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ATI Medical-Surgical Respiratory Practice Questions 2026/2027 | Verified Answers & Rationales | Complete Study Pack | A+ Graded | Instant Download

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Ace your ATI Medical-Surgical exam with this comprehensive respiratory practice questions study pack for 2026/2027. Featuring verified answers and detailed rationales, this A+ graded resource covers all essential respiratory nursing concepts to help you succeed on your proctored examination. What's included: Complete Respiratory Coverage: Practice questions covering mechanical ventilation, chest tubes, tracheostomy care, pulmonary embolism, asthma, COPD, emphysema, tuberculosis, pneumonia, ARDS, thoracentesis, and more. Mechanical Ventilation: Low-pressure alarm causes (artificial airway cuff leak), high-pressure alarm causes (excess secretions, kinks, biting), and ABG interpretation for respiratory acidosis (pH 7.35, PaCO2 45). Chest Tubes & Thoracentesis: Continuous bubbling in water-seal chamber indicates air leak (notify provider), keep sterile water accessible for disconnection, thoracentesis positioning (sitting or lateral on unaffected side), and post-procedure priority (monitor for persistent cough indicating tension pneumothorax). Oxygen Delivery Devices: Nonrebreather mask delivers highest FiO2 (90%) for respiratory distress, nasal cannula for low-flow, and simple face mask. Asthma Management: Acute attack medication (albuterol for rapid bronchodilation), adverse effects (tachycardia), chronic management (montelukast taken daily at night even without symptoms), and peak flow monitoring. COPD & Emphysema: Positioning for effective breathing (high-Fowler's with arms supported), diet high in calories and protein, report elevated temperature (possible infection), and pursed-lip breathing teaching. Tuberculosis (TB): Airborne precautions (negative airflow, N95 mask), rifampin teaching (urine/secretions turn orange, hepatotoxic - report jaundice), and discharge instructions. Pulmonary Embolism (PE): Greatest risk factor (postoperative total hip arthroplasty 48-72 hours), priority intervention (administer heparin to prevent further clots), and initial action (apply supplemental oxygen first). Postoperative Respiratory Care: Total laryngectomy priority (decreased oxygen saturation), bronchoscopy priority (return of gag reflex before discharge), and endotracheal suctioning technique (rotating motion during withdrawal). ARDS & Pneumonia: ARDS findings (intercostal retractions report immediately), bacterial pneumonia findings (elevated temperature 101.8°F), and acute respiratory failure (PaO2 58 mm Hg expected).

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ATI Medical-Surgical Respiratory Practice
Questions 2026/2027 | Verified Answers
& Rationales | Complete Study Pack | A+
Graded | Instant Download
a nurse is caring for a client who's receiving mechanical ventilation when the low-
pressure alarm sounds. which of the following situations should the nurse recognize as
a possible cause of the alarm?

A.) Excess secretions
B.) Kinks in the tubing
C.) Artificial airway cuff leak
D.) Biting on the endotracheal tube - ANSWER//artificial airway cuff leak

rationale:
An artificial airway cuff leak interferes with oxygenation and causes the low-pressure
alarm to sound.

a nurse is providing discharge teaching to a client who has a temporary tracheostomy.
which of the following statements by the client indicates an understanding of the
teaching?

A.) "Ringing in the ears is an adverse effect of this medication."
B.) "Have your skin test repeated in 4 months to show a positive result."
C.) "Expect your urine and other secretions to be orange while taking this medication."
D.) "Remember to take this medication with a sip of water just before your first bite of
each meal." - ANSWER//"I should remove the old twill ties after the new ties are in
place."

rationale:
As a safety measure, the nurse should teach the client to wait until the new ties are in
place to remove the old ties. This practice can prevent accidental decannulation.

a nurse is caring for 4 clients. which of the following clients is at greatest risk for a
pulmonary embolism?

, A.) A client who is 48 hr postoperative following a total hip arthroplasty
B.) A client who is 8 hr postoperative following an open surgical appendectomy
C.) A client who is 2 hr postoperative following an open reduction external fixation of the
right radius
D.) A client who is 4 hr postoperative following a laparoscopic cholecystectomy -
ANSWER//A client who is 48 hr postoperative following a total hip arthroplasty

rationale:
The nurse should identify that a client who has undergone a total hip arthroplasty
surgery is at greatest risk for a pulmonary embolus because of decreased mobility of
the affected extremity and an increased amount of blood clots forming in the veins of
the thigh following hip surgery. Deep-vein thromboses are most likely to occur 48 to 72
hr following the arthroplasty. The nurse should intervene to reduce the risk by applying
sequential compression devices or antiembolic stockings and by administering
anticoagulant medications.

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?

A.) Lateral position with a pillow at the back and over the chest to support the arm
B.) High-Fowler's position with the arms supported on the overbed table
C.) Semi-Fowler's position with pillows supporting both arms
D.) Supine position with the head of the bed elevated to 15° - ANSWER//High-Fowler's
position with the arms supported on the overbed table

rationale:
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 is caring for a client who has asthma and is receiving albuterol. for which of the
following adverse effects should the nurse monitor the client?

A.) Hyperkalemia
B.) Dyspnea
C.) Tachycardia
D.) Candidiasis - ANSWER//Tachycardia

rationale:
The nurse should monitor the client for tachycardia, which is a common adverse effect
of this medication, especially if the client uses albuterol on a regular basis.

a nurse is preparing a client for discharge following a bronchoscopy with the use of
moderate sedation. the nurse should identify that which of the following assessments if
the priority?

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Uploaded on
February 15, 2026
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