ATI RN TARGETED MEDICAL SURGICAL ;
RESPIRATORY EXAM WITH QUESTIONS AND WELL
VERIFIED ANSWERS [ALREADY GRADED A+]
a nurse is preparing a client for discharge following a bronchoscopy with the use
of moderate sedation. the nurse should identify that which of the following
assessments if the priority?
A.) presence of gag reflex
B.) pain level rating using 0 to 10 scale
C.) hydration status
D.) appearance of the IV insertion site - ANS✔✔---presence of gag reflex
rationale:
The greatest risk to the client is aspiration due to a depressed gag reflex.
Therefore, the priority assessment by the nurse is to determine the return of the
gag reflex.
,a nurse is assessing a client who has lung cancer. which of the following
manifestations should the nurse expect?
A.) Blood-tinged sputum
B.) Decreased tactile fremitus
C.) Resonance with percussion
D.) Peripheral edema - ANS✔✔---blood-tinged sputum
rationale:
The nurse should expect blood-tinged sputum secondary to bleeding from the
tumor.
a nurse working in an ED is caring for a client following an acute chest trauma.
which of the following findings should indicate to the nurse that the client is
possibly experiencing a tension pneumothorax?
A.) Collapsed neck veins on the affected side
B.) Collapsed neck veins on the unaffected side
C.) Tracheal deviation to the affected side
D.) Tracheal deviation to the unaffected side - ANS✔✔---Tracheal deviation to
the unaffected side
rationale:
The nurse should recognize that deviation of the trachea to the unaffected side is
a possible indicator that the client is experiencing a tension pneumothorax. A
tension pneumothorax results from free air filling the chest cavity, causing the
lung to collapse and forcing the trachea to deviate to the unaffected side.
, a nurse developing a plan of care for a client who has active TB. which of the
following isolation precautions should the nurse include in the plan?
A.) Airborne
B.) Neutropenic
C.) Contact
D.) Droplet - ANS✔✔---Airborne
rationale:
The nurse should initiate airborne precautions for a client who has tuberculosis
because tuberculosis is a respiratory infection that is spread through the air. The
client should be placed in a room with negative airflow pressure that is filtered
through a high-efficiency particulate air (HEPA) filter. Members of the health care
team should not enter the client's room without wearing an N95 respirator mask.
a nurse is caring for a client who's receiving mechanical ventilation when the low-
pressure alarm sounds. which of the following situations should the nurse
recognize as a possible cause of the alarm?
A.) Excess secretions
B.) Kinks in the tubing
C.) Artificial airway cuff leak
D.) Biting on the endotracheal tube - ANS✔✔---artificial airway cuff leak
rationale:
RESPIRATORY EXAM WITH QUESTIONS AND WELL
VERIFIED ANSWERS [ALREADY GRADED A+]
a nurse is preparing a client for discharge following a bronchoscopy with the use
of moderate sedation. the nurse should identify that which of the following
assessments if the priority?
A.) presence of gag reflex
B.) pain level rating using 0 to 10 scale
C.) hydration status
D.) appearance of the IV insertion site - ANS✔✔---presence of gag reflex
rationale:
The greatest risk to the client is aspiration due to a depressed gag reflex.
Therefore, the priority assessment by the nurse is to determine the return of the
gag reflex.
,a nurse is assessing a client who has lung cancer. which of the following
manifestations should the nurse expect?
A.) Blood-tinged sputum
B.) Decreased tactile fremitus
C.) Resonance with percussion
D.) Peripheral edema - ANS✔✔---blood-tinged sputum
rationale:
The nurse should expect blood-tinged sputum secondary to bleeding from the
tumor.
a nurse working in an ED is caring for a client following an acute chest trauma.
which of the following findings should indicate to the nurse that the client is
possibly experiencing a tension pneumothorax?
A.) Collapsed neck veins on the affected side
B.) Collapsed neck veins on the unaffected side
C.) Tracheal deviation to the affected side
D.) Tracheal deviation to the unaffected side - ANS✔✔---Tracheal deviation to
the unaffected side
rationale:
The nurse should recognize that deviation of the trachea to the unaffected side is
a possible indicator that the client is experiencing a tension pneumothorax. A
tension pneumothorax results from free air filling the chest cavity, causing the
lung to collapse and forcing the trachea to deviate to the unaffected side.
, a nurse developing a plan of care for a client who has active TB. which of the
following isolation precautions should the nurse include in the plan?
A.) Airborne
B.) Neutropenic
C.) Contact
D.) Droplet - ANS✔✔---Airborne
rationale:
The nurse should initiate airborne precautions for a client who has tuberculosis
because tuberculosis is a respiratory infection that is spread through the air. The
client should be placed in a room with negative airflow pressure that is filtered
through a high-efficiency particulate air (HEPA) filter. Members of the health care
team should not enter the client's room without wearing an N95 respirator mask.
a nurse is caring for a client who's receiving mechanical ventilation when the low-
pressure alarm sounds. which of the following situations should the nurse
recognize as a possible cause of the alarm?
A.) Excess secretions
B.) Kinks in the tubing
C.) Artificial airway cuff leak
D.) Biting on the endotracheal tube - ANS✔✔---artificial airway cuff leak
rationale:
