ATI RN TARGETED MEDICAL SURGICAL
RESPIRATORY EXAM SCRIPT 2026
QUESTIONS WITH VERIFIED ANSWERS
AND RATIONALE GRADED A+
⩥ A nurse is planning teaching for a client who has type 1 diabetes
mellitus. Which of the following instructions should the nurse include?
a. Consume no more than three servings of alcohol per day.
b. Ingest food with alcohol to reduce alcohol-induced hypoglycemia.
c. Increase insulin dosage before planned exercise.
d. Rest for 3 days between periods of vigorous exercise. Answer: Ingest
food with alcohol to reduce alcohol-induced hypoglycemia.
Alcohol inhibits the liver from producing glucose. Consuming
carbohydrates while drinking alcoholic beverages helps prevent
hypoglycemia.
⩥ A nurse is caring for a client who has a pheochromocytoma. Which of
the following actions should the nurse take?
a. Elevate the head of the client's bed.
b. Palpate the client's abdomen.
,c. Monitor the client for hypotension.
d. Check the client's urine specific gravity. Answer: Elevate the head of
the client's bed.
The nurse should elevate the head of the client's bed to reduce blood
pressure and abdominal pressure.
⩥ A nurse has administered propranolol by IV bolus to a client who is
having a thyroid storm. Which of the following findings indicates that
the client is having a therapeutic response?
a. Reduction of the effects of thyroid hormone on the heart
b. Blockage of the release of thyroid hormone from the thyroid gland
c. Increase in the heart's sensitivity to thyroid hormone
d. Increase in the uptake of thyroid hormone by the thyroid gland
Answer: Reduction of the effects of thyroid hormone on the heart
Propranolol is a beta2-adrenergic blocking agent that decreases the rapid
heart rate that excessive thyroid stimulation causes.
⩥ A nurse is monitoring a client's status 24 hours after a total
thyroidectomy. Which of the following findings should the nurse report
to the provider?
, a. Laryngeal stridor
b. Productive cough
c. Pain with hyperextension of the neck
d. Hoarse, weak voice Answer: Laryngeal stridor
Laryngeal stridor is a harsh, high-pitched sound with inspiration that
indicates respiratory obstruction. The nurse should take immediate
action to preserve the client's airway.
⩥ A nurse is teaching a client who has an autoimmune disease about the
adverse effects of long-term corticosteroid therapy. Which of the
following effects should the nurse include? (select all that apply)
a. Osteoporosis
b. Moon-shaped face
c. Increased risk of infection
d. Hearing loss
e. Weight loss Answer: -Osteoporosis
-Moon-shaped face
-Increased risk of infection
Osteoporosis is correct. Osteoporosis is an adverse effect of long-term
corticosteroid therapy due to the suppression of bone formation and the
acceleration of bone resorption that corticosteroid therapy can cause.
RESPIRATORY EXAM SCRIPT 2026
QUESTIONS WITH VERIFIED ANSWERS
AND RATIONALE GRADED A+
⩥ A nurse is planning teaching for a client who has type 1 diabetes
mellitus. Which of the following instructions should the nurse include?
a. Consume no more than three servings of alcohol per day.
b. Ingest food with alcohol to reduce alcohol-induced hypoglycemia.
c. Increase insulin dosage before planned exercise.
d. Rest for 3 days between periods of vigorous exercise. Answer: Ingest
food with alcohol to reduce alcohol-induced hypoglycemia.
Alcohol inhibits the liver from producing glucose. Consuming
carbohydrates while drinking alcoholic beverages helps prevent
hypoglycemia.
⩥ A nurse is caring for a client who has a pheochromocytoma. Which of
the following actions should the nurse take?
a. Elevate the head of the client's bed.
b. Palpate the client's abdomen.
,c. Monitor the client for hypotension.
d. Check the client's urine specific gravity. Answer: Elevate the head of
the client's bed.
The nurse should elevate the head of the client's bed to reduce blood
pressure and abdominal pressure.
⩥ A nurse has administered propranolol by IV bolus to a client who is
having a thyroid storm. Which of the following findings indicates that
the client is having a therapeutic response?
a. Reduction of the effects of thyroid hormone on the heart
b. Blockage of the release of thyroid hormone from the thyroid gland
c. Increase in the heart's sensitivity to thyroid hormone
d. Increase in the uptake of thyroid hormone by the thyroid gland
Answer: Reduction of the effects of thyroid hormone on the heart
Propranolol is a beta2-adrenergic blocking agent that decreases the rapid
heart rate that excessive thyroid stimulation causes.
⩥ A nurse is monitoring a client's status 24 hours after a total
thyroidectomy. Which of the following findings should the nurse report
to the provider?
, a. Laryngeal stridor
b. Productive cough
c. Pain with hyperextension of the neck
d. Hoarse, weak voice Answer: Laryngeal stridor
Laryngeal stridor is a harsh, high-pitched sound with inspiration that
indicates respiratory obstruction. The nurse should take immediate
action to preserve the client's airway.
⩥ A nurse is teaching a client who has an autoimmune disease about the
adverse effects of long-term corticosteroid therapy. Which of the
following effects should the nurse include? (select all that apply)
a. Osteoporosis
b. Moon-shaped face
c. Increased risk of infection
d. Hearing loss
e. Weight loss Answer: -Osteoporosis
-Moon-shaped face
-Increased risk of infection
Osteoporosis is correct. Osteoporosis is an adverse effect of long-term
corticosteroid therapy due to the suppression of bone formation and the
acceleration of bone resorption that corticosteroid therapy can cause.
