Questions With A+ Graded Answers On
ATI respiratory
A client is admitted to the emergency department following a motorcycle crash. The
nurse notes a crackling sensation upon palpation on the right side of the client's chest.
After notifying the provider the nurse should document this finding as which of the
following?
a. friction rub
b. crackles
c. crepitus
d. tactile fremitus - CORRECT ANSWER-c. crepitus
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 TB skin 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 in 2-3 days
A nurse in a provider's office is assessing a client who states he was recently exposed
to tuberculosis. Which of the following findings is a clinical manifestation of pulmonary
tuberculosis?
a. pericardial friction rub
b. weight gain
c. night sweats
d. cyanosis of the fingertips - CORRECT ANSWER-c. night sweats
A nurse in an urgent care clinical is collecting data from a client who reports exposure to
anthrax. Which of the following findings is an indication of the prodromal stage of
anthrax?
a. dry cough
b. rhinitis
c. sore throat
d. swollen lymph nodes - CORRECT ANSWER-a. dry cough
, A nurse in the emergency department is assessing a client for a closed pneumothorax
and significant bruising of the left chest following a motor-vehicle crash. The client
reports severe left chest pain on inspiration. The nurse should assess the client for
Which of the following manifestations of pneumothorax?
a. absence of breath sounds
b. expiratory wheezing
c. inspiratory stridor
d. rhonchi - CORRECT ANSWER-a. absence of breath sounds
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
secretions?
a. the client is unable to speak
b. the client's airway secretions were last suctioned 2 hrs ago
c. the client coughs and expectorates a large mucous plug
d. the nurse auscultates coarse crackles in the lung fields - CORRECT ANSWER-d. the
nurse auscultates coarse crackles in the lung fields
A nurse is caring for an older client who has chronic obstructive pulmonary disease with
pneumonia. The nurse should monitor the client for Which of the following acid-base
imbalances?
a. respiratory alkalosis
b. respiratory acidosis
c. metabolic alkalosis
d. metabolic acidosis - CORRECT ANSWER-b. respiratory acidosis
A nurse is developing a teaching plan for a client about preventing acute asthma
attacks. Which of the following points should the nurse plan to discuss first?
a. how to eliminate environmental triggers that precipitate attacks
b. the client's perception of the disease process and what might have triggered past
attacks
c. the client's med regimen
d. manifestations of respiratory infections - CORRECT ANSWER-b. the client's
perception of the disease process and what might have triggered past attacks
A nurse is planning care for a client following placement of a chest tube 1 hr ago. Which
of the following actions should the nurse include in the plan of care?
a. clamp the chest tube if there is continuous bubbling in the water seal chamber
b. keep the chest tube drainage system at the level of the right atrium
c. tape all connections between the chest tube and drainage system
d. empty the collection chamber and record the amount of drainage every 8 hrs. -
CORRECT ANSWER-c. tape all connections between the chest tube and drainage
system.
ATI respiratory
A client is admitted to the emergency department following a motorcycle crash. The
nurse notes a crackling sensation upon palpation on the right side of the client's chest.
After notifying the provider the nurse should document this finding as which of the
following?
a. friction rub
b. crackles
c. crepitus
d. tactile fremitus - CORRECT ANSWER-c. crepitus
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 TB skin 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 in 2-3 days
A nurse in a provider's office is assessing a client who states he was recently exposed
to tuberculosis. Which of the following findings is a clinical manifestation of pulmonary
tuberculosis?
a. pericardial friction rub
b. weight gain
c. night sweats
d. cyanosis of the fingertips - CORRECT ANSWER-c. night sweats
A nurse in an urgent care clinical is collecting data from a client who reports exposure to
anthrax. Which of the following findings is an indication of the prodromal stage of
anthrax?
a. dry cough
b. rhinitis
c. sore throat
d. swollen lymph nodes - CORRECT ANSWER-a. dry cough
, A nurse in the emergency department is assessing a client for a closed pneumothorax
and significant bruising of the left chest following a motor-vehicle crash. The client
reports severe left chest pain on inspiration. The nurse should assess the client for
Which of the following manifestations of pneumothorax?
a. absence of breath sounds
b. expiratory wheezing
c. inspiratory stridor
d. rhonchi - CORRECT ANSWER-a. absence of breath sounds
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
secretions?
a. the client is unable to speak
b. the client's airway secretions were last suctioned 2 hrs ago
c. the client coughs and expectorates a large mucous plug
d. the nurse auscultates coarse crackles in the lung fields - CORRECT ANSWER-d. the
nurse auscultates coarse crackles in the lung fields
A nurse is caring for an older client who has chronic obstructive pulmonary disease with
pneumonia. The nurse should monitor the client for Which of the following acid-base
imbalances?
a. respiratory alkalosis
b. respiratory acidosis
c. metabolic alkalosis
d. metabolic acidosis - CORRECT ANSWER-b. respiratory acidosis
A nurse is developing a teaching plan for a client about preventing acute asthma
attacks. Which of the following points should the nurse plan to discuss first?
a. how to eliminate environmental triggers that precipitate attacks
b. the client's perception of the disease process and what might have triggered past
attacks
c. the client's med regimen
d. manifestations of respiratory infections - CORRECT ANSWER-b. the client's
perception of the disease process and what might have triggered past attacks
A nurse is planning care for a client following placement of a chest tube 1 hr ago. Which
of the following actions should the nurse include in the plan of care?
a. clamp the chest tube if there is continuous bubbling in the water seal chamber
b. keep the chest tube drainage system at the level of the right atrium
c. tape all connections between the chest tube and drainage system
d. empty the collection chamber and record the amount of drainage every 8 hrs. -
CORRECT ANSWER-c. tape all connections between the chest tube and drainage
system.
