ATI MED SURG RESPIRATORY 2 LATEST VERSIONS (VERSION A AND B) AND STUDY GUIDE NEWEST 2024
ACTUAL EXAM 250 QUESTIONS AND CORRECT DETAILED ANSWERS
a nurse is reinforcing teaching about pursed-lip breathing for a client who has COPD and emphysema.
the nurse should explain that this breathing technique does which of the following? - (answer) keeps
the airways open on exhalation
a nurse is assisting with the plan of 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? - (answer) tape all connections
between the chest tube and drainage system
a nurse is reinforcing preoperative teaching with 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
should the nurse make? - (answer) "I will show you how to splint your incision while coughing."
a nurse is 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. the nurse collects additional
data from the client. which of the following findings is an indication of pulmonary embolism? - (answer)
sudden onset of dyspnea - clinical manifestations of pulmonary embolism have a rapid onset. dyspnea
occurs due to reduced blood flow to the lungs
- tracheal deviation is an indication of tension pneumothorax and is fatal if not promptly treated
- tachycardia is a clinical manifestation of pulmonary embolism
- difficulty swallowing is an indication of many conditions, including oral cancer
a nurse is an urgent care clinic is collecting data from a client who reports exposure to anthrax. which of
the following findings is an indication of the prodromal stage of inhalation anthrax? - (answer) dry
cough - the client who has a dry cough has a clinical manifestation found in the prodromal stage of
inhalation anthrax. during this stage, it is difficult to distinguish from influenza or pneumonia because
there is no sore throat or rhinitis
- the client who has rhinitis is not manifesting findings of anthrax, however, rhinitis is typically seen with
colds and influenza
, ATI MED SURG RESPIRATORY 2 LATEST VERSIONS (VERSION A AND B) AND STUDY GUIDE NEWEST 2024
ACTUAL EXAM 250 QUESTIONS AND CORRECT DETAILED ANSWERS
- the client who has a sore throat is not manifesting findings of inhalation anthrax, however, a sore throat
is typically seen with colds and influenza
- swollen lymph nodes with a swollen edematous lesion can be a clinical manifestation of cutaneous
anthrax
a nurse on a medical unit is assisting with the care of a client who has a possible closed pneumothorax
and significant bruising on 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? - (answer) absence of breath sounds - a client who has pneumothorax
experiences severely diminished or absent breath sounds on the affected side
- a client who has asthma experiences an expiratory wheezing during an acute asthma attack
- a client who has an airway obstruction experiences inspiratory stridor, which is a loud crowing-like
sound often heard without a stethoscope
- a client who has thick sputum production or obstruction from a foreign body has rhonchi, which are
dry, low-pitched, snore-like noises produced in the throat
a nurse is caring for an older client who has COPD and pneumonia. the nurse should monitor the client
for which of the following acid-base imbalances? - (answer) respiratory acidosis - respiratory acidosis is
a common complication of COPD. this complication occurs because clients who have COPD are unable to
exhale carbon dioxide due to a loss of elastic recoil in the lungs
- respiratory alkalosis occurs when a client exhales too much carbon dioxide. client who hyperventilate
often experiences this complication
- metabolic alkalosis occurs when a client has an excess of bicarbonate. clients who use bicarbonate of
soda as an antacid are at risk for the development of metabolic alkalosis. excessive vomiting also places a
client at risk for development of metabolic alkalosis
ACTUAL EXAM 250 QUESTIONS AND CORRECT DETAILED ANSWERS
a nurse is reinforcing teaching about pursed-lip breathing for a client who has COPD and emphysema.
the nurse should explain that this breathing technique does which of the following? - (answer) keeps
the airways open on exhalation
a nurse is assisting with the plan of 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? - (answer) tape all connections
between the chest tube and drainage system
a nurse is reinforcing preoperative teaching with 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
should the nurse make? - (answer) "I will show you how to splint your incision while coughing."
a nurse is 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. the nurse collects additional
data from the client. which of the following findings is an indication of pulmonary embolism? - (answer)
sudden onset of dyspnea - clinical manifestations of pulmonary embolism have a rapid onset. dyspnea
occurs due to reduced blood flow to the lungs
- tracheal deviation is an indication of tension pneumothorax and is fatal if not promptly treated
- tachycardia is a clinical manifestation of pulmonary embolism
- difficulty swallowing is an indication of many conditions, including oral cancer
a nurse is an urgent care clinic is collecting data from a client who reports exposure to anthrax. which of
the following findings is an indication of the prodromal stage of inhalation anthrax? - (answer) dry
cough - the client who has a dry cough has a clinical manifestation found in the prodromal stage of
inhalation anthrax. during this stage, it is difficult to distinguish from influenza or pneumonia because
there is no sore throat or rhinitis
- the client who has rhinitis is not manifesting findings of anthrax, however, rhinitis is typically seen with
colds and influenza
, ATI MED SURG RESPIRATORY 2 LATEST VERSIONS (VERSION A AND B) AND STUDY GUIDE NEWEST 2024
ACTUAL EXAM 250 QUESTIONS AND CORRECT DETAILED ANSWERS
- the client who has a sore throat is not manifesting findings of inhalation anthrax, however, a sore throat
is typically seen with colds and influenza
- swollen lymph nodes with a swollen edematous lesion can be a clinical manifestation of cutaneous
anthrax
a nurse on a medical unit is assisting with the care of a client who has a possible closed pneumothorax
and significant bruising on 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? - (answer) absence of breath sounds - a client who has pneumothorax
experiences severely diminished or absent breath sounds on the affected side
- a client who has asthma experiences an expiratory wheezing during an acute asthma attack
- a client who has an airway obstruction experiences inspiratory stridor, which is a loud crowing-like
sound often heard without a stethoscope
- a client who has thick sputum production or obstruction from a foreign body has rhonchi, which are
dry, low-pitched, snore-like noises produced in the throat
a nurse is caring for an older client who has COPD and pneumonia. the nurse should monitor the client
for which of the following acid-base imbalances? - (answer) respiratory acidosis - respiratory acidosis is
a common complication of COPD. this complication occurs because clients who have COPD are unable to
exhale carbon dioxide due to a loss of elastic recoil in the lungs
- respiratory alkalosis occurs when a client exhales too much carbon dioxide. client who hyperventilate
often experiences this complication
- metabolic alkalosis occurs when a client has an excess of bicarbonate. clients who use bicarbonate of
soda as an antacid are at risk for the development of metabolic alkalosis. excessive vomiting also places a
client at risk for development of metabolic alkalosis
