MED SURG RESPIRATORY ATI
1- A charge nurse receives notficaton of the admission of a client who is coughing frequently and
whose sputum is pink, frothy, and copious. The client has history of night sweats, anorexia, and
weight loss. Which of the following actons should the nurse take? (SATA)
- Assign the client to a private room with negatve-pressure airflow -
Wear an N95 respirator when entering the client’s room.
2- A nurse is assistng a provider with a comprehensive physical examinaton of a client. When the
provider uses transilluminaton, the nurse should explain to the client that this technique help
evaluate which of the following structures?
- Maxillary sinuses
3- A nurse is caring for a client who smokes cigaretes and has a new diagnosis of emphysema. How
should the nurse assist the client with smoking cessaton?
- Discuss ways the client can reduce the number of cigaretes smoked per day.
4- A nurse is planning care for a client who has chronic obstructve pulmonary disease (COPD) and
is malnourished. Which of the following recommendatons to promote nutritonal intake should
the nurse include in the plan?
- Eat high-calorie food first.
Ratonal: client who has COPD experience early satety. Client should eat calorie-dense food first.
5- A nurse is preparing to administer cisplatn IV to a client who has lung cancer. The nurse should
identfy that which of the following findings is an adverse effect of this medicaton?
- Tinnitus.
Ratonal: An adverse effect of cisplatn is ototoxicity, which can cause tnnitus.
6- A nurse in a medical-surgical unit is assessing a client. The nurse should identfy that which of the
following findings is a manifestaton of a pulmonary embolism?
- Stabbing chest pain
, MED SURG RESPIRATORY ATI
Ratonal: sudden chest pain that is sharp and stabbing is a manifestaton of pulmonary
embolism. Other manifestatons include dyspnea, coughing, hemoptysis (coughing up blood),
tachypnea, tachycardia, diaphoresis, and feeling of impending doom.
7- A nurse in the PACU is assessing a newly admited client and observes intercostal retractons and
a high-pitched inspiratory sound (stridor). The nurse should identfy theses findings as
manifestatons of which of the following complicatons?
- Respiratory obstructon
8- A nurse is reviewing the laboratory results of a client who has metabolic alkalosis. Which of the
following laboratory values should the nurse expect?
- ph 7.49,HCO3-32mEq/L, PaCO2 40mmHg
Ratonal: Metabolic alkalosis: pH and bicarbonate values are greater than the expected
references range, and the PaCO2 is within the expected reference range.
9- A nurse is providing teaching to a client who has a chronic cough and is scheduled for a
bronchoscopy. Which of the following client statements indicates an understanding of the
teaching?
- “A tssue sample might be obtained during the procedure”
10- A nurse is preparing a client for a bronchoscopy. Which of the following actons should the nurse
take? (SATA)
- Explain that the client will receive sedaton and will not remember the procedure.
- Verify that the client understands the purpose and nature of the procedure.
11- A nurse is preparing a client for discharge following a bronchoscopy. Which of the following
assessment is the nurse’s monitoring priority?
- Confirming the gag reflex
Ratonal: The greater risk to the client’s safety is aspiraton resultng from a depressed gag reflex.
12- A nurse is caring for a client who is postoperatve following a thoracic lobectomy. The client has 2
chest tubes in place: 1 in the lower porton of the thorax and the other higher on the chest wall.
When a family member asks why the client has 2 chest tubes, which of the following responses
should the nurse make?
, MED SURG RESPIRATORY ATI
- “The lower tube will drain blood, and the higher tube will remove air.”
13- A nurse is providing teaching to a client who will undergo a total laryngectomy. Which of the
following statements indicate that the client understands the impact of the surgery?
- “I understands that I will have a permanent tracheostomy aſter the surgery.”
Ratonal: With a partal laryngectomy, the tracheostomy is temporary. With the total laryngectomy the
tracheostomy will be permanent.
14- A nurse is providing discharge instructons to a client who has a new laryngectomy. The nurse
tells the client to be careful while bathing to prevent which of the following complicatons?
- Aspiraton of water.
Ratonal: This is a client with a tracheostomy, so he will need to use a shower shield over the
stoma when bathing or showering to keep water out of the airway.
15- A nurse is caring for a client who is extremely anxious and is hyperventlatng. The client’s ABG
results are pH 7.50, PaCO2 27 mmHg, and HCO3-25 mEq/L. The nurse should identfy that the
client has which of the following acid-base imbalances?
- Respiratory alkalosis.
16- A nurse is planning postoperatve educaton for a client who will undergo a radical neck
dissecton for cancer of the larynx. The nurse should include which of the following topics? ( SATA
)
- NPO status
- Alternatve methods of
communicaton - Changes in body
image - Swallowing exercises.
17- A nurse in a clinic is providing teaching for a client who is scheduled to have a tuberculin skin
test. Which of the following pieces of informaton should the nurse include?
- “You must return to the clinic to have the test read in 2 or 3 days.”
1- A charge nurse receives notficaton of the admission of a client who is coughing frequently and
whose sputum is pink, frothy, and copious. The client has history of night sweats, anorexia, and
weight loss. Which of the following actons should the nurse take? (SATA)
- Assign the client to a private room with negatve-pressure airflow -
Wear an N95 respirator when entering the client’s room.
2- A nurse is assistng a provider with a comprehensive physical examinaton of a client. When the
provider uses transilluminaton, the nurse should explain to the client that this technique help
evaluate which of the following structures?
- Maxillary sinuses
3- A nurse is caring for a client who smokes cigaretes and has a new diagnosis of emphysema. How
should the nurse assist the client with smoking cessaton?
- Discuss ways the client can reduce the number of cigaretes smoked per day.
4- A nurse is planning care for a client who has chronic obstructve pulmonary disease (COPD) and
is malnourished. Which of the following recommendatons to promote nutritonal intake should
the nurse include in the plan?
- Eat high-calorie food first.
Ratonal: client who has COPD experience early satety. Client should eat calorie-dense food first.
5- A nurse is preparing to administer cisplatn IV to a client who has lung cancer. The nurse should
identfy that which of the following findings is an adverse effect of this medicaton?
- Tinnitus.
Ratonal: An adverse effect of cisplatn is ototoxicity, which can cause tnnitus.
6- A nurse in a medical-surgical unit is assessing a client. The nurse should identfy that which of the
following findings is a manifestaton of a pulmonary embolism?
- Stabbing chest pain
, MED SURG RESPIRATORY ATI
Ratonal: sudden chest pain that is sharp and stabbing is a manifestaton of pulmonary
embolism. Other manifestatons include dyspnea, coughing, hemoptysis (coughing up blood),
tachypnea, tachycardia, diaphoresis, and feeling of impending doom.
7- A nurse in the PACU is assessing a newly admited client and observes intercostal retractons and
a high-pitched inspiratory sound (stridor). The nurse should identfy theses findings as
manifestatons of which of the following complicatons?
- Respiratory obstructon
8- A nurse is reviewing the laboratory results of a client who has metabolic alkalosis. Which of the
following laboratory values should the nurse expect?
- ph 7.49,HCO3-32mEq/L, PaCO2 40mmHg
Ratonal: Metabolic alkalosis: pH and bicarbonate values are greater than the expected
references range, and the PaCO2 is within the expected reference range.
9- A nurse is providing teaching to a client who has a chronic cough and is scheduled for a
bronchoscopy. Which of the following client statements indicates an understanding of the
teaching?
- “A tssue sample might be obtained during the procedure”
10- A nurse is preparing a client for a bronchoscopy. Which of the following actons should the nurse
take? (SATA)
- Explain that the client will receive sedaton and will not remember the procedure.
- Verify that the client understands the purpose and nature of the procedure.
11- A nurse is preparing a client for discharge following a bronchoscopy. Which of the following
assessment is the nurse’s monitoring priority?
- Confirming the gag reflex
Ratonal: The greater risk to the client’s safety is aspiraton resultng from a depressed gag reflex.
12- A nurse is caring for a client who is postoperatve following a thoracic lobectomy. The client has 2
chest tubes in place: 1 in the lower porton of the thorax and the other higher on the chest wall.
When a family member asks why the client has 2 chest tubes, which of the following responses
should the nurse make?
, MED SURG RESPIRATORY ATI
- “The lower tube will drain blood, and the higher tube will remove air.”
13- A nurse is providing teaching to a client who will undergo a total laryngectomy. Which of the
following statements indicate that the client understands the impact of the surgery?
- “I understands that I will have a permanent tracheostomy aſter the surgery.”
Ratonal: With a partal laryngectomy, the tracheostomy is temporary. With the total laryngectomy the
tracheostomy will be permanent.
14- A nurse is providing discharge instructons to a client who has a new laryngectomy. The nurse
tells the client to be careful while bathing to prevent which of the following complicatons?
- Aspiraton of water.
Ratonal: This is a client with a tracheostomy, so he will need to use a shower shield over the
stoma when bathing or showering to keep water out of the airway.
15- A nurse is caring for a client who is extremely anxious and is hyperventlatng. The client’s ABG
results are pH 7.50, PaCO2 27 mmHg, and HCO3-25 mEq/L. The nurse should identfy that the
client has which of the following acid-base imbalances?
- Respiratory alkalosis.
16- A nurse is planning postoperatve educaton for a client who will undergo a radical neck
dissecton for cancer of the larynx. The nurse should include which of the following topics? ( SATA
)
- NPO status
- Alternatve methods of
communicaton - Changes in body
image - Swallowing exercises.
17- A nurse in a clinic is providing teaching for a client who is scheduled to have a tuberculin skin
test. Which of the following pieces of informaton should the nurse include?
- “You must return to the clinic to have the test read in 2 or 3 days.”
