Comprehensive Study 1 Up to Date Content
ATI Respiratory Latest Questions
and Graded Answers
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:
1. Fluctuation of drainage in the tubing with inspiration.
2. Continuous bubbling in the water seal chamber.
3. Drainage of 75 mL in the first hour after surgery.
4. Several small, dark-red blood clots in the tubing.
Ans: 2. Continuous bubbling in the water seal
chamber.
Continuous bubbling in the water seal chamber
suggests an air leak.
A nurse is caring for an elderly patient who suffers from
COPD with pneumonia. The nurse should monitor the patient
for which of the following acid-base imbalances?
1. Respiratory alkalosis
2. Respiratory acidosis
3. Metabolic alkalosis
4. Metabolic acidosis
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Ans: 2. Respiratory acidosis
Respiratory acidosis is a common complication of
COPD. This complication occurs because patients
who have COPD are unable to exhale carbon dioxide
due to a loss of elastic recoil in the lungs.
A nurse is preparing to administer cisplatin IV to a patient
with lung cancer. The nurse should identify that which of the
following findings is an adverse effect of this medication?
1. Hallucinations
2. Pruritis
3. Hand and foot syndrome
4. Tinnitis
Ans: 4. Tinnitis
An adverse effect of cisplatin is ototoxicity, which
can cause tinnitis.
A nurse is preparing to assist a provider to withdraw arterial
blood from a patient's radial artery for measurement of ABG.
Which of the following actions should the nurse plan to take?
1. Hyperventilate the patient with 100% oxygen prior to
obtaining the specimen.
2. Apply ice to the site after obtaining the specimen.
3. Perform an Allen's test prior to obtaining the specimen.
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4. Release pressure applied to the puncture site 1 minute
after the needle is withdrawn.
Ans: 3. Perform an Allen's test prior to obtaining the
specimen.
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 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 following:
1. Increases oxygen intake
2. Promotes carbon dioxide elimination
3. Uses the intercostal muscles
4. Strengthens the diaphram
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Ans: 2. Promotes carbon dioxide elimination
A patient who has COPD with emphysema should use
pursed-lip breathing when experiencing dyspnea. This
is one of the simplest ways to control dyspnea. It
slows the patient's pace of 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 carbon dioxide out of the lungs more
efficiently.
A nurse is preparing a patient for a thoracentesis. In which of
the following positions should the nurse place the patient:
1. Lying flat on the affected site
2. Prone with arms raised over the head
3. Supine with the head of the bed elevated
4. Sitting while leaning forward over the bedside table
Ans: 4. Sitting while leaning forward over the
bedside table
When preparing a patient for a thoracentesis, the
nurse should have the patient sit on the edge of the
bed and lean forward over the bedside table because
this position maximizes the space between the
patient's ribs and allows for aspiration of
accumulated fluid and air.
A nurse on a med-surg unit is caring for a patient who is
postoperative following a hip replacement surgery. The
Up to Date Content
ATI Respiratory Latest Questions
and Graded Answers
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:
1. Fluctuation of drainage in the tubing with inspiration.
2. Continuous bubbling in the water seal chamber.
3. Drainage of 75 mL in the first hour after surgery.
4. Several small, dark-red blood clots in the tubing.
Ans: 2. Continuous bubbling in the water seal
chamber.
Continuous bubbling in the water seal chamber
suggests an air leak.
A nurse is caring for an elderly patient who suffers from
COPD with pneumonia. The nurse should monitor the patient
for which of the following acid-base imbalances?
1. Respiratory alkalosis
2. Respiratory acidosis
3. Metabolic alkalosis
4. Metabolic acidosis
Up to Date Content
,Comprehensive Study 2 Up to Date Content
Ans: 2. Respiratory acidosis
Respiratory acidosis is a common complication of
COPD. This complication occurs because patients
who have COPD are unable to exhale carbon dioxide
due to a loss of elastic recoil in the lungs.
A nurse is preparing to administer cisplatin IV to a patient
with lung cancer. The nurse should identify that which of the
following findings is an adverse effect of this medication?
1. Hallucinations
2. Pruritis
3. Hand and foot syndrome
4. Tinnitis
Ans: 4. Tinnitis
An adverse effect of cisplatin is ototoxicity, which
can cause tinnitis.
A nurse is preparing to assist a provider to withdraw arterial
blood from a patient's radial artery for measurement of ABG.
Which of the following actions should the nurse plan to take?
1. Hyperventilate the patient with 100% oxygen prior to
obtaining the specimen.
2. Apply ice to the site after obtaining the specimen.
3. Perform an Allen's test prior to obtaining the specimen.
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,Comprehensive Study 3 Up to Date Content
4. Release pressure applied to the puncture site 1 minute
after the needle is withdrawn.
Ans: 3. Perform an Allen's test prior to obtaining the
specimen.
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 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 following:
1. Increases oxygen intake
2. Promotes carbon dioxide elimination
3. Uses the intercostal muscles
4. Strengthens the diaphram
Up to Date Content
, Comprehensive Study 4 Up to Date Content
Ans: 2. Promotes carbon dioxide elimination
A patient who has COPD with emphysema should use
pursed-lip breathing when experiencing dyspnea. This
is one of the simplest ways to control dyspnea. It
slows the patient's pace of 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 carbon dioxide out of the lungs more
efficiently.
A nurse is preparing a patient for a thoracentesis. In which of
the following positions should the nurse place the patient:
1. Lying flat on the affected site
2. Prone with arms raised over the head
3. Supine with the head of the bed elevated
4. Sitting while leaning forward over the bedside table
Ans: 4. Sitting while leaning forward over the
bedside table
When preparing a patient for a thoracentesis, the
nurse should have the patient sit on the edge of the
bed and lean forward over the bedside table because
this position maximizes the space between the
patient's ribs and allows for aspiration of
accumulated fluid and air.
A nurse on a med-surg unit is caring for a patient who is
postoperative following a hip replacement surgery. The
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