ATI Med Surg Respiratory Proctored
Exam Test Bank 12025
ATI Med Surg Respiratory Proctored Exam
Test Bank 1 2025 – 350 Verified Questions
and Detailed Answers WITH DETAILED
RATIONALES
A nurse is completing a focused respiratory assessment of a child with asthma. What
assessment finding is most closely associated with the characteristic signs and symptoms of
asthma?
1.Shallow respirations
2.Increased anterior-posterior (A-P) diameter
3.Bilateral wheezes
4.Bradypnea
- ANS :Answer: 3
The three most common symptoms of asthma are cough, dyspnea, and wheezing. There may
be generalized wheezing (the sound of airflow through narrowed airways), first on expiration
and then, possibly, during inspiration as well. Respirations are not usually slow and the childs
A-P diameter does not normally change.
1|Page
, ATI Med Surg Respiratory Proctored
Exam Test Bank 12025
A nurse has been asked to give a workshop on COPD for a local community group. The nurse
emphasizes the importance of smoking cessation because smoking has what
pathophysiologic effect?
1.Increases the amount of mucus production
2.Destabilizes hemoglobin
3. Shrinks the alveoli in the lungs
4.Collapses the alveoli in the lungs
- ANS :Answer: 1
Smoking irritates the goblet cells and mucous glands, causing an increased accumulation of
mucus, which, in turn, produces more irritation, infection, and damage to the lung.
An admitting nurse is assessing a patient with COPD. The nurse auscultates diminished breath
sounds, which signify changes in the airway. These changes indicate to the nurse to monitor
the patient for what?
1.Kyphosis and clubbing of the fingers
2. Dyspnea and hypoxemia
3.Sepsis and pneumothorax
4.Bradypnea and pursed lip breathing
- ANS :Answer: 2
2|Page
, ATI Med Surg Respiratory Proctored
Exam Test Bank 12025
These changes in the airway require that the nurse monitor the patient for dyspnea and
hypoxemia. Kyphosis is a musculoskeletal problem. Sepsis and pneumothorax are atypical
complications. Tachypnea is much more likely than bradypnea. Pursed lip breathing can
relieve dyspnea.
A nurse is caring for a patient with COPD. The patients medication regimen has been recently
changed and the nurse is assessing for therapeutic effect of a new bronchodilator. What
assessment parameters suggest a consequent improvement in respiratory status? Select all
that apply.
1.Negative sputum culture
2.Increased viscosity of lung secretions
3. Increased respiratory rate
4. Increased expiratory flow rate
5.Relief of dyspnea –
ANS :Answer: 4 & 5
The relief of bronchospasm is confirmed by measuring improvement in expiratory flow rates
and volumes (the force of expiration, how long it takes to exhale, and the amount of air
exhaled) as well as by assessing the dyspnea and making sure that it has lessened. Increased
respiratory rate and viscosity of secretions would suggest a worsening of the patients
respiratory status. Bronchodilators would not have a direct result on the patients infectious
process.
A patient's severe asthma has necessitated the use of a long-acting beta2-agonist (LABA).
Which of the patient's statements suggests a need for further education?
3|Page
, ATI Med Surg Respiratory Proctored
Exam Test Bank 12025
1.I know that these drugs can sometimes make my heart beat faster.
2. I've heard that this drug is particularly good at preventing asthma attacks during exercise.
3. I'll make sure to use this each time I feel an asthma attack coming on.
4. I've heard that this drug sometimes gets less effective over time. –
ANS :Answer: 3
LABAs are not used for the management of acute asthma symptoms. Tachycardia is a
potential adverse effect and decreased protection against exercise-induced bronchospasm
may occur with regular use.
A nurse is working with a child who is undergoing a diagnostic workup for suspected asthma.
What are the signs and symptoms that are consistent with a diagnosis of asthma? Select all
that apply.
1.Chest tightness
2.Crackles
3. Bradypnea
4. Wheezing
5. Cough –
ANS :Answer: 1, 4, 5
Asthma is a chronic inflammatory disease of the airways that causes airway
hyperresponsiveness, mucosal edema, and mucus production. This inflammation ultimately
leads to recurrent episodes of asthma symptoms: cough, chest tightness, wheezing, and
dyspnea. Crackles and bradypnea are not typical symptoms of asthma.
4|Page
Exam Test Bank 12025
ATI Med Surg Respiratory Proctored Exam
Test Bank 1 2025 – 350 Verified Questions
and Detailed Answers WITH DETAILED
RATIONALES
A nurse is completing a focused respiratory assessment of a child with asthma. What
assessment finding is most closely associated with the characteristic signs and symptoms of
asthma?
1.Shallow respirations
2.Increased anterior-posterior (A-P) diameter
3.Bilateral wheezes
4.Bradypnea
- ANS :Answer: 3
The three most common symptoms of asthma are cough, dyspnea, and wheezing. There may
be generalized wheezing (the sound of airflow through narrowed airways), first on expiration
and then, possibly, during inspiration as well. Respirations are not usually slow and the childs
A-P diameter does not normally change.
1|Page
, ATI Med Surg Respiratory Proctored
Exam Test Bank 12025
A nurse has been asked to give a workshop on COPD for a local community group. The nurse
emphasizes the importance of smoking cessation because smoking has what
pathophysiologic effect?
1.Increases the amount of mucus production
2.Destabilizes hemoglobin
3. Shrinks the alveoli in the lungs
4.Collapses the alveoli in the lungs
- ANS :Answer: 1
Smoking irritates the goblet cells and mucous glands, causing an increased accumulation of
mucus, which, in turn, produces more irritation, infection, and damage to the lung.
An admitting nurse is assessing a patient with COPD. The nurse auscultates diminished breath
sounds, which signify changes in the airway. These changes indicate to the nurse to monitor
the patient for what?
1.Kyphosis and clubbing of the fingers
2. Dyspnea and hypoxemia
3.Sepsis and pneumothorax
4.Bradypnea and pursed lip breathing
- ANS :Answer: 2
2|Page
, ATI Med Surg Respiratory Proctored
Exam Test Bank 12025
These changes in the airway require that the nurse monitor the patient for dyspnea and
hypoxemia. Kyphosis is a musculoskeletal problem. Sepsis and pneumothorax are atypical
complications. Tachypnea is much more likely than bradypnea. Pursed lip breathing can
relieve dyspnea.
A nurse is caring for a patient with COPD. The patients medication regimen has been recently
changed and the nurse is assessing for therapeutic effect of a new bronchodilator. What
assessment parameters suggest a consequent improvement in respiratory status? Select all
that apply.
1.Negative sputum culture
2.Increased viscosity of lung secretions
3. Increased respiratory rate
4. Increased expiratory flow rate
5.Relief of dyspnea –
ANS :Answer: 4 & 5
The relief of bronchospasm is confirmed by measuring improvement in expiratory flow rates
and volumes (the force of expiration, how long it takes to exhale, and the amount of air
exhaled) as well as by assessing the dyspnea and making sure that it has lessened. Increased
respiratory rate and viscosity of secretions would suggest a worsening of the patients
respiratory status. Bronchodilators would not have a direct result on the patients infectious
process.
A patient's severe asthma has necessitated the use of a long-acting beta2-agonist (LABA).
Which of the patient's statements suggests a need for further education?
3|Page
, ATI Med Surg Respiratory Proctored
Exam Test Bank 12025
1.I know that these drugs can sometimes make my heart beat faster.
2. I've heard that this drug is particularly good at preventing asthma attacks during exercise.
3. I'll make sure to use this each time I feel an asthma attack coming on.
4. I've heard that this drug sometimes gets less effective over time. –
ANS :Answer: 3
LABAs are not used for the management of acute asthma symptoms. Tachycardia is a
potential adverse effect and decreased protection against exercise-induced bronchospasm
may occur with regular use.
A nurse is working with a child who is undergoing a diagnostic workup for suspected asthma.
What are the signs and symptoms that are consistent with a diagnosis of asthma? Select all
that apply.
1.Chest tightness
2.Crackles
3. Bradypnea
4. Wheezing
5. Cough –
ANS :Answer: 1, 4, 5
Asthma is a chronic inflammatory disease of the airways that causes airway
hyperresponsiveness, mucosal edema, and mucus production. This inflammation ultimately
leads to recurrent episodes of asthma symptoms: cough, chest tightness, wheezing, and
dyspnea. Crackles and bradypnea are not typical symptoms of asthma.
4|Page
