Exampromax - Stuvia US 2025/2026
1
ATI Respiratory Learning System Med-Surg
Questions and Answers and Graded
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:
Correct Answer
2. Continuous bubbling in the water seal chamber.
Continuous bubbling in the water seal chamber suggests an air
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leak.
Exampromax - Stuvia US
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
Correct Answer
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.
, Exampromax - Stuvia US 2025/2026
2
Respiratory alkalosis
Correct Answer
hyperventilation
Occurs when pt exhales too much carbon dioxide
Metabolic alkalosis
Correct Answer
high pH, high HCO3
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Exampromax - Stuvia US
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
Correct Answer
, Exampromax - Stuvia US 2025/2026
3
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
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treat cancer and rheumatoid arthritis.
Exampromax - Stuvia US
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
, Exampromax - Stuvia US 2025/2026
4
D. Release pressure applied to puncture site 1 min after needle is withdrawn
Correct Answer
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
© 2025 Assignment Expert
min after the needle is withdrawn. High pressure of the bl ood in
Exampromax - Stuvia US
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
B. Promotes carbon dioxide elimination
1
ATI Respiratory Learning System Med-Surg
Questions and Answers and Graded
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:
Correct Answer
2. Continuous bubbling in the water seal chamber.
Continuous bubbling in the water seal chamber suggests an air
© 2025 Assignment Expert
leak.
Exampromax - Stuvia US
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
Correct Answer
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.
, Exampromax - Stuvia US 2025/2026
2
Respiratory alkalosis
Correct Answer
hyperventilation
Occurs when pt exhales too much carbon dioxide
Metabolic alkalosis
Correct Answer
high pH, high HCO3
© 2025 Assignment Expert
Exampromax - Stuvia US
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
Correct Answer
, Exampromax - Stuvia US 2025/2026
3
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
© 2025 Assignment Expert
treat cancer and rheumatoid arthritis.
Exampromax - Stuvia US
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
, Exampromax - Stuvia US 2025/2026
4
D. Release pressure applied to puncture site 1 min after needle is withdrawn
Correct Answer
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
© 2025 Assignment Expert
min after the needle is withdrawn. High pressure of the bl ood in
Exampromax - Stuvia US
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
B. Promotes carbon dioxide elimination
