ATI Dynamic Quiz Med Surg Respiratory Rated A+ 2025

1. A nurse is providing discharge instructions to a client who has a new laryngectomy. The nurse should tell the client to be careful while bathing to prevent which of the following complications? - Aspiration of water 2. A nurse in a med surg unit is assessing a client. The nurse should identify that which of the following findings is a manifestation of a pulmonary embolism? - Stabbing chest pain 3. 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 4. A nurse is caring for a client who is postop following a rhinoplasty. Which of the following findings should the nurse report to the surgeon? - Frequent swallowing 5. A nurse is caring for a client who experiencing acute opioid toxicity. Which of the following actions should the nurse identify as the priority? - Ensure an adequate airway 6. A nurse is caring for a client for whom the respiratory therapist has just removed the endotracheal tube. Which of the following actions should the nurse take first? - Evaluate the client for stridor 7. A nurse is providing discharge teaching to a client who has emphysema. Which of the following instructions should the nurse include? - "Try to drink at least 2 to 3 liters of fluid per day." 8. A client is admitted to the emergency department following a motorcycle crash. The nurse notes a crackling sensation upon palpation of the right side of the client's chest. After notifying the provider, the nurse should document this findings as which of the following? - Crepitus 9. A nurse is caring for a client who has a tracheostomy with an inflated cuff in place. Which of the following findings indicates that the nurse should suction the client's airway secretions? - The nurse auscultates coarse crackles in the lung fields 10. A nurse is caring for a client who smokes cigarettes and has a new diagnosis of emphysema. How should the nurse assist the client with smoking cessation? - Discuss ways the client can reduce the number of cigarettes smoked per day 11. A nurse is providing discharge teaching about improving gas exchange for a client who has emphysema. Which of the following instructions should the nurse include in the teaching? - Use pursed-lip breathing during periods of dyspnea 12. A nurse is providing teaching to a client about pulmonary function testing. Which of the following tests measures the volume of air the lungs can hold at the end of maximum inhalation? - Total lung capacity 13. A nurse in a clinic is providing teaching for a client who is scheduled to have a tuberculin skin test. Which of the following pieces of information should the nurse include? - "You must return to the clinic to have the test read in 2 or 3 days." 14. A nurse is providing discharge teaching to a client who is post op following a rhinoplasty. Which of the following instructions should the nurse include? - "Lie on your back with your head elevated 30 degrees when resting." 15. A nurse is caring for a client who has a 20 year history of COPD and is receiving oxygen at 2 L/min via nasal cannula. The client is dyspneic and has an oxygen saturation via pulse oximetry of 85%. Which of the following actions should the nurse take? - Increase the oxygen flow and request an arterial blood gas determination 16. A nurse is preparing a client for discharge following a bronchoscopy. Which of the following assessments is the nurse's monitoring priority? - Confirming the gag reflex 17. A nurse is planning care for a client ho has COPD and is malnourished. Which of the following recommendations to promote nutritional intake should the nurse include in the plan? - Eat high-calorie foods first 18. A nurse is caring for a client who has a tracheostomy and is receiving mechanical ventilation. When the low-pressure alarm on the ventilator sounds, it indicates which of the following to the nurse? - A leak within the ventilator's circuitry 19. A nurse is providing preoperative teaching to a client who will undergo a total laryngectomy. Which of the following statements indicates that the client understands the impact of the surgery? - "I understand that I will have a permanent tracheostomy after the surgery." 20. A nurse is providing post op care for a client who has 2 chest tubes in place following a lobectomy. The client asks the nurse the reason for having 2 chest tubes. The nurse should inform the client that the lower chest tube is placed for which of the following reasons? - Draining blood and fluid from the pleural space 21. A nurse is planning care for a client who is postop following a hip arthroplasty. In the client's medical record, the nurse notes a history of COPD. Which of the following oxygen-delivery methods should the nurse plan to use for this client? - Nasal cannula 22. A nurse is assessing a client who has a positive tuberculin skin test. Which of the following findings indicates that the client has active tuberculosis? - Night sweats 23. A charge nurse receives notification of the admission of a client who is coughing frequently and whose sputum is pink, frothy, and copious. The client has a history of night sweats, anorexia, and weight loss. Which of the following actions should the nurse take? - Assign the client to a private room with negative-pressure airflow 24. Wear an N95 respirator when entering the client's room 25. A nurse is assessing a client who has pharyngitis. Which of the following findings is the nurse's priority to report to the provider? - Inspiratory stridor 26. A client comes to the ED in severe respiratory distress following left-sided blunt chest trauma. The nurse notes absent breath sounds on the client's left side and a tracheal shift to the right. For which of the following procedures should the nurse prepare the client? - Chest tube insertion 27. A nurse in 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? - Dry cough 28. A nurse is teaching breathing techniques to a client who has emphysema. Which of the following statements indicates that the client understands the mechanics of pursed-lip breathing? - "When I breathe out through pursed lips, my airways don't collapse between breaths." 29. A nurse is caring for a client immediately following extubation. Which of the following manifestations indicates that the nurse should call the rapid response team? - Stridor 30. A nurse is providing preop teaching to a client who has lung cancer and will undergo a pneumonectomy. Which of the following statements should the nurse include? - "You will have a chest tube in place after surgery." 31. "We'll frequently help you turn, cough, and breathe deeply after surgery." 32. "We'll give you oxygen to support your breathing if you need it." 33. A nurse is planning post op education for a client who will undergo a radical neck dissection for cancer of the larynx. The nurse should include which of the following topics? - NPO status 34. Alternative methods of communication 35. Changes in body image 36. Swallowing exercises