ATI Med-Surg: Respiratory – Qs And As
A nurse is caring for a client immediately following extubation. Which of the
following manifestations indicates that the nurse should call the rapid
response team?
A. Stridor
B. Coughing
C. Hoarseness
D. Extensive oral secretions ✔️Ans - A. Stridor
- The nurse should identify that stridor (a high-pitched crowing sound heard
during inspiration) is caused by laryngeal edema and can indicate impending
airway obstruction. The nurse should call the rapid response team for
assistance before the airway becomes completely obstructed.
- B: The nurse should encourage the client to cough after extubation to help
clear the secretions. Coughing can be an early manifestation of obstruction,
but it does not require the rapid response team
- C: Hoarseness is expected after extubation and can last several days
- D: Extensive oral secretions are an expected finding after extubation. The
nurse should monitor these secretions for indications of potential airway
obstruction.
A nurse is caring for an older adult client who has chronic obstructive
pulmonary disease (COPD) with pneumonia. The nurse should monitor the
client for which of the following acid-base imbalances?
A. Respiratory alkalosis
B. Respiratory acidosis
C. Metabolic alkalosis
D. Metabolic acidosis ✔️Ans - B. Respiratory acidosis
- Respiratory acidosis is a common complication of COPD. This occurs because
clients who have COPD are unable to exhale carbon dioxide due to a loss of
elastic recoil in the lungs.
- A: Respiratory alkalosis occurs when a client exhales too much carbon
dioxide. Clients who hyperventilate often experience this complication.
,- C: Metabolic alkalosis occurs when a client has an excess of bicarbonate.
Clients who use bicarbonate of soda as an antacid are at a risk for developing
metabolic alkalosis. Excessive vomiting also places a client at risk for
developing metabolic alkalosis.
- D: Metabolic acidosis occurs when a client has a decrease in bicarbonate.
Clients who have severe diarrhea or kidney failure are at a risk of developing
metabolic acidosis.
A nurse is auscultating the lungs of a client who is having an acute asthma
attack. Which of the following sounds should the nurse expect to hear?
A. Soft blowing
B. Loud bubbling
C. Dry grating
D. Noisy wheezing ✔️Ans - D. Noisy wheezing
- Asthma causes the bronchioles of the lungs to constrict, creating a wheezing
sound
- A: A soft blowing or rustling sound is an expected vesicular lung sound
- B: Loud bubbling or gurgling indicates coarse crackles, which reflects
moisture in the lungs. Crackles are not a manifestation of asthma.
- C: A dry, grating, creaking, or rubbing sound indicates a pleural friction rub,
which is not a manifestation of asthma.
A nurse is providing postoperative care for a client who has 2 chest tubes in
place following a lobectomy. The client asks the nurse the reason for having 2
chest tubes. The nurse should inform the client that the lower chest tube is
placed for which of the following reasons?
A. Removing air from the pleural space
B. Creating access for irrigating the chest cavity
C. Evacuating secretions from the bronchioles and alveoli
D. Draining blood and fluid from the pleural space ✔️Ans - D. Draining
blood and fluid from the pleural space
- The nurse should inform the client that blood and fluids tend to accumulate
in the bases and posterior areas of the pleural cavity following a lobectomy.
For this reason, the lower chest tube primarily drains blood and fluid from the
pleural space.
, - A: The upper chest tube removes air from the pleural space.
- B: The chest tubes are not used for irrigation following a lobectomy
- C: Secretions are removed from the airways via tracheal suctioning rather
than chest tubes
A nurse on a medical-surgical unit is caring for 4 clients. Which of the
following clients should the nurse monitor for crepitus?
A. A client who has a chest tube following a pneumothorax
B. A client who has an acute exacerbation of Crohn's disease
C. A client who is postoperative following a laparoscopic appendectomy
D. A client who is recovering from thyroid storm ✔️Ans - A. A client who
has a chest tube following a pneumothorax
Crepitus is a cracking sound resulting from air trapped under the skin. It can
be palpated following a pneumothorax.
A nurse in a provider's office is assessing a client who states he was recently
exposed to tuberculosis. Which of the following findings is a clinical
manifestation of pulmonary tuberculosis?
A. Pericardial friction rub
B. Weight gain
C. Night sweats
D. Cyanosis of the fingertips ✔️Ans - C. Night sweats
- Night sweats and fevers are clinical manifestations of tuberculosis
- Other manifestations of tuberculosis include coughing, anorexia, and fatigue
A nurse is providing discharge teaching to a client who is postoperative
following a rhinoplasty. Which of the following instructions should the nurse
include?
A. Apply warm compresses to the face
B. Take aspirin 650 mg by mouth for mild pain
C. Close your mouth when sneezing
D. Lie on your back with your head elevated 30 degrees when resting ✔️Ans
- D. Lie on your back with your head elevated 30 degrees when resting
A nurse is caring for a client immediately following extubation. Which of the
following manifestations indicates that the nurse should call the rapid
response team?
A. Stridor
B. Coughing
C. Hoarseness
D. Extensive oral secretions ✔️Ans - A. Stridor
- The nurse should identify that stridor (a high-pitched crowing sound heard
during inspiration) is caused by laryngeal edema and can indicate impending
airway obstruction. The nurse should call the rapid response team for
assistance before the airway becomes completely obstructed.
- B: The nurse should encourage the client to cough after extubation to help
clear the secretions. Coughing can be an early manifestation of obstruction,
but it does not require the rapid response team
- C: Hoarseness is expected after extubation and can last several days
- D: Extensive oral secretions are an expected finding after extubation. The
nurse should monitor these secretions for indications of potential airway
obstruction.
A nurse is caring for an older adult client who has chronic obstructive
pulmonary disease (COPD) with pneumonia. The nurse should monitor the
client for which of the following acid-base imbalances?
A. Respiratory alkalosis
B. Respiratory acidosis
C. Metabolic alkalosis
D. Metabolic acidosis ✔️Ans - B. Respiratory acidosis
- Respiratory acidosis is a common complication of COPD. This occurs because
clients who have COPD are unable to exhale carbon dioxide due to a loss of
elastic recoil in the lungs.
- A: Respiratory alkalosis occurs when a client exhales too much carbon
dioxide. Clients who hyperventilate often experience this complication.
,- C: Metabolic alkalosis occurs when a client has an excess of bicarbonate.
Clients who use bicarbonate of soda as an antacid are at a risk for developing
metabolic alkalosis. Excessive vomiting also places a client at risk for
developing metabolic alkalosis.
- D: Metabolic acidosis occurs when a client has a decrease in bicarbonate.
Clients who have severe diarrhea or kidney failure are at a risk of developing
metabolic acidosis.
A nurse is auscultating the lungs of a client who is having an acute asthma
attack. Which of the following sounds should the nurse expect to hear?
A. Soft blowing
B. Loud bubbling
C. Dry grating
D. Noisy wheezing ✔️Ans - D. Noisy wheezing
- Asthma causes the bronchioles of the lungs to constrict, creating a wheezing
sound
- A: A soft blowing or rustling sound is an expected vesicular lung sound
- B: Loud bubbling or gurgling indicates coarse crackles, which reflects
moisture in the lungs. Crackles are not a manifestation of asthma.
- C: A dry, grating, creaking, or rubbing sound indicates a pleural friction rub,
which is not a manifestation of asthma.
A nurse is providing postoperative care for a client who has 2 chest tubes in
place following a lobectomy. The client asks the nurse the reason for having 2
chest tubes. The nurse should inform the client that the lower chest tube is
placed for which of the following reasons?
A. Removing air from the pleural space
B. Creating access for irrigating the chest cavity
C. Evacuating secretions from the bronchioles and alveoli
D. Draining blood and fluid from the pleural space ✔️Ans - D. Draining
blood and fluid from the pleural space
- The nurse should inform the client that blood and fluids tend to accumulate
in the bases and posterior areas of the pleural cavity following a lobectomy.
For this reason, the lower chest tube primarily drains blood and fluid from the
pleural space.
, - A: The upper chest tube removes air from the pleural space.
- B: The chest tubes are not used for irrigation following a lobectomy
- C: Secretions are removed from the airways via tracheal suctioning rather
than chest tubes
A nurse on a medical-surgical unit is caring for 4 clients. Which of the
following clients should the nurse monitor for crepitus?
A. A client who has a chest tube following a pneumothorax
B. A client who has an acute exacerbation of Crohn's disease
C. A client who is postoperative following a laparoscopic appendectomy
D. A client who is recovering from thyroid storm ✔️Ans - A. A client who
has a chest tube following a pneumothorax
Crepitus is a cracking sound resulting from air trapped under the skin. It can
be palpated following a pneumothorax.
A nurse in a provider's office is assessing a client who states he was recently
exposed to tuberculosis. Which of the following findings is a clinical
manifestation of pulmonary tuberculosis?
A. Pericardial friction rub
B. Weight gain
C. Night sweats
D. Cyanosis of the fingertips ✔️Ans - C. Night sweats
- Night sweats and fevers are clinical manifestations of tuberculosis
- Other manifestations of tuberculosis include coughing, anorexia, and fatigue
A nurse is providing discharge teaching to a client who is postoperative
following a rhinoplasty. Which of the following instructions should the nurse
include?
A. Apply warm compresses to the face
B. Take aspirin 650 mg by mouth for mild pain
C. Close your mouth when sneezing
D. Lie on your back with your head elevated 30 degrees when resting ✔️Ans
- D. Lie on your back with your head elevated 30 degrees when resting
