ATI RN Targeted Medical Surgical: Respiratory
Online Practice Questions And Correct Verified
Answers With Rationales
a nurse is caring for a client who's postoperative and has an RR of 9/min
secondary to general anesthesia effects na incisional pain. which of the
following ABG values indicates the client is experiencing respiratory acidosis?
A.) pH 7.50, PO2 95 mm Hg, PaCO2 25 mm Hg, HCO3- 22 mEq/L
B.) pH 7.50, PO2 87 mm Hg, PaCO2 35 mm Hg, HCO3- 30 mEq/L
C.) pH 7.30, PO2 90 mm Hg, PaCO2 35 mm Hg, HCO3- 20 mEq/L
D.) pH 7.30, PO2 80 mm Hg, PaCO2 55 mm Hg, HCO3- 22 mEq/L -Answer:-pH
7.30, PO2 80 mm Hg, PaCO2 55 mm Hg, HCO3- 22 mEq/L
rationale:
These ABG values indicate respiratory acidosis. The pH is less than 7.35 and
the PaCO2 is greater than 45 mm Hg, which indicates respiratory acidosis.
a nurse is assessing a client who has acute respiratory distress syndrome
(ARDS). which of the following findings should the nurse report to the
provider?
A.) Decreased bowel sounds
,B.) Oxygen saturation 92%
C.) CO2 24 mEq/L
D.) Intercostal retractions -Answer:-Intercostal retractions
rationale:
The nurse should report intercostal retractions to the provider because this
finding indicates increasing respiratory compromise in a client who has ARDS.
a nurse in a provider's office is assessing a client who has COPD. which of the
following findings is the priority for the nurse to report to the provider?
A.) Increased anterior-posterior chest diameter
B.) Productive cough with green sputum
C.) Clubbing of the fingers
D.) Pursed-lip breathing with exertion -Answer:-Productive cough with green
sputum
rationale:
When using the urgent vs. nonurgent approach to client care, the nurse should
determine that the priority finding is a productive cough with green sputum.
, The nurse should report this finding to the provider because it can indicate
infection.
a charge nurse is reviewing the care of a client who has a chest tube connected
to a water seal drainage system in a place following thoracic surgery w/ newly
licensed nurse. which of the following statements by the newly licensed nurse
indicates an understanding of when to notify the provider?
A.) "I will notify the provider if there is a fluctuation of drainage in the tubing
with inspiration."
B.) "I will notify the provider if there is continuous bubbling in the water seal
chamber."
C.) "I will notify the provider if there is drainage of 60 milliliters in the first
hour after surgery."
D.) "I will notify the provider if there are several small, dark-red blood clots in
the tubing." -Answer:-"I will notify the provider if there is continuous
bubbling in the water seal chamber."
rationale:
Continuous bubbling in the water seal chamber suggests an air leak and
requires notification of the provider. The nurse should check the system for
external, correctable leaks while waiting for instructions from the provider.
Online Practice Questions And Correct Verified
Answers With Rationales
a nurse is caring for a client who's postoperative and has an RR of 9/min
secondary to general anesthesia effects na incisional pain. which of the
following ABG values indicates the client is experiencing respiratory acidosis?
A.) pH 7.50, PO2 95 mm Hg, PaCO2 25 mm Hg, HCO3- 22 mEq/L
B.) pH 7.50, PO2 87 mm Hg, PaCO2 35 mm Hg, HCO3- 30 mEq/L
C.) pH 7.30, PO2 90 mm Hg, PaCO2 35 mm Hg, HCO3- 20 mEq/L
D.) pH 7.30, PO2 80 mm Hg, PaCO2 55 mm Hg, HCO3- 22 mEq/L -Answer:-pH
7.30, PO2 80 mm Hg, PaCO2 55 mm Hg, HCO3- 22 mEq/L
rationale:
These ABG values indicate respiratory acidosis. The pH is less than 7.35 and
the PaCO2 is greater than 45 mm Hg, which indicates respiratory acidosis.
a nurse is assessing a client who has acute respiratory distress syndrome
(ARDS). which of the following findings should the nurse report to the
provider?
A.) Decreased bowel sounds
,B.) Oxygen saturation 92%
C.) CO2 24 mEq/L
D.) Intercostal retractions -Answer:-Intercostal retractions
rationale:
The nurse should report intercostal retractions to the provider because this
finding indicates increasing respiratory compromise in a client who has ARDS.
a nurse in a provider's office is assessing a client who has COPD. which of the
following findings is the priority for the nurse to report to the provider?
A.) Increased anterior-posterior chest diameter
B.) Productive cough with green sputum
C.) Clubbing of the fingers
D.) Pursed-lip breathing with exertion -Answer:-Productive cough with green
sputum
rationale:
When using the urgent vs. nonurgent approach to client care, the nurse should
determine that the priority finding is a productive cough with green sputum.
, The nurse should report this finding to the provider because it can indicate
infection.
a charge nurse is reviewing the care of a client who has a chest tube connected
to a water seal drainage system in a place following thoracic surgery w/ newly
licensed nurse. which of the following statements by the newly licensed nurse
indicates an understanding of when to notify the provider?
A.) "I will notify the provider if there is a fluctuation of drainage in the tubing
with inspiration."
B.) "I will notify the provider if there is continuous bubbling in the water seal
chamber."
C.) "I will notify the provider if there is drainage of 60 milliliters in the first
hour after surgery."
D.) "I will notify the provider if there are several small, dark-red blood clots in
the tubing." -Answer:-"I will notify the provider if there is continuous
bubbling in the water seal chamber."
rationale:
Continuous bubbling in the water seal chamber suggests an air leak and
requires notification of the provider. The nurse should check the system for
external, correctable leaks while waiting for instructions from the provider.
