ATI MED SURG RESPIRATORY PROCTORED
EXAM TEST BANK 2025 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|GUARANTEED PASS |LATEST
UPDATE
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 take first?
A. Monitor the client's arterial blood gas results
B. Reinforce how to perform controlled coughing
C. Reinforce how to perform pursed-lip breathing
D. Place the client in an upright position
d
A nurse is caring for a client who is experiencing acute opioid toxicity. Which of the following
actions should the nurse identify as the priority?
A. Insert a large-bore IV catheter
B. Ensure an adequate airway
C. Obtain an accurate medication history
D. Prepare to administer an antagonist
b
A nurse is reinforcing discharge teaching with a client who had a pulmonary embolism. Which of
the following statements should the nurse identify as an indication that the client understands
the information?
A. "I'll expect a little leg swelling since I won't be that active for a while."
B. "I'll see the doctor every week to change my vena cava filter."
C. "I'll call the doctor if I see any blood in my urine or stool."
D. "I'll have to take the blood thinner for a few more days."
1|Page
,c
A nurse is assisting a provider with a comprehensive physical examination of a client. When the
provider uses transillumination, the nurse should explain to the client that this technique helps
evaluate which of the following structures?
A. Lymph nodes
B. Maxillary sinuses
C. Intercostal spaces
D. Salivary glands
b
A nurse is helping the provider prepare a client for a thoracentesis. The nurse should instruct
the client that which of the following positions will be used for this procedure?
A. Lying flat on the affected side
B. Prone with the arms raised over the head
C. Supine with the head of the bed elevated
D. Sitting while leaning forward over the bedside table
d
A nurse is assisting with the care of a client who had a chest tube inserted 12 hours ago. The
nurse notes a crackling sensation upon palpation of the skin on the right side of the client's
chest. The nurse should notify the charge nurse that the client is demonstrating a clinical
manifestation of which of the following complications?
A. Friction rub
B. Crackles
C. Crepitus
D. Tactile fremitus
c
A nurse is reviewing the laboratory results of a client who has metabolic alkalosis. Which of the
following laboratory values should the nurse expect?
A. pH 7.31, HCO3- 22 mEq/L, PaCO2 50 mmHg
B. pH 7.48, HCO3- 23 mEq/L, PaCO2 25 mmHg
C. pH 7.32, HCO3- 18 mEq/L, PaCO2 40 mmHg
D. pH 7.49, HCO3- 32 mEq/L, PaCO2 40 mmHg
d
A nurse is caring for a client who had a le lower lobectomy to treat lung cancer. Which of the
following factors has a significant impact on the plan of care for this client?
2|Page
,A. The client will need intensive smoking-cessation education.
B. After surgery, the prognosis for clients with lung cancer is usually good.
C. Lung cancer usually has metastasized before the client has symptoms.
D. Oxygen therapy is ineffective following a lobectomy.
c
A nurse is caring for a client who smokes cigarettes and has a new diagnosis of emphysema.
Which of the following actions should the nurse take to assist the client with smoking cessation?
A. Discuss ways the client can reduce the number of cigarettes smoked per day
B. Suggest the client switch from smoking cigarettes to smoking a pipe
C. Inform the client that treatment will be ineffective if smoking continues
D. Discourage the use of nicotine gum
a
A nurse is collecting data about the respiratory status of a client who has COPD. Which of the
following manifestations should the nurse identify as an indication of the early onset of
respiratory failure?
A. Wheezing
B. Bradypnea
C. Tachycardia
D. Diaphoresis
c
A nurse in the PACU is collecting data from a newly admitted client and observes intercostal
retractions and a high-pitched inspiratory sound. The nurse should identify that these findings
are manifestations of which of the following complications?
A. Pulmonary edema
B. Tension pneumothorax
C. Flail chest
D. Respiratory obstruction
d
A nurse is contributing to the plan of care for a client who is receiving mechanical ventilation.
Which of the following recommendations should the nurse make?
A. Turn off ventilator alarms when performing endotracheal suctioning
3|Page
, B. Maintain the head of the bed at 30 degrees
C. Provide oral care at least every 12 hours
D. Initiate enteral feeding with a low-calorie formula
b
A nurse on a medical unit is assisting with the care of a client who has a possible closed
pneumothorax and significant bruising of the left chest following a motor-vehicle crash. The
client reports severe left chest pain on inspiration. The nurse should hear which of the following
findings when auscultating the client's lung sounds?
A. Absence of breath sounds
B. Expiratory wheezing
C. Inspiratory stridor
D. Rhonchi
a
A nurse on a medical-surgical unit is caring for a client who is postoperative following a hip
replacement. The client reports feeling apprehensive and restless. The nurse collects additional
data from the client. Which of the following findings is an indication of pulmonary embolism?
A. Sudden onset of dyspnea
B. Tracheal deviation
C. Bradycardia
D. Difficulty swallowing
a
a nurse is reinforcing preoperative teaching with a client who has lung cancer and will undergo a
pneumonectomy. Which of the following pieces of information should the nurse include?
(Select all that apply.)
A. "You will have a chest tube in place after surgery."
B. "We'll help you turn, cough, and breathe deeply frequently after surgery."
C. "You will have to remain in bed for about 2 days after the surgery.
" D. "We'll give you oxygen to support your breathing if you need it."
E. "You should expect pain for the first few days after surgery."
a,b,d
4|Page
EXAM TEST BANK 2025 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|GUARANTEED PASS |LATEST
UPDATE
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 take first?
A. Monitor the client's arterial blood gas results
B. Reinforce how to perform controlled coughing
C. Reinforce how to perform pursed-lip breathing
D. Place the client in an upright position
d
A nurse is caring for a client who is experiencing acute opioid toxicity. Which of the following
actions should the nurse identify as the priority?
A. Insert a large-bore IV catheter
B. Ensure an adequate airway
C. Obtain an accurate medication history
D. Prepare to administer an antagonist
b
A nurse is reinforcing discharge teaching with a client who had a pulmonary embolism. Which of
the following statements should the nurse identify as an indication that the client understands
the information?
A. "I'll expect a little leg swelling since I won't be that active for a while."
B. "I'll see the doctor every week to change my vena cava filter."
C. "I'll call the doctor if I see any blood in my urine or stool."
D. "I'll have to take the blood thinner for a few more days."
1|Page
,c
A nurse is assisting a provider with a comprehensive physical examination of a client. When the
provider uses transillumination, the nurse should explain to the client that this technique helps
evaluate which of the following structures?
A. Lymph nodes
B. Maxillary sinuses
C. Intercostal spaces
D. Salivary glands
b
A nurse is helping the provider prepare a client for a thoracentesis. The nurse should instruct
the client that which of the following positions will be used for this procedure?
A. Lying flat on the affected side
B. Prone with the arms raised over the head
C. Supine with the head of the bed elevated
D. Sitting while leaning forward over the bedside table
d
A nurse is assisting with the care of a client who had a chest tube inserted 12 hours ago. The
nurse notes a crackling sensation upon palpation of the skin on the right side of the client's
chest. The nurse should notify the charge nurse that the client is demonstrating a clinical
manifestation of which of the following complications?
A. Friction rub
B. Crackles
C. Crepitus
D. Tactile fremitus
c
A nurse is reviewing the laboratory results of a client who has metabolic alkalosis. Which of the
following laboratory values should the nurse expect?
A. pH 7.31, HCO3- 22 mEq/L, PaCO2 50 mmHg
B. pH 7.48, HCO3- 23 mEq/L, PaCO2 25 mmHg
C. pH 7.32, HCO3- 18 mEq/L, PaCO2 40 mmHg
D. pH 7.49, HCO3- 32 mEq/L, PaCO2 40 mmHg
d
A nurse is caring for a client who had a le lower lobectomy to treat lung cancer. Which of the
following factors has a significant impact on the plan of care for this client?
2|Page
,A. The client will need intensive smoking-cessation education.
B. After surgery, the prognosis for clients with lung cancer is usually good.
C. Lung cancer usually has metastasized before the client has symptoms.
D. Oxygen therapy is ineffective following a lobectomy.
c
A nurse is caring for a client who smokes cigarettes and has a new diagnosis of emphysema.
Which of the following actions should the nurse take to assist the client with smoking cessation?
A. Discuss ways the client can reduce the number of cigarettes smoked per day
B. Suggest the client switch from smoking cigarettes to smoking a pipe
C. Inform the client that treatment will be ineffective if smoking continues
D. Discourage the use of nicotine gum
a
A nurse is collecting data about the respiratory status of a client who has COPD. Which of the
following manifestations should the nurse identify as an indication of the early onset of
respiratory failure?
A. Wheezing
B. Bradypnea
C. Tachycardia
D. Diaphoresis
c
A nurse in the PACU is collecting data from a newly admitted client and observes intercostal
retractions and a high-pitched inspiratory sound. The nurse should identify that these findings
are manifestations of which of the following complications?
A. Pulmonary edema
B. Tension pneumothorax
C. Flail chest
D. Respiratory obstruction
d
A nurse is contributing to the plan of care for a client who is receiving mechanical ventilation.
Which of the following recommendations should the nurse make?
A. Turn off ventilator alarms when performing endotracheal suctioning
3|Page
, B. Maintain the head of the bed at 30 degrees
C. Provide oral care at least every 12 hours
D. Initiate enteral feeding with a low-calorie formula
b
A nurse on a medical unit is assisting with the care of a client who has a possible closed
pneumothorax and significant bruising of the left chest following a motor-vehicle crash. The
client reports severe left chest pain on inspiration. The nurse should hear which of the following
findings when auscultating the client's lung sounds?
A. Absence of breath sounds
B. Expiratory wheezing
C. Inspiratory stridor
D. Rhonchi
a
A nurse on a medical-surgical unit is caring for a client who is postoperative following a hip
replacement. The client reports feeling apprehensive and restless. The nurse collects additional
data from the client. Which of the following findings is an indication of pulmonary embolism?
A. Sudden onset of dyspnea
B. Tracheal deviation
C. Bradycardia
D. Difficulty swallowing
a
a nurse is reinforcing preoperative teaching with a client who has lung cancer and will undergo a
pneumonectomy. Which of the following pieces of information should the nurse include?
(Select all that apply.)
A. "You will have a chest tube in place after surgery."
B. "We'll help you turn, cough, and breathe deeply frequently after surgery."
C. "You will have to remain in bed for about 2 days after the surgery.
" D. "We'll give you oxygen to support your breathing if you need it."
E. "You should expect pain for the first few days after surgery."
a,b,d
4|Page
