1
ATI Med Surg Respiratory Proctored
Exam
ATI Med Surg Respiratory Proctored Exam
Test Bank 2 2026 – 350 Verified Questions
and Detailed Answers WITH DETAILED
RATIONALESLATEST EXAM (BRAND
NEW!!)
A client with acute asthma is prescribed short-term corticosteroid therapy. Which is the
expected outcome for the use of steroids in clients with asthma?
1. Promote bronchodilation.
2. Act as an expectorant.
3. Have an anti-inflammatory effect.
4. Prevent development of respiratory infections. –
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ATI Med Surg Respiratory Proctored
Correct Answer :3. Exam
Corticosteroids have an anti-inflammatory effect and act to decrease edema in the bronchial
airways and decrease mucus secretion. Corticosteroids do not have a bronchodilator effect,
act as expectorants, or prevent respiratory infections.
The nurse is teaching the client how to use a metered-dose inhaler (MDI) to administer a
corticosteroid. Which of the following client actions indicates that he is using the MDI
correctly? Select all that apply.
1. The inhaler is held upright.
2. The head is tilted down while inhaling the medicine.
3. The client waits 5 minutes between puffs.
4. The mouth is rinsed with water following administration. 5. The client lies supine for 15
minutes following administration. –
Correct Answer :1, 4.
The client should shake the inhaler and hold it upright when administering the drug. The head
should be tilted back slightly. The client should wait about 1 to 2 minutes between puffs. The
mouth should be rinsed following the use of a corticosteroid MDI to decrease the likelihood
of developing an oral infection. The client does not need to lie supine; instead, the client will
likely to be able to breathe more freely if sitting upright.
A client is prescribed metaproterenol (Alupent) via a metered-dose inhaler, two puffs every 4
hours. The nurse instructs the client to report adverse effects. Which of the following are
potential adverse effects of metaproterenol? 1. Irregular heartbeat.
2. Constipation.
3. Pedal edema.
4. Decreased pulse rate. –
Correct Answer :1.
Irregular heartbeats should be reported promptly to the care provider. Metaproterenol
(Alupent) may cause irregular heartbeat, tachycardia, or anginal pain because of its
, 3
ATI Med Surg Respiratory Proctored
Exam
adrenergic effect on beta-adrenergic receptors in the heart. It is not recommended for use in
clients with known cardiac disorders. Metaproterenol does not cause constipation, pedal
edema, or bradycardia.
A client who has been taking flunisolide (AeroBid), two inhalations a day, for treatment of
asthma.has painful, white patches in his mouth. Which response by the nurse would be most
appropriate?
1. "This is an anticipated adverse effect of your medication. It should go away in a couple of
weeks."
2. "You are using your inhaler too much and it has irritated your mouth."
3. "You have developed a fungal infection from your medication. It will need to be treated
with an antifungal agent."
4. "Be sure to brush your teeth and floss daily. Good oral hygiene will treat this problem." –
Correct Answer :3.
Use of oral inhalant corticosteroids such as flunisolide (AeroBid) can lead to the development
of oral thrush, a fungal infection. Once developed, thrush must be treated by antifungal
therapy; it will not resolve on its own. Fungal infections can develop even without overuse of
the corticosteroid inhaler. Although good oral hygiene can help prevent development of a
fungal infection, it cannot be used alone to treat the problem.
Which of the following is an appropriate expected outcome for an adult client with well-
controlled asthma?
1. Chest X-ray demonstrates minimal hyperinflation.
2. Temperature remains lower than 100 ° F (37. 8 ° C).
3. Arterial blood gas analysis demonstrates a decrease in PaO2.
4. Breath sounds are clear. –
Correct Answer :4.
, 4
ATI Med Surg Respiratory Proctored
Exam
Between attacks, breath sounds should be clear on auscultation with good air flow present
throughout lung fields. Chest X-rays should be normal. The client should remain afebrile.
Arterial blood gases should be normal.
Which of the following health promotion activities should the nurse include in the discharge
teaching plan for a client with asthma?
1. Incorporate physical exercise as tolerated into the daily routine.
2. Monitor peak flow numbers after meals and at bedtime. 3. Eliminate stressors in the work
and home environment. 4. Use sedatives to ensure uninterrupted sleep at night. –
Correct Answer :1.
Physical exercise is beneficial and should be incorporated as tolerated into the client's
schedule. Peak flow numbers should be monitored daily, usually in the morning (before taking
medication). Peak flow does not need to be monitored after each meal. Stressors in the
client's life should be modified but cannot be totally eliminated. Although adequate sleep is
important, it is not recommended that sedatives be routinely taken to induce sleep.
The nurse should teach the client with asthma that which of the following is one of the most
common precipitating factors of an acute asthma attack?
1. Occupational exposure to toxins.
2. Viral respiratory infections.
3. Exposure to cigarette smoke.
4. Exercising in cold temperatures. –
Correct Answer :2.
The most common precipitator of asthma attacks is viral respiratory infection. Clients with
asthma should avoid people who have the flu or a cold and should get yearly flu vaccinations.
Environmental exposure to toxins or heavy particulate matter can trigger asthma attacks;
however, far fewer asthmatics are exposed to such toxins than are exposed to viruses.
Cigarette smoke can also trigger asthma attacks, but to a lesser extent than viral respiratory
infections. Some asthmatic attacks are triggered by exercising in cold weather.
ATI Med Surg Respiratory Proctored
Exam
ATI Med Surg Respiratory Proctored Exam
Test Bank 2 2026 – 350 Verified Questions
and Detailed Answers WITH DETAILED
RATIONALESLATEST EXAM (BRAND
NEW!!)
A client with acute asthma is prescribed short-term corticosteroid therapy. Which is the
expected outcome for the use of steroids in clients with asthma?
1. Promote bronchodilation.
2. Act as an expectorant.
3. Have an anti-inflammatory effect.
4. Prevent development of respiratory infections. –
, 2
ATI Med Surg Respiratory Proctored
Correct Answer :3. Exam
Corticosteroids have an anti-inflammatory effect and act to decrease edema in the bronchial
airways and decrease mucus secretion. Corticosteroids do not have a bronchodilator effect,
act as expectorants, or prevent respiratory infections.
The nurse is teaching the client how to use a metered-dose inhaler (MDI) to administer a
corticosteroid. Which of the following client actions indicates that he is using the MDI
correctly? Select all that apply.
1. The inhaler is held upright.
2. The head is tilted down while inhaling the medicine.
3. The client waits 5 minutes between puffs.
4. The mouth is rinsed with water following administration. 5. The client lies supine for 15
minutes following administration. –
Correct Answer :1, 4.
The client should shake the inhaler and hold it upright when administering the drug. The head
should be tilted back slightly. The client should wait about 1 to 2 minutes between puffs. The
mouth should be rinsed following the use of a corticosteroid MDI to decrease the likelihood
of developing an oral infection. The client does not need to lie supine; instead, the client will
likely to be able to breathe more freely if sitting upright.
A client is prescribed metaproterenol (Alupent) via a metered-dose inhaler, two puffs every 4
hours. The nurse instructs the client to report adverse effects. Which of the following are
potential adverse effects of metaproterenol? 1. Irregular heartbeat.
2. Constipation.
3. Pedal edema.
4. Decreased pulse rate. –
Correct Answer :1.
Irregular heartbeats should be reported promptly to the care provider. Metaproterenol
(Alupent) may cause irregular heartbeat, tachycardia, or anginal pain because of its
, 3
ATI Med Surg Respiratory Proctored
Exam
adrenergic effect on beta-adrenergic receptors in the heart. It is not recommended for use in
clients with known cardiac disorders. Metaproterenol does not cause constipation, pedal
edema, or bradycardia.
A client who has been taking flunisolide (AeroBid), two inhalations a day, for treatment of
asthma.has painful, white patches in his mouth. Which response by the nurse would be most
appropriate?
1. "This is an anticipated adverse effect of your medication. It should go away in a couple of
weeks."
2. "You are using your inhaler too much and it has irritated your mouth."
3. "You have developed a fungal infection from your medication. It will need to be treated
with an antifungal agent."
4. "Be sure to brush your teeth and floss daily. Good oral hygiene will treat this problem." –
Correct Answer :3.
Use of oral inhalant corticosteroids such as flunisolide (AeroBid) can lead to the development
of oral thrush, a fungal infection. Once developed, thrush must be treated by antifungal
therapy; it will not resolve on its own. Fungal infections can develop even without overuse of
the corticosteroid inhaler. Although good oral hygiene can help prevent development of a
fungal infection, it cannot be used alone to treat the problem.
Which of the following is an appropriate expected outcome for an adult client with well-
controlled asthma?
1. Chest X-ray demonstrates minimal hyperinflation.
2. Temperature remains lower than 100 ° F (37. 8 ° C).
3. Arterial blood gas analysis demonstrates a decrease in PaO2.
4. Breath sounds are clear. –
Correct Answer :4.
, 4
ATI Med Surg Respiratory Proctored
Exam
Between attacks, breath sounds should be clear on auscultation with good air flow present
throughout lung fields. Chest X-rays should be normal. The client should remain afebrile.
Arterial blood gases should be normal.
Which of the following health promotion activities should the nurse include in the discharge
teaching plan for a client with asthma?
1. Incorporate physical exercise as tolerated into the daily routine.
2. Monitor peak flow numbers after meals and at bedtime. 3. Eliminate stressors in the work
and home environment. 4. Use sedatives to ensure uninterrupted sleep at night. –
Correct Answer :1.
Physical exercise is beneficial and should be incorporated as tolerated into the client's
schedule. Peak flow numbers should be monitored daily, usually in the morning (before taking
medication). Peak flow does not need to be monitored after each meal. Stressors in the
client's life should be modified but cannot be totally eliminated. Although adequate sleep is
important, it is not recommended that sedatives be routinely taken to induce sleep.
The nurse should teach the client with asthma that which of the following is one of the most
common precipitating factors of an acute asthma attack?
1. Occupational exposure to toxins.
2. Viral respiratory infections.
3. Exposure to cigarette smoke.
4. Exercising in cold temperatures. –
Correct Answer :2.
The most common precipitator of asthma attacks is viral respiratory infection. Clients with
asthma should avoid people who have the flu or a cold and should get yearly flu vaccinations.
Environmental exposure to toxins or heavy particulate matter can trigger asthma attacks;
however, far fewer asthmatics are exposed to such toxins than are exposed to viruses.
Cigarette smoke can also trigger asthma attacks, but to a lesser extent than viral respiratory
infections. Some asthmatic attacks are triggered by exercising in cold weather.
