1|Page
ATI MED SURG RESPIRATORY PROCTORED EXAM TEST BANK
NEWEST 2025/2026 ACTUAL EXAM WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
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 - ANSWER-D. -
pH 7.49, HCO3- 32 mEq/L, PaCO2 40 mmHg
The nurse should identify that these laboratory values reflect
metabolic alkalosis. The pH and bicarbonate values are greater
than the expected reference range, and the PaCO2 is within the
expected reference range.
Incorrect Answers:
A. - These laboratory values reflect respiratory acidosis.
B. - These laboratory values reflect respiratory alkalosis.
,2|Page
C. - These laboratory values reflect metabolic acidosis.
A nurse is providing discharge teaching to a client who has
emphysema. Which of the following instructions should the nurse
include?
A. - "Be sure to take cough medicine to avoid coughing."
B. - "Try to drink at least 2 to 3 liters of fluid per day."
C. - "Try to reduce your smoking to 2 cigarettes per day."
D. - "Be sure to eat 3 full meals each day." - ANSWER-B. - "Try to
drink at least 2 to 3 liters of fluid per day."
Although adequate hydration is essential for all clients, clients
who have emphysema should drink 2 to 3 L per day to help
liquefy secretions.
Incorrect Answers:
A. - The nurse should remind the client of the importance of
coughing for removing excess mucus. The client should cough
after getting out of bed, before mealtime, and before bedtime.
,3|Page
C. - The nurse should encourage clients who have emphysema to
quit smoking completely.
D. - The client should eat 4 to 6 small meals per day to prevent
the exhaustion and shortness of breath that can result from
ingesting large meals.
A nurse is caring for a client who is receiving mechanical
ventilation and develops acute respiratory distress. Which of the
following actions should the nurse take first?
A. - Initiate bag-valve-mask ventilation
B. - Provide the client with a communication board
C. - Obtain a blood sample for ABG analysis
D. - Document the ventilator settings - ANSWER-A. - Initiate bag-
valve-mask ventilation
The nurse should apply the ABC priority-setting framework, which
emphasizes the basic core of human functioning: having an open
airway, being able to breathe in adequate amounts of oxygen, and
circulating oxygen to the body's organs via the blood. An
, 4|Page
alteration in any of these areas can indicate a threat to life and is
the nurse's priority concern. When applying the ABC priority-
setting framework, airway is always the highest priority because
the airway must be clear for oxygen exchange to occur. Breathing
is the second-highest priority because adequate ventilatory effort
is essential in order for oxygen exchange to occur. Circulation is
the third-highest priority because the delivery of oxygen to critical
organs only occurs if the heart and blood vessels are capable of
efficiently carrying oxygen to them. Therefore, the nurse should
first provide ventilations with a bag-valve-mask device.
Incorrect Answers:
B. - The nurse should provide a communication board due to the
client's inability to speak; however, there is another action the
nurse should take first.
C. - The nurse should obtain a blood sample for ABG analysis to
help determine the status of the client's respiratory system;
however, there is another action the nurse should take first.
ATI MED SURG RESPIRATORY PROCTORED EXAM TEST BANK
NEWEST 2025/2026 ACTUAL EXAM WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
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 - ANSWER-D. -
pH 7.49, HCO3- 32 mEq/L, PaCO2 40 mmHg
The nurse should identify that these laboratory values reflect
metabolic alkalosis. The pH and bicarbonate values are greater
than the expected reference range, and the PaCO2 is within the
expected reference range.
Incorrect Answers:
A. - These laboratory values reflect respiratory acidosis.
B. - These laboratory values reflect respiratory alkalosis.
,2|Page
C. - These laboratory values reflect metabolic acidosis.
A nurse is providing discharge teaching to a client who has
emphysema. Which of the following instructions should the nurse
include?
A. - "Be sure to take cough medicine to avoid coughing."
B. - "Try to drink at least 2 to 3 liters of fluid per day."
C. - "Try to reduce your smoking to 2 cigarettes per day."
D. - "Be sure to eat 3 full meals each day." - ANSWER-B. - "Try to
drink at least 2 to 3 liters of fluid per day."
Although adequate hydration is essential for all clients, clients
who have emphysema should drink 2 to 3 L per day to help
liquefy secretions.
Incorrect Answers:
A. - The nurse should remind the client of the importance of
coughing for removing excess mucus. The client should cough
after getting out of bed, before mealtime, and before bedtime.
,3|Page
C. - The nurse should encourage clients who have emphysema to
quit smoking completely.
D. - The client should eat 4 to 6 small meals per day to prevent
the exhaustion and shortness of breath that can result from
ingesting large meals.
A nurse is caring for a client who is receiving mechanical
ventilation and develops acute respiratory distress. Which of the
following actions should the nurse take first?
A. - Initiate bag-valve-mask ventilation
B. - Provide the client with a communication board
C. - Obtain a blood sample for ABG analysis
D. - Document the ventilator settings - ANSWER-A. - Initiate bag-
valve-mask ventilation
The nurse should apply the ABC priority-setting framework, which
emphasizes the basic core of human functioning: having an open
airway, being able to breathe in adequate amounts of oxygen, and
circulating oxygen to the body's organs via the blood. An
, 4|Page
alteration in any of these areas can indicate a threat to life and is
the nurse's priority concern. When applying the ABC priority-
setting framework, airway is always the highest priority because
the airway must be clear for oxygen exchange to occur. Breathing
is the second-highest priority because adequate ventilatory effort
is essential in order for oxygen exchange to occur. Circulation is
the third-highest priority because the delivery of oxygen to critical
organs only occurs if the heart and blood vessels are capable of
efficiently carrying oxygen to them. Therefore, the nurse should
first provide ventilations with a bag-valve-mask device.
Incorrect Answers:
B. - The nurse should provide a communication board due to the
client's inability to speak; however, there is another action the
nurse should take first.
C. - The nurse should obtain a blood sample for ABG analysis to
help determine the status of the client's respiratory system;
however, there is another action the nurse should take first.
