ATI MedSurg Respiratory 2025
9. A nurse on a medical unit is caring for a client who aspirated gastric contents prior to admission. The nurse administers
100% oxygen by nonrebreather mask after the client reports severe dyspnea. Which of the following findings is a clinical
manifestation of acute respiratory distress syndrome (ARDS)?: PaO2 50 mm Hg
The client who has manifestations of ARDS has a low PaO2 level even with the administration of oxygen. Hypoxemia after
treatment with oxygen is a manifestation of ARDS.
10. A nurse is preparing to assist a provider to withdraw arterial blood from a client's radial artery for measurement of
ABG. Which of the following actions should the nurse plan to take?: Perform an Allen's test prior to obtaining the specimen.
The nurse should ensure that circulation to the hand is adequate from the ulnar artery in case the radial artery is injured from
the blood draw. The most common site for withdrawal of arterial blood gases is the radial artery.
11. A nurse is providing preoperative teaching to a client who is to undergo a pneumonectomy. The client states, "I am
afraid it will hurt to cough after the surgery." Which of the following statements by the nurse is appropriate?: "I will show you
how to splint your incision while coughing."
The client who had a pneumonectomy should cough to clear secretions from the remaining lung. The nurse should show the
client how to splint her incision to reduce pain when coughing.
12. A nurse is providing instructions about pursed-lip breathing for a client who has chronic obstructive pulmonary disease
with emphysema. The nurse should explain that this breathing technique accomplishes which of the following?: Promotes
carbon dioxide elimination
The client who has COPD with emphysema should use pursed-lip breathing when experiencing dyspnea. This is one of the
simplest ways to control dyspnea. It slows the client's pace of breathing, making each breath more effective. Pursed-lip
breathing releases trapped air in the lungs and prolongs exhalation to slow the breathing rate. This improved breathing pattern
moves carbon dioxide out of the lungs more efficiently.
13. A nurse is planning care for a client following placement of a chest tube 1 hr ago. Which of the following actions should
the nurse include in the plan of care?: Tape all connections between the chest tube and drainage system.
The nurse should tape all connections to ensure that the system is airtight and prevent the chest tubing from accidently
disconnecting.
14. A nurse is preparing to administer cisplatin IV to a client who has lung cancer. The nurse should identify that which of
the following findings is an adverse effect of this medication?: Tinnitus
An adverse effect of cisplatin is ototoxicity, which can cause tinnitus.
15. A nurse is preparing a client for a thoracentesis. In which of the following positions should the nurse place the client?:
Sitting while leaning forward over the bedside table
When preparing a client for a thoracentesis, the nurse should have the client sit on the edge of the bed and lean forward over
the bedside table because this position maximizes the space between the client's ribs and allows for aspiration of accumulated
fluid and air.
16. A nurse on a medical-surgical unit is caring for a client who is postoperative following a hip replacement surgery. The
client reports feeling apprehensive and restless. Which of the following findings should the nurse recognize as an indication of
pulmonary embolism?: Sudden onset of dyspnea
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9. A nurse on a medical unit is caring for a client who aspirated gastric contents prior to admission. The nurse administers
100% oxygen by nonrebreather mask after the client reports severe dyspnea. Which of the following findings is a clinical
manifestation of acute respiratory distress syndrome (ARDS)?: PaO2 50 mm Hg
The client who has manifestations of ARDS has a low PaO2 level even with the administration of oxygen. Hypoxemia after
treatment with oxygen is a manifestation of ARDS.
10. A nurse is preparing to assist a provider to withdraw arterial blood from a client's radial artery for measurement of
ABG. Which of the following actions should the nurse plan to take?: Perform an Allen's test prior to obtaining the specimen.
The nurse should ensure that circulation to the hand is adequate from the ulnar artery in case the radial artery is injured from
the blood draw. The most common site for withdrawal of arterial blood gases is the radial artery.
11. A nurse is providing preoperative teaching to a client who is to undergo a pneumonectomy. The client states, "I am
afraid it will hurt to cough after the surgery." Which of the following statements by the nurse is appropriate?: "I will show you
how to splint your incision while coughing."
The client who had a pneumonectomy should cough to clear secretions from the remaining lung. The nurse should show the
client how to splint her incision to reduce pain when coughing.
12. A nurse is providing instructions about pursed-lip breathing for a client who has chronic obstructive pulmonary disease
with emphysema. The nurse should explain that this breathing technique accomplishes which of the following?: Promotes
carbon dioxide elimination
The client who has COPD with emphysema should use pursed-lip breathing when experiencing dyspnea. This is one of the
simplest ways to control dyspnea. It slows the client's pace of breathing, making each breath more effective. Pursed-lip
breathing releases trapped air in the lungs and prolongs exhalation to slow the breathing rate. This improved breathing pattern
moves carbon dioxide out of the lungs more efficiently.
13. A nurse is planning care for a client following placement of a chest tube 1 hr ago. Which of the following actions should
the nurse include in the plan of care?: Tape all connections between the chest tube and drainage system.
The nurse should tape all connections to ensure that the system is airtight and prevent the chest tubing from accidently
disconnecting.
14. A nurse is preparing to administer cisplatin IV to a client who has lung cancer. The nurse should identify that which of
the following findings is an adverse effect of this medication?: Tinnitus
An adverse effect of cisplatin is ototoxicity, which can cause tinnitus.
15. A nurse is preparing a client for a thoracentesis. In which of the following positions should the nurse place the client?:
Sitting while leaning forward over the bedside table
When preparing a client for a thoracentesis, the nurse should have the client sit on the edge of the bed and lean forward over
the bedside table because this position maximizes the space between the client's ribs and allows for aspiration of accumulated
fluid and air.
16. A nurse on a medical-surgical unit is caring for a client who is postoperative following a hip replacement surgery. The
client reports feeling apprehensive and restless. Which of the following findings should the nurse recognize as an indication of
pulmonary embolism?: Sudden onset of dyspnea
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