ATI RN Targeted Medical Surgical:
Respiratory Exam Questions and Answers A+
Guide
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 - correct
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."
,ATI RN Targeted Medical Surgical:
Respiratory Exam Questions and Answers A+
Guide
D.) "Remember to take this medication with a sip of water just
before your first bite of each meal." - correct 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 - correct 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
, ATI RN Targeted Medical Surgical:
Respiratory Exam Questions and Answers A+
Guide
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° -
correct 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.
Respiratory Exam Questions and Answers A+
Guide
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 - correct
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."
,ATI RN Targeted Medical Surgical:
Respiratory Exam Questions and Answers A+
Guide
D.) "Remember to take this medication with a sip of water just
before your first bite of each meal." - correct 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 - correct 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
, ATI RN Targeted Medical Surgical:
Respiratory Exam Questions and Answers A+
Guide
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° -
correct 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.
