ATI learning system Respiratory Exam
Questions and Answers A+ Guide
A nurse is caring for a client who has a tracheostomy with
an inflated cuff in place. Which of the following findings
indicates that the nurse should suction the client's airway
secretion?
A. The client is unable to speak
B. The client's airway secretions were last suctioned 2 hr
ago
C. The client coughs and expectorates a large mucous
plug
D. The nurse auscultate coarse crackles in the lung fields
- correct answer✅✅D. The nurse auscultates coarse
crackles in the lung fields
should auscultate coarse crackles or rhonchi, identify a
moist cough, hear or see secretions in the tracheostomy
tube and then suction the client's airway secretions
- who has tracheostomy with inflated cuff in place is
unable to speak
- should assess the need for suctioning every 2 hr and
then suction as necessary
,ATI learning system Respiratory Exam
Questions and Answers A+ Guide
- should assess the client's airway after coughing and
only suction client's secretions if client is not able to
cough and expectorate secretions
A nurse in a clinic is providing teaching for a client who is
to have a tuberculin skin test. Which of the following
information should the nurse include?
A. If the test is positive, it means you have an active case
of TB
B. If the test is positive, you should have another
tuberculin test in 3 weeks
C. You must return to the clinic to have the test read in 2
or 3 days
D. A nurse will use a small lancet to scratch the skin of
your forearm before applying the tuberculin substance -
correct answer✅✅C. You must return to the clinic to
have the test read 2 or 3 days
should have skin test read in 2-3 ays. Area of induration
after 48-72 hr indicates exposure to the tubercle bacillus.
If the client does not return to have test read within 72 hr,
another tuberculin test is necessary
, ATI learning system Respiratory Exam
Questions and Answers A+ Guide
- positive test means client has exposed TB but doesn't
mean that the client has an active case of TB, should
have chest x-ray to rule out active TB
- Who have positive skin test should have x-ray to rule
out active TB. -subsequent test will be always positive
- will inject 0.1mL of purified protein derivates
intradermally to dorsal aspect of the forearm
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 compress 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 degree
when resting - correct answer✅✅D. Lie on your back
with your head elevated 30 degree when resting
the nurse should instruct client to rest in semi-Fowler
position to prevent aspiration of nasal secretions
Questions and Answers A+ Guide
A nurse is caring for a client who has a tracheostomy with
an inflated cuff in place. Which of the following findings
indicates that the nurse should suction the client's airway
secretion?
A. The client is unable to speak
B. The client's airway secretions were last suctioned 2 hr
ago
C. The client coughs and expectorates a large mucous
plug
D. The nurse auscultate coarse crackles in the lung fields
- correct answer✅✅D. The nurse auscultates coarse
crackles in the lung fields
should auscultate coarse crackles or rhonchi, identify a
moist cough, hear or see secretions in the tracheostomy
tube and then suction the client's airway secretions
- who has tracheostomy with inflated cuff in place is
unable to speak
- should assess the need for suctioning every 2 hr and
then suction as necessary
,ATI learning system Respiratory Exam
Questions and Answers A+ Guide
- should assess the client's airway after coughing and
only suction client's secretions if client is not able to
cough and expectorate secretions
A nurse in a clinic is providing teaching for a client who is
to have a tuberculin skin test. Which of the following
information should the nurse include?
A. If the test is positive, it means you have an active case
of TB
B. If the test is positive, you should have another
tuberculin test in 3 weeks
C. You must return to the clinic to have the test read in 2
or 3 days
D. A nurse will use a small lancet to scratch the skin of
your forearm before applying the tuberculin substance -
correct answer✅✅C. You must return to the clinic to
have the test read 2 or 3 days
should have skin test read in 2-3 ays. Area of induration
after 48-72 hr indicates exposure to the tubercle bacillus.
If the client does not return to have test read within 72 hr,
another tuberculin test is necessary
, ATI learning system Respiratory Exam
Questions and Answers A+ Guide
- positive test means client has exposed TB but doesn't
mean that the client has an active case of TB, should
have chest x-ray to rule out active TB
- Who have positive skin test should have x-ray to rule
out active TB. -subsequent test will be always positive
- will inject 0.1mL of purified protein derivates
intradermally to dorsal aspect of the forearm
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 compress 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 degree
when resting - correct answer✅✅D. Lie on your back
with your head elevated 30 degree when resting
the nurse should instruct client to rest in semi-Fowler
position to prevent aspiration of nasal secretions
