ATI Respiratory Exam Questions & Answers The nurse should ensure that circulation to the hand is adequate from the ulnar artery in case the
radial artery is injured from the blood draw. The most common site for withdrawal of arterial
blood gases is the radial artery.
A nurse is assessing a patient who has a chest tube in place following a thoracic surgery. Which
of the following findings indicates a need for intervention: A nurse is providing instructions about pursed-lip breathing for a patient who has COPD with
emphysema. The nurse should explain that this breathing technique accomplishes which of the
1. Fluctuation of drainage in the tubing with inspiration. following:
2. Continuous bubbling in the water seal chamber.
3. Drainage of 75 mL in the first hour after surgery. 1. Increases oxygen intake
4. Several small, dark-red blood clots in the tubing. - 2. Continuous bubbling in the water seal 2. Promotes carbon dioxide elimination
chamber. 3. Uses the intercostal muscles
4. Strengthens the diaphram - 2. Promotes carbon dioxide elimination
Continuous bubbling in the water seal chamber suggests an air leak.
A patient who has COPD with emphysema should use pursed-lip breathing when experiencing
A nurse is caring for an elderly patient who suffers from COPD with pneumonia. The nurse dyspnea. This is one of the simplest ways to control dyspnea. It slows the patient's pace of
should monitor the patient for which of the following acid-base imbalances? breathing, making each breath more effective. Pursed-lip breathing releases trapped air in the
lungs and prolongs exhalation to slow the breathing rate. This improved breathing pattern moves
1. Respiratory alkalosis carbon dioxide out of the lungs more efficiently.
2. Respiratory acidosis
3. Metabolic alkalosis A nurse is preparing a patient for a thoracentesis. In which of the following positions should the
4. Metabolic acidosis - 2. Respiratory acidosis nurse place the patient:
Respiratory acidosis is a common complication of COPD. This complication occurs because 1. Lying flat on the affected site
patients who have COPD are unable to exhale carbon dioxide due to a loss of elastic recoil in the 2. Prone with arms raised over the head
lungs. 3. Supine with the head of the bed elevated
4. Sitting while leaning forward over the bedside table - 4. Sitting while leaning forward over the
A nurse is preparing to administer cisplatin IV to a patient with lung cancer. The nurse should bedside table
identify that which of the following findings is an adverse effect of this medication?
When preparing a patient for a thoracentesis, the nurse should have the patient sit on the edge of
1. Hallucinations the bed and lean forward over the bedside table because this position maximizes the space
2. Pruritis between the patient's ribs and allows for aspiration of accumulated fluid and air.
3. Hand and foot syndrome
4. Tinnitis - 4. Tinnitis A nurse on a med-surg unit is caring for a patient who is postoperative following a hip
replacement surgery. The patient reports feeling apprehensive and restless. Which of the follow
An adverse effect of cisplatin is ototoxicity, which can cause tinnitis. findings should the nurse recognize as an indication of a PE:
A nurse is preparing to assist a provider to withdraw arterial blood from a patient's radial artery 1. Sudden onset of dyspnea
for measurement of ABG. Which of the following actions should the nurse plan to take? 2. Tracheal deviation
3. Bradycardia
1. Hyperventilate the patient with 100% oxygen prior to obtaining the specimen. 4. Difficulty swallowing - 1. Sudden onset of dyspnea
2. Apply ice to the site after obtaining the specimen.
3. Perform an Allen's test prior to obtaining the specimen. Clinical manifestations of a PE have a rapid onset. Dyspnea occurs due to reduced blood flow to
4. Release pressure applied to the puncture site 1 minute after the needle is withdrawn. - 3. the lungs.
Perform an Allen's test prior to obtaining the specimen.
A nurse is planning care for a patient who has COPD and is malnourished. Which of the
following recommendations to promote nutritional intake should the nurse include in the plan:
, The nurse should tape all of the connections to ensure that the system is airtight and prevent the
1. Eat high-calorie foods first chest tubing from accidentally disconnecting.
2. Increase intake of water at meal times
3. Perform active range of motion exercises before meals A nurse on a medical unit is caring for a patient who apirated gastric contents prior to admission.
4. Keep saltine crackers nearby for snacking - 1. Eat high-calorie foods first The nurse administers 100% oxygen by nonbreather mask after the patient reports severe
dyspnea. Which of the following findings is a clinical manifestation of acute respiratory distress
The client who has COPD often experiences early satiety. Therefore, the patient should eat high- syndrome (ARDS):
calorie foods first.
1. Tympanic temperature of 38 C (100.4 F)
A nurse is developing a teaching plan for a patient about preventing acute asthma attacks. Which 2. PaO2 50 mm Hg
of the following points should the nurse plan to discuss first: 3. Rhonchi
4. Hypopnea - 2. PaO2 50 mm Hg
1. How to eliminate environmental triggers that precipitate attacks
2. The patient's perception of the disease process and what might have triggered attacks in the The patient who has manifestations of ARDS has a low PaO2 level even with the administration
past of oxygen. Hypoxemia after treatment with oxygen is a manifestation of ARDS.
3. The patient's medication regimen
4. Manifestations of respiratory infections - 2. The patient's perception of the disease process and A nurse is providing teaching to a patient about pulmonary function tests. Which of the
what might have triggered attacks in the past following tests measures the volume of air the lungs can hold at the end maximum inhalation:
The nurse should apply the nursing process priority-setting framework. The nurse can use the 1. Total lung capacity
nursing process to plan patient care and prioritize nursing actions. Each step of the nursing 2. Vital lung capacity
process builds on the previous step, beginning with assessment. Before the nurse can formulate a 3. Functional residual capacity
plan of action, implement a nursing intervention, or notify a provider of a change in a patient's 4. Residual volume - 1. Total lung capacity
status, the nurse must first collect adequate data from the patient. Assessing the patient will
provide the nurse with knowledge to make an appropriate decision. Therefore, the first step the Pulmonary function tests are used to examine the effectiveness of the lungs and identify lung
nurse should take is to assess the patient's current knowledge. problems. Total lung capacity measures the amount of air the lungs can hold after maximum
inhalation.
A nurse in a provider's office is assessing a patient who states he was recently exposed to TB.
Which of the following findings is a clinical manifestation of pulmonary TB: A nurse is preparing discharge teaching to a patient who is postoperative following a rhinoplasty.
Which of the following instructions should the nurse include:
1. Pericardial friction rub
2. Weight gain 1. Apply warm compresses to the face
3. Night sweats 2. Take aspirin 650mg by mouth for mild pain
4. Cyanosis of the fingertips - 3. Night sweats 3. Close your mouth while sneezing
4. Lie on your back with your head elevated 30 degrees while resting - 4. Lie on your back with
Night sweats and fevers are clinical manifestations of TB. your head elevated 30 degrees while resting
A nurse is planning care for a patient following placement of a chest tube 1 hour ago. Which of The nurse should instruct the patient to rest in the semi-fowlers position to prevent aspiration of
the following actions should the nurse include in the plan of care: nasal secretions.
1. Clamp the chest tube if there is continuously bubbling in the water seal chamber A nurse in the emergency department is assessing a patient for a closed pneumothorax and
2. Keep the chest tube drainage system at the level of the right atrium significant bruising of the left chest following a MVA. The client reports severe left chest pain
3. Tape all of the connections between the chest tube and the drainage system on inspiration. The nurse should assess the patient for which of the following manifestations of a
4. Empty the collection chamber and record the amount of drainage every 8 hours - 3. Tape all of pneumothorax:
the connections between the chest tube and the drainage system
1. Absence of breath sounds
radial artery is injured from the blood draw. The most common site for withdrawal of arterial
blood gases is the radial artery.
A nurse is assessing a patient who has a chest tube in place following a thoracic surgery. Which
of the following findings indicates a need for intervention: A nurse is providing instructions about pursed-lip breathing for a patient who has COPD with
emphysema. The nurse should explain that this breathing technique accomplishes which of the
1. Fluctuation of drainage in the tubing with inspiration. following:
2. Continuous bubbling in the water seal chamber.
3. Drainage of 75 mL in the first hour after surgery. 1. Increases oxygen intake
4. Several small, dark-red blood clots in the tubing. - 2. Continuous bubbling in the water seal 2. Promotes carbon dioxide elimination
chamber. 3. Uses the intercostal muscles
4. Strengthens the diaphram - 2. Promotes carbon dioxide elimination
Continuous bubbling in the water seal chamber suggests an air leak.
A patient who has COPD with emphysema should use pursed-lip breathing when experiencing
A nurse is caring for an elderly patient who suffers from COPD with pneumonia. The nurse dyspnea. This is one of the simplest ways to control dyspnea. It slows the patient's pace of
should monitor the patient for which of the following acid-base imbalances? breathing, making each breath more effective. Pursed-lip breathing releases trapped air in the
lungs and prolongs exhalation to slow the breathing rate. This improved breathing pattern moves
1. Respiratory alkalosis carbon dioxide out of the lungs more efficiently.
2. Respiratory acidosis
3. Metabolic alkalosis A nurse is preparing a patient for a thoracentesis. In which of the following positions should the
4. Metabolic acidosis - 2. Respiratory acidosis nurse place the patient:
Respiratory acidosis is a common complication of COPD. This complication occurs because 1. Lying flat on the affected site
patients who have COPD are unable to exhale carbon dioxide due to a loss of elastic recoil in the 2. Prone with arms raised over the head
lungs. 3. Supine with the head of the bed elevated
4. Sitting while leaning forward over the bedside table - 4. Sitting while leaning forward over the
A nurse is preparing to administer cisplatin IV to a patient with lung cancer. The nurse should bedside table
identify that which of the following findings is an adverse effect of this medication?
When preparing a patient for a thoracentesis, the nurse should have the patient sit on the edge of
1. Hallucinations the bed and lean forward over the bedside table because this position maximizes the space
2. Pruritis between the patient's ribs and allows for aspiration of accumulated fluid and air.
3. Hand and foot syndrome
4. Tinnitis - 4. Tinnitis A nurse on a med-surg unit is caring for a patient who is postoperative following a hip
replacement surgery. The patient reports feeling apprehensive and restless. Which of the follow
An adverse effect of cisplatin is ototoxicity, which can cause tinnitis. findings should the nurse recognize as an indication of a PE:
A nurse is preparing to assist a provider to withdraw arterial blood from a patient's radial artery 1. Sudden onset of dyspnea
for measurement of ABG. Which of the following actions should the nurse plan to take? 2. Tracheal deviation
3. Bradycardia
1. Hyperventilate the patient with 100% oxygen prior to obtaining the specimen. 4. Difficulty swallowing - 1. Sudden onset of dyspnea
2. Apply ice to the site after obtaining the specimen.
3. Perform an Allen's test prior to obtaining the specimen. Clinical manifestations of a PE have a rapid onset. Dyspnea occurs due to reduced blood flow to
4. Release pressure applied to the puncture site 1 minute after the needle is withdrawn. - 3. the lungs.
Perform an Allen's test prior to obtaining the specimen.
A nurse is planning care for a patient who has COPD and is malnourished. Which of the
following recommendations to promote nutritional intake should the nurse include in the plan:
, The nurse should tape all of the connections to ensure that the system is airtight and prevent the
1. Eat high-calorie foods first chest tubing from accidentally disconnecting.
2. Increase intake of water at meal times
3. Perform active range of motion exercises before meals A nurse on a medical unit is caring for a patient who apirated gastric contents prior to admission.
4. Keep saltine crackers nearby for snacking - 1. Eat high-calorie foods first The nurse administers 100% oxygen by nonbreather mask after the patient reports severe
dyspnea. Which of the following findings is a clinical manifestation of acute respiratory distress
The client who has COPD often experiences early satiety. Therefore, the patient should eat high- syndrome (ARDS):
calorie foods first.
1. Tympanic temperature of 38 C (100.4 F)
A nurse is developing a teaching plan for a patient about preventing acute asthma attacks. Which 2. PaO2 50 mm Hg
of the following points should the nurse plan to discuss first: 3. Rhonchi
4. Hypopnea - 2. PaO2 50 mm Hg
1. How to eliminate environmental triggers that precipitate attacks
2. The patient's perception of the disease process and what might have triggered attacks in the The patient who has manifestations of ARDS has a low PaO2 level even with the administration
past of oxygen. Hypoxemia after treatment with oxygen is a manifestation of ARDS.
3. The patient's medication regimen
4. Manifestations of respiratory infections - 2. The patient's perception of the disease process and A nurse is providing teaching to a patient about pulmonary function tests. Which of the
what might have triggered attacks in the past following tests measures the volume of air the lungs can hold at the end maximum inhalation:
The nurse should apply the nursing process priority-setting framework. The nurse can use the 1. Total lung capacity
nursing process to plan patient care and prioritize nursing actions. Each step of the nursing 2. Vital lung capacity
process builds on the previous step, beginning with assessment. Before the nurse can formulate a 3. Functional residual capacity
plan of action, implement a nursing intervention, or notify a provider of a change in a patient's 4. Residual volume - 1. Total lung capacity
status, the nurse must first collect adequate data from the patient. Assessing the patient will
provide the nurse with knowledge to make an appropriate decision. Therefore, the first step the Pulmonary function tests are used to examine the effectiveness of the lungs and identify lung
nurse should take is to assess the patient's current knowledge. problems. Total lung capacity measures the amount of air the lungs can hold after maximum
inhalation.
A nurse in a provider's office is assessing a patient who states he was recently exposed to TB.
Which of the following findings is a clinical manifestation of pulmonary TB: A nurse is preparing discharge teaching to a patient who is postoperative following a rhinoplasty.
Which of the following instructions should the nurse include:
1. Pericardial friction rub
2. Weight gain 1. Apply warm compresses to the face
3. Night sweats 2. Take aspirin 650mg by mouth for mild pain
4. Cyanosis of the fingertips - 3. Night sweats 3. Close your mouth while sneezing
4. Lie on your back with your head elevated 30 degrees while resting - 4. Lie on your back with
Night sweats and fevers are clinical manifestations of TB. your head elevated 30 degrees while resting
A nurse is planning care for a patient following placement of a chest tube 1 hour ago. Which of The nurse should instruct the patient to rest in the semi-fowlers position to prevent aspiration of
the following actions should the nurse include in the plan of care: nasal secretions.
1. Clamp the chest tube if there is continuously bubbling in the water seal chamber A nurse in the emergency department is assessing a patient for a closed pneumothorax and
2. Keep the chest tube drainage system at the level of the right atrium significant bruising of the left chest following a MVA. The client reports severe left chest pain
3. Tape all of the connections between the chest tube and the drainage system on inspiration. The nurse should assess the patient for which of the following manifestations of a
4. Empty the collection chamber and record the amount of drainage every 8 hours - 3. Tape all of pneumothorax:
the connections between the chest tube and the drainage system
1. Absence of breath sounds
