ATI Respiratory 3.0 Test Clinical Exam (2024/2025) | Revised Questions and Answers| Approved 100%

ATI Respiratory 3.0 Test Clinical Exam (2024/2025) | Revised Questions and Answers| Approved 100% A nurse is caring for a post-op client who suddenly becomes restless, tachycardic, and has sharp chest pain with low oxygen sats. What’s the likely cause? Pulmonary embolism — that combo of sudden pain, low O2, and restlessness screams PE. Blood clot probs after surgery. A nurse hears wheezing in a client having an asthma attack. What med should she give first? Albuterol — it’s a fast-acting bronchodilator, opens up the airways quickly to help them breathe easier. A client has a chest tube for a pneumothorax. The nurse sees continuous bubbling in the water seal chamber. What should she do? Check for an air leak — continuous bubbling in that chamber usually means air is escaping from somewhere it shouldn’t. A nurse is suctioning a trach and the client’s heart rate suddenly drops. What caused it? Vagal stimulation — suctioning too deep or long can trigger the vagus nerve and slow the heart down. A COPD client is on 2L nasal cannula. They’re drowsy and confused. What’s going on? 2 CO2 retention — giving too much O2 can mess with their drive to breathe, so CO2 builds up and they get sleepy or out of it. Client has pneumonia and reports pleuritic chest pain. What kind of breath sounds will the nurse probably hear? Crackles — they’ve got fluid in the lungs from infection, so you’ll hear crackles, especially when they inhale. Nurse notices the chest tube drainage has suddenly stopped and there’s no bubbling. What now? Check for kinks or clots — sudden stop in drainage might mean the tube is blocked, so check the tubing first. Patient on mechanical ventilation starts biting the tube and fighting the vent. What should the nurse do? Give a sedative — if they’re too awake and anxious, they’ll fight the vent, so sedation helps them sync with it. A client is on warfarin for a DVT and now is coughing up blood. What should the nurse anticipate? Possible PE — coughing blood is a red flag for pulmonary embolism, especially if they’ve got a clot history. A nurse is giving teaching to a client with tuberculosis. Which statement means they get it? 3 "I’ll need to stay home until I have three negative sputum tests." — that’s how we know they’re not infectious anymore. Nurse is prepping to assist with a thoracentesis. Which position should she help the client into? Sitting up and leaning forward on the bedside table — that opens up the back and helps the doc reach the pleural space. A client with asthma says they take salmeterol during attacks. What’s the nurse’s response? "That’s not for emergencies." — salmeterol is long-acting, not meant for sudden symptoms. During chest tube assessment, the nurse notes tracheal deviation to the unaffected side. What does that mean? Tension pneumothorax — air is building up and pushing everything over, which is an