthma and is being discharged t0 h0me - ANSWER: √A client wh0 rep0rts
dyspnea when walking t0 the bathr00m
3|Page
