P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
Respiratory Med Surg ATI
Exam Questions & Answers
Comprehensive 2026/2027
Edition (Rationales)
Verified Answers Exam Ready With Rationales 27 QUESTIONS
DOCUMENT OVERVIEW
This document contains 27 comprehensive questions with provided correct answers and
detailed rationales, covering respiratory medical-surgical nursing. It is suitable for students
to study, review core concepts, and prepare for certification exams in respiratory care.
TOPICS
Asthma Management Q1–Q5
Critical Respiratory Care Q6–Q12
Pneumonia & TB Care Q13–Q19
Respiratory Procedures & Conditions Q20–Q24
COPD & Emphysema Q25–Q27
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 27
A nurse is providing discharge instructions to a client who was recently diagnosed with
asthma and prescribed a fluticasone metered-dose inhaler. Which of the following
statements should the nurse include in the teaching?
a.) "Use your inhaler only during an asthma attack."
b.) "Rinse your mouth after using the inhaler."
c.) "Avoid using a spacer with your inhaler."
d.) "Skip doses when you are feeling better."
RESPONSE
b.) "Rinse your mouth after using the inhaler."
RATIONALE
Inhaled corticosteroids like fluticasone can cause oral candidiasis and dysphonia. Rinsing the
mouth after administration helps mitigate these potential adverse effects by removing residual
medication from the oral mucosa. This practice is standard teaching for patients using inhaled
steroids to promote adherence and prevent local side effects.
Q2 QUESTION 2 OF 27
A nurse is providing teaching to a client who has asthma and a new prescription for
albuterol metered-dose inhaler. Which of the following instructions should the nurse
include in the teaching?
a.) "Gingivitis is a potential side effect of this medication."
b.) "Rinse the mouth immediately after using the inhaler."
c.) "Use the inhaler before exercising."
d.) "This medication can increase your heart rate."
e.) "This medication can cause muscle pain."
f.) "Carry the inhaler with you at all times."
RESPONSE
c, d, & f
c.) "Use the inhaler before exercising."
d.) "This medication can increase your heart rate."
f.) "Carry the inhaler with you at all times."
Page 2
, RATIONALE
Albuterol is a short-acting beta-agonist bronchodilator that provides relief from bronchospasm,
making it ideal for use prior to exercise-induced asthma triggers. As a sympathomimetic, it can
cause systemic effects like tachycardia. Due to its rescue nature, the inhaler should be readily
accessible for immediate symptom management.
Q3 QUESTION 3 OF 27
A nurse is caring for a client who has asthma who is receiving albuterol via nebulizer
treatment every 4 hr. Which of the following findings should the nurse report to the primary
provider as an adverse effect of albuterol?
a.) Hyperkalemia
b.) Drowsiness
c.) Tachycardia
d.) Blurred vision
RESPONSE
c.) tachycardia
RATIONALE
Albuterol is a short-acting beta-2 adrenergic agonist that stimulates beta-2 receptors. Stimulation
of beta receptors, particularly at higher doses or with frequent administration, can also affect beta-
1 receptors in the heart, leading to increased heart rate. This increased heart rate is a common
adverse effect requiring provider notification.
Q4 QUESTION 4 OF 27
A nurse is teaching a client about preventing exercise-induced asthma. Which of the
following instructions should the nurse include?
a.) "Use a short-acting bronchodilator inhaler 30 min before starting exercise."
b.) "Use an inhaled corticosteroid if experiencing wheezing during exercise."
c.) "Perform exercises in cold environments."
d.) "Avoid performing any aerobic exercises."
e.) "Monitor peak flow measurement."
RESPONSE
a&e
a.) "Use a short-acting bronchodilator inhaler 30 min before starting exercise."
e.) "Monitor peak flow measurement."
Page 3
Respiratory Med Surg ATI
Exam Questions & Answers
Comprehensive 2026/2027
Edition (Rationales)
Verified Answers Exam Ready With Rationales 27 QUESTIONS
DOCUMENT OVERVIEW
This document contains 27 comprehensive questions with provided correct answers and
detailed rationales, covering respiratory medical-surgical nursing. It is suitable for students
to study, review core concepts, and prepare for certification exams in respiratory care.
TOPICS
Asthma Management Q1–Q5
Critical Respiratory Care Q6–Q12
Pneumonia & TB Care Q13–Q19
Respiratory Procedures & Conditions Q20–Q24
COPD & Emphysema Q25–Q27
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 27
A nurse is providing discharge instructions to a client who was recently diagnosed with
asthma and prescribed a fluticasone metered-dose inhaler. Which of the following
statements should the nurse include in the teaching?
a.) "Use your inhaler only during an asthma attack."
b.) "Rinse your mouth after using the inhaler."
c.) "Avoid using a spacer with your inhaler."
d.) "Skip doses when you are feeling better."
RESPONSE
b.) "Rinse your mouth after using the inhaler."
RATIONALE
Inhaled corticosteroids like fluticasone can cause oral candidiasis and dysphonia. Rinsing the
mouth after administration helps mitigate these potential adverse effects by removing residual
medication from the oral mucosa. This practice is standard teaching for patients using inhaled
steroids to promote adherence and prevent local side effects.
Q2 QUESTION 2 OF 27
A nurse is providing teaching to a client who has asthma and a new prescription for
albuterol metered-dose inhaler. Which of the following instructions should the nurse
include in the teaching?
a.) "Gingivitis is a potential side effect of this medication."
b.) "Rinse the mouth immediately after using the inhaler."
c.) "Use the inhaler before exercising."
d.) "This medication can increase your heart rate."
e.) "This medication can cause muscle pain."
f.) "Carry the inhaler with you at all times."
RESPONSE
c, d, & f
c.) "Use the inhaler before exercising."
d.) "This medication can increase your heart rate."
f.) "Carry the inhaler with you at all times."
Page 2
, RATIONALE
Albuterol is a short-acting beta-agonist bronchodilator that provides relief from bronchospasm,
making it ideal for use prior to exercise-induced asthma triggers. As a sympathomimetic, it can
cause systemic effects like tachycardia. Due to its rescue nature, the inhaler should be readily
accessible for immediate symptom management.
Q3 QUESTION 3 OF 27
A nurse is caring for a client who has asthma who is receiving albuterol via nebulizer
treatment every 4 hr. Which of the following findings should the nurse report to the primary
provider as an adverse effect of albuterol?
a.) Hyperkalemia
b.) Drowsiness
c.) Tachycardia
d.) Blurred vision
RESPONSE
c.) tachycardia
RATIONALE
Albuterol is a short-acting beta-2 adrenergic agonist that stimulates beta-2 receptors. Stimulation
of beta receptors, particularly at higher doses or with frequent administration, can also affect beta-
1 receptors in the heart, leading to increased heart rate. This increased heart rate is a common
adverse effect requiring provider notification.
Q4 QUESTION 4 OF 27
A nurse is teaching a client about preventing exercise-induced asthma. Which of the
following instructions should the nurse include?
a.) "Use a short-acting bronchodilator inhaler 30 min before starting exercise."
b.) "Use an inhaled corticosteroid if experiencing wheezing during exercise."
c.) "Perform exercises in cold environments."
d.) "Avoid performing any aerobic exercises."
e.) "Monitor peak flow measurement."
RESPONSE
a&e
a.) "Use a short-acting bronchodilator inhaler 30 min before starting exercise."
e.) "Monitor peak flow measurement."
Page 3
