Comprehensive Study 1 Up to Date Content
ATI Respiratory Learning System
Med-Surg 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:
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?
A. Respiratory alkalosis
B. Respiratory acidosis
C. Metabolic alkalosis
D. Metabolic acidosis
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.
Respiratory alkalosis
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,Comprehensive Study 2 Up to Date Content
Ans: hyperventilation
Occurs when pt exhales too much carbon dioxide
Metabolic alkalosis
Ans: high pH, high HCO3
Pt has excessive amount of bicarbonate
Clients who use bicarbonate of soda as an antacid are
at risk for the development of metabolic alkalosis.
Excessive vomiting also places a client at risk for
development of metabolic alkalosis.
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?
A. Hallucinations
B. Pruritus
C. Hand and foot syndrome
D. Tinnitus
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,Comprehensive Study 3 Up to Date Content
Ans: Tinnitis
An adverse effect of cisplatin is ototoxicity, which
can cause tinnitis.
Hand and foot syndrome = adverse effect of
capecitabine, an antineoplastic
- medication used to treat breast and colorectal
cancer.
Pruritus is an adverse effect of methotrexate, which
is used to treat cancer and rheumatoid arthritis.
Hallucinations are an adverse effect of asparaginase,
which is an antineoplastic medication used to treat
acute lymphocytic leukemi
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?
A. Hyperventilate the client with 100% oxygen prior to
obtaining the specimen.
B. Apply ice to site after obtaining the specimen
C. Perform an Allen's test prior to obtaining the specimen
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, Comprehensive Study 4 Up to Date Content
D. Release pressure applied to puncture site 1 min after
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.
The nurse should apply pressure to the puncture site
for 5 to 10 min after the needle is withdrawn. High
pressure of the blood in the arteries places the client
at risk for hemorrhage from the withdrawal site.
The nurse should use ice to preserve the arterial
blood gas specimen during transport to the
laboratory. If the sample is not placed on ice, the pH
and PO2 values can be inaccurate. It is not necessary
to place ice on the withdrawal site.
The nurse should not administer oxygen prior to the
blood draw, because the test measures the client's
arterial blood gases when breathing room air.
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:
A. Increases oxygen intake
Up to Date Content
ATI Respiratory Learning System
Med-Surg 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:
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?
A. Respiratory alkalosis
B. Respiratory acidosis
C. Metabolic alkalosis
D. Metabolic acidosis
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.
Respiratory alkalosis
Up to Date Content
,Comprehensive Study 2 Up to Date Content
Ans: hyperventilation
Occurs when pt exhales too much carbon dioxide
Metabolic alkalosis
Ans: high pH, high HCO3
Pt has excessive amount of bicarbonate
Clients who use bicarbonate of soda as an antacid are
at risk for the development of metabolic alkalosis.
Excessive vomiting also places a client at risk for
development of metabolic alkalosis.
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?
A. Hallucinations
B. Pruritus
C. Hand and foot syndrome
D. Tinnitus
Up to Date Content
,Comprehensive Study 3 Up to Date Content
Ans: Tinnitis
An adverse effect of cisplatin is ototoxicity, which
can cause tinnitis.
Hand and foot syndrome = adverse effect of
capecitabine, an antineoplastic
- medication used to treat breast and colorectal
cancer.
Pruritus is an adverse effect of methotrexate, which
is used to treat cancer and rheumatoid arthritis.
Hallucinations are an adverse effect of asparaginase,
which is an antineoplastic medication used to treat
acute lymphocytic leukemi
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?
A. Hyperventilate the client with 100% oxygen prior to
obtaining the specimen.
B. Apply ice to site after obtaining the specimen
C. Perform an Allen's test prior to obtaining the specimen
Up to Date Content
, Comprehensive Study 4 Up to Date Content
D. Release pressure applied to puncture site 1 min after
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.
The nurse should apply pressure to the puncture site
for 5 to 10 min after the needle is withdrawn. High
pressure of the blood in the arteries places the client
at risk for hemorrhage from the withdrawal site.
The nurse should use ice to preserve the arterial
blood gas specimen during transport to the
laboratory. If the sample is not placed on ice, the pH
and PO2 values can be inaccurate. It is not necessary
to place ice on the withdrawal site.
The nurse should not administer oxygen prior to the
blood draw, because the test measures the client's
arterial blood gases when breathing room air.
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:
A. Increases oxygen intake
Up to Date Content
