COPD ATI Exam Questions with
complete solutions 2025
COPD J
Overview J- JANS✓✓-COPD Jencompasses Jtwo Jdiseases: Jemphysema Jand
Jchronic Jbronchitis. JMost Jclients Jwho Jhave Jemphysema Jalso Jhave Jchronic
Jbronchitis. JCOPD Jis Jirreversible
Emphysema Jis Jcharacterized Jby Jthe Jloss Jof Jlung Jelasticity Jand
Jhyperinflation Jof Jlung Jtissue. JEmphysema Jcauses Jdestruction Jof Jthe Jalveoli
Jleading Jto Ja Jdecreased Jsurface Jarea Jfor Jgas Jexchange, Jcarbon Jdioxide
Jretention Jand Jrespiratory Jacidosis
Chronic Jbronchitis Jis Jan Jinflammation Jof Jthe Jbronchi Jand Jbronchioles Jdue
Jto Jchronic Jexposure Jto Jirritants
COPD Jtypically Jaffects Jmiddle Jage Jto Jolder Jadults
Health JPromotion Jand Jdisease Jprevention
COPD J- JANS✓✓-Promote Jsmoking Jcessation
Avoid Jexposure Jto Jsecondhand Jsmoke
Use Jprotective Jequipment Jsuch Jas Ja Jmask Jand Jensure Jproper Jventilation
Jwhile Jworking Jin Jenvironments Jthat Jcontain Jcarcinogens Jor Jparticles Jin Jthe
Jair
Influenza Jand Jpneumonia Jvaccinations Jare Jimportant Jfor Jall Jclients Jwho
Jhave JCOPD Jbut Jespecially Jfor Jthe Jolder Jadult Jclient
COPD J
Assessment
Risk Jfactors J- JANS✓✓-Advanced Jage-older Jadult Jclients Jhave Ja Jdecrease
Jpulmonary Jreserve Jdue Jto Jnormal Jlung Jchanges
Cigarette Jsmoking Jis Jthe Jprimary Jrisk Jfactor Jfor Jthe Jdevelopment Jof JCOPD
Alpha1 Jantitrypsin JAAT Jdeficiency
Exposure Jto Jair Jpollution
COPD
Assessment
Subjective Jdata J- JANS✓✓-Chronic JDyspnea
COPD
Assessment
Objective JData
Physical JAssessment Jfindings J- JANS✓✓-Dyspnea Jupon Jexertion
, Productive Jcough Jthat Jis Jmost Jsevere Jupon Jrising Jin Jthe Jmorning
Hypoxemia
Crackles Jand Jwheezes
Rapid Jand Jshallow Jrespirations
Use Jof Jaccessory Jmuscles
Barrel Jchest Jor Jincreased Jchest Jdiameter J(with Jemphysema)
Hyperresonance Jon Jpercussion Jdue Jto Jtrapped Jair J(with Jemphysema)
Irregular Jbreathing Jpattern
Thin Jextremities Jand Jenlarged Jneck Jmuscles
Dependent Jedema Jsecondary Jto Jright-sided Jheart Jfailure
Clubbing Jof Jfingers Jand Jtoes
Pallor Jand Jcyanosis Jof Jnail Jbeds Jand Jmucous Jmembranes J(late Jstages Jof
Jthe Jdisease)
Decreased Joxygen Jsaturation Jlevels J(expected Jreference Jrange Jis J95-100%)
In Jclients Jwho Jhave Jdark Jcolored Jskin Jor Jin Jolder Jadults Joxygen Jsaturation
Jlevels Jcan Jbe Jslightly Jlower
COPD
Laboratory Jtest J- JANS✓✓-An Jincreased Jhematocrit Jlevel Jis Jdue Jto Jlow
Joxygenation Jlevels
Use Jsputum Jcultures Jand JWBC Jcounts Jto Jdiagnose Jacute Jrespiratory
Jinfections
Serum Jelectrolytes
COPD
ABG's J- JANS✓✓-Hypoxemia J(decreased JPaO2 Jless Jthan J80 Jmm JHg)
Hypercabia J(increased JPaCO2 Jgreater Jthan J45 Jmm JHg
Respiratory Jacidosis, Jmetabolic Jalkalosis Jcompensation
Diagnostic Jprocedures JCOPD
Pulmonary Jfunction Jtest J- JANS✓✓-These Jtest Jare Jused Jfor Jdiagnosis Jas
Jwell Jas Jdetermining Jthe Jeffectiveness Jof Jtherapy
Comparisons Jof Jforced Jexpiratory Jvolume J(FEV) Jto Jforced Jvital Jcapacity
J(FVC) Jare Jused Jto Jclassify JCOPD Jas Jmild Jto Jvery Jsevere.
As JCOPD Jadvances Jthe JFEV Jand JFVC Jratio Jdecreases. JThe Jexpected
Jreference Jrange Jis J100%. JFor Jmild JCOPD Jthe JFEV/FVC Jratio Jis Jdecreased
Jto Jless Jthan J70%. JAs Jthe Jdisease Jprogresses Jto Jmoderate Jand Jsevere Jthe
Jratio Jdecreases Jless Jthan J50%
Diagnostic Jprocedures JCOPD
Chest Jx-ray J- JANS✓✓-Revels Jhyperinflation Jof Jalveoli Jand Jflattened
Jdiaphragm Jin Jthe Jlate Jstages Jof Jemphysema
It Jis Joften Jnot Juseful Jfor Jthe Jdiagnosis Jof Jearly Jor Jmoderate Jdisease
Diagnostic JProcedures Jof JCOPD J- JANS✓✓-Pulse Joximetry
Clients Jwho Jhave JCOPD Jusually Jhave Joxygen Jlevels Jless Jthan Jthe Jexpected
Jreference Jrange Jof J95% Jto J100%
AAT J(alphy1 Jantitrypsin) Jlevels Jused Jto Jassess Jfor JAAT Jdeficiency
complete solutions 2025
COPD J
Overview J- JANS✓✓-COPD Jencompasses Jtwo Jdiseases: Jemphysema Jand
Jchronic Jbronchitis. JMost Jclients Jwho Jhave Jemphysema Jalso Jhave Jchronic
Jbronchitis. JCOPD Jis Jirreversible
Emphysema Jis Jcharacterized Jby Jthe Jloss Jof Jlung Jelasticity Jand
Jhyperinflation Jof Jlung Jtissue. JEmphysema Jcauses Jdestruction Jof Jthe Jalveoli
Jleading Jto Ja Jdecreased Jsurface Jarea Jfor Jgas Jexchange, Jcarbon Jdioxide
Jretention Jand Jrespiratory Jacidosis
Chronic Jbronchitis Jis Jan Jinflammation Jof Jthe Jbronchi Jand Jbronchioles Jdue
Jto Jchronic Jexposure Jto Jirritants
COPD Jtypically Jaffects Jmiddle Jage Jto Jolder Jadults
Health JPromotion Jand Jdisease Jprevention
COPD J- JANS✓✓-Promote Jsmoking Jcessation
Avoid Jexposure Jto Jsecondhand Jsmoke
Use Jprotective Jequipment Jsuch Jas Ja Jmask Jand Jensure Jproper Jventilation
Jwhile Jworking Jin Jenvironments Jthat Jcontain Jcarcinogens Jor Jparticles Jin Jthe
Jair
Influenza Jand Jpneumonia Jvaccinations Jare Jimportant Jfor Jall Jclients Jwho
Jhave JCOPD Jbut Jespecially Jfor Jthe Jolder Jadult Jclient
COPD J
Assessment
Risk Jfactors J- JANS✓✓-Advanced Jage-older Jadult Jclients Jhave Ja Jdecrease
Jpulmonary Jreserve Jdue Jto Jnormal Jlung Jchanges
Cigarette Jsmoking Jis Jthe Jprimary Jrisk Jfactor Jfor Jthe Jdevelopment Jof JCOPD
Alpha1 Jantitrypsin JAAT Jdeficiency
Exposure Jto Jair Jpollution
COPD
Assessment
Subjective Jdata J- JANS✓✓-Chronic JDyspnea
COPD
Assessment
Objective JData
Physical JAssessment Jfindings J- JANS✓✓-Dyspnea Jupon Jexertion
, Productive Jcough Jthat Jis Jmost Jsevere Jupon Jrising Jin Jthe Jmorning
Hypoxemia
Crackles Jand Jwheezes
Rapid Jand Jshallow Jrespirations
Use Jof Jaccessory Jmuscles
Barrel Jchest Jor Jincreased Jchest Jdiameter J(with Jemphysema)
Hyperresonance Jon Jpercussion Jdue Jto Jtrapped Jair J(with Jemphysema)
Irregular Jbreathing Jpattern
Thin Jextremities Jand Jenlarged Jneck Jmuscles
Dependent Jedema Jsecondary Jto Jright-sided Jheart Jfailure
Clubbing Jof Jfingers Jand Jtoes
Pallor Jand Jcyanosis Jof Jnail Jbeds Jand Jmucous Jmembranes J(late Jstages Jof
Jthe Jdisease)
Decreased Joxygen Jsaturation Jlevels J(expected Jreference Jrange Jis J95-100%)
In Jclients Jwho Jhave Jdark Jcolored Jskin Jor Jin Jolder Jadults Joxygen Jsaturation
Jlevels Jcan Jbe Jslightly Jlower
COPD
Laboratory Jtest J- JANS✓✓-An Jincreased Jhematocrit Jlevel Jis Jdue Jto Jlow
Joxygenation Jlevels
Use Jsputum Jcultures Jand JWBC Jcounts Jto Jdiagnose Jacute Jrespiratory
Jinfections
Serum Jelectrolytes
COPD
ABG's J- JANS✓✓-Hypoxemia J(decreased JPaO2 Jless Jthan J80 Jmm JHg)
Hypercabia J(increased JPaCO2 Jgreater Jthan J45 Jmm JHg
Respiratory Jacidosis, Jmetabolic Jalkalosis Jcompensation
Diagnostic Jprocedures JCOPD
Pulmonary Jfunction Jtest J- JANS✓✓-These Jtest Jare Jused Jfor Jdiagnosis Jas
Jwell Jas Jdetermining Jthe Jeffectiveness Jof Jtherapy
Comparisons Jof Jforced Jexpiratory Jvolume J(FEV) Jto Jforced Jvital Jcapacity
J(FVC) Jare Jused Jto Jclassify JCOPD Jas Jmild Jto Jvery Jsevere.
As JCOPD Jadvances Jthe JFEV Jand JFVC Jratio Jdecreases. JThe Jexpected
Jreference Jrange Jis J100%. JFor Jmild JCOPD Jthe JFEV/FVC Jratio Jis Jdecreased
Jto Jless Jthan J70%. JAs Jthe Jdisease Jprogresses Jto Jmoderate Jand Jsevere Jthe
Jratio Jdecreases Jless Jthan J50%
Diagnostic Jprocedures JCOPD
Chest Jx-ray J- JANS✓✓-Revels Jhyperinflation Jof Jalveoli Jand Jflattened
Jdiaphragm Jin Jthe Jlate Jstages Jof Jemphysema
It Jis Joften Jnot Juseful Jfor Jthe Jdiagnosis Jof Jearly Jor Jmoderate Jdisease
Diagnostic JProcedures Jof JCOPD J- JANS✓✓-Pulse Joximetry
Clients Jwho Jhave JCOPD Jusually Jhave Joxygen Jlevels Jless Jthan Jthe Jexpected
Jreference Jrange Jof J95% Jto J100%
AAT J(alphy1 Jantitrypsin) Jlevels Jused Jto Jassess Jfor JAAT Jdeficiency
