1|Page
ATI MED SURG RESPIRATORY PROCTORED EXAM
TEST BANK NEWEST 2025/ 2026 COMPLETE ALL 250
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||
NEWEST EXAM!!!
A nurse is caring for a client who is extremely anxious and
is hyperventilating. The client's ABG results are pH 7.50,
PaCO2 27 mmHg, and HCO3- 25 mEq/L. The nurse
should identify that the client has which of the following
acid-base imbalances?
A. - Respiratory acidosis
B. - Metabolic acidosis
C. - Respiratory alkalosis
D. - Metabolic alkalosis - ANSWER-C. - Respiratory
alkalosis
Because of rapid breathing, the client is exhaling
excessive amounts of carbon dioxide. This loss of carbon
dioxide decreases the hydrogen ion level of the blood,
which causes the pH to increase and results in respiratory
alkalosis.
Incorrect Answers:
,2|Page
A. - Respiratory acidosis reflects an increase in carbon
dioxide resulting from inadequate excretion and an
increase in the hydrogen ion level (i.e. decreased pH) of
the blood. Common causes of this acid-base imbalance
are airway obstruction and respiratory depression.</p>
B. - Metabolic acidosis results from a metabolic
disturbance such as diabetic ketoacidosis or excessive
ingestion of alcohol or salicylates, not a respiratory
problem.
D. - Metabolic alkalosis results from a metabolic
disturbance such as prolonged vomiting or excessive
nasogastric suctioning, not a respiratory problem.
A nurse is caring for a client who has chronic obstructive
pulmonary disease (COPD) and is experiencing shortness
of breath. Which of the following actions should the nurse
perform first?
A. - Monitor the client's arterial blood gas results
B. - Instruct the client to perform controlled coughing
C. - Teach the client how to use pursed-lip breathing
,3|Page
D. - Place the client in an upright position - ANSWER-D. -
Place the client in an upright position
Using the airway, breathing, and circulation (ABC)
approach to client care, the nurse should place the client
in an upright position to facilitate chest expansion and
proper diaphragmatic contraction. Positioning the client
upright will also assist with mobilizing secretions that might
be impeding airflow.
Incorrect Answers:
A. - The nurse should monitor the client's arterial blood
gas results to determine oxygenation levels; however,
there is another action the nurse should take first.
B. - The nurse should instruct the client to perform
controlled coughing when not experiencing shortness of
breath; however, there is another action the nurse should
take first.
C. - The nurse should teach the client how to use pursed-
lip breathing when not experiencing shortness of breath;
however, there is another action the nurse should take
first.
, 4|Page
A nurse on a medical-surgical unit is assessing a client
who recently transferred from the ICU following
endotracheal extubation. Which of the following findings
should the nurse identify as a possible manifestation of
tracheal stenosis and report to the provider?
A. - Increased coughing
B. - Diaphragmatic breathing
C. - Hemoptysis
D. - Kussmaul respirations - ANSWER-A. - Increased
coughing
The nurse should identify increased coughing as a
manifestation of tracheal stenosis. Other manifestations
include an inability to cough up secretions and difficulty
talking or breathing.
Incorrect Answers:
B. - Diaphragmatic breathing is the act of inhaling deeply
by flexing the diaphragm. It is not a manifestation of
tracheal stenosis.
C. - Coughing up blood, otherwise known as hemoptysis,
is an abnormal finding following endotracheal extubation
ATI MED SURG RESPIRATORY PROCTORED EXAM
TEST BANK NEWEST 2025/ 2026 COMPLETE ALL 250
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||
NEWEST EXAM!!!
A nurse is caring for a client who is extremely anxious and
is hyperventilating. The client's ABG results are pH 7.50,
PaCO2 27 mmHg, and HCO3- 25 mEq/L. The nurse
should identify that the client has which of the following
acid-base imbalances?
A. - Respiratory acidosis
B. - Metabolic acidosis
C. - Respiratory alkalosis
D. - Metabolic alkalosis - ANSWER-C. - Respiratory
alkalosis
Because of rapid breathing, the client is exhaling
excessive amounts of carbon dioxide. This loss of carbon
dioxide decreases the hydrogen ion level of the blood,
which causes the pH to increase and results in respiratory
alkalosis.
Incorrect Answers:
,2|Page
A. - Respiratory acidosis reflects an increase in carbon
dioxide resulting from inadequate excretion and an
increase in the hydrogen ion level (i.e. decreased pH) of
the blood. Common causes of this acid-base imbalance
are airway obstruction and respiratory depression.</p>
B. - Metabolic acidosis results from a metabolic
disturbance such as diabetic ketoacidosis or excessive
ingestion of alcohol or salicylates, not a respiratory
problem.
D. - Metabolic alkalosis results from a metabolic
disturbance such as prolonged vomiting or excessive
nasogastric suctioning, not a respiratory problem.
A nurse is caring for a client who has chronic obstructive
pulmonary disease (COPD) and is experiencing shortness
of breath. Which of the following actions should the nurse
perform first?
A. - Monitor the client's arterial blood gas results
B. - Instruct the client to perform controlled coughing
C. - Teach the client how to use pursed-lip breathing
,3|Page
D. - Place the client in an upright position - ANSWER-D. -
Place the client in an upright position
Using the airway, breathing, and circulation (ABC)
approach to client care, the nurse should place the client
in an upright position to facilitate chest expansion and
proper diaphragmatic contraction. Positioning the client
upright will also assist with mobilizing secretions that might
be impeding airflow.
Incorrect Answers:
A. - The nurse should monitor the client's arterial blood
gas results to determine oxygenation levels; however,
there is another action the nurse should take first.
B. - The nurse should instruct the client to perform
controlled coughing when not experiencing shortness of
breath; however, there is another action the nurse should
take first.
C. - The nurse should teach the client how to use pursed-
lip breathing when not experiencing shortness of breath;
however, there is another action the nurse should take
first.
, 4|Page
A nurse on a medical-surgical unit is assessing a client
who recently transferred from the ICU following
endotracheal extubation. Which of the following findings
should the nurse identify as a possible manifestation of
tracheal stenosis and report to the provider?
A. - Increased coughing
B. - Diaphragmatic breathing
C. - Hemoptysis
D. - Kussmaul respirations - ANSWER-A. - Increased
coughing
The nurse should identify increased coughing as a
manifestation of tracheal stenosis. Other manifestations
include an inability to cough up secretions and difficulty
talking or breathing.
Incorrect Answers:
B. - Diaphragmatic breathing is the act of inhaling deeply
by flexing the diaphragm. It is not a manifestation of
tracheal stenosis.
C. - Coughing up blood, otherwise known as hemoptysis,
is an abnormal finding following endotracheal extubation
