2024 -2025 ATI RESPIRATORY ACTUAL EXAM ASSESSMENT 80 QUESTION AND
CORRECT DETAILED ANSWERS WITH RATIONALES RATED A GRADE.
A client is admitted to the emergency department following a motorcycle crash. The nurse notes a
crackling sensation upon palpation on the right side of the client's chest. After notifying the provider the
nurse should document this finding as which of the following?
a. friction rub
b. crackles
c. crepitus
d. tactile fremitus - ansc. crepitus
A nurse in a clinic is providing teaching for a client who is to have a tuberculin skin test. Which of the
following information should the nurse include?
a. if the test is positive, it means you have an active case of TB
b. if the test is positive, you should have another TB skin test in 3 weeks
c. you must return to the clinic to have the test read in 2 or 3 days
d. a nurse will use a small lancet to scratch the skin of your forearm before applying the tuberculin
substance. - ansc. you must return to the clinic to have the test read in 2-3 days
A nurse in a provider's office is assessing a client who states he was recently exposed to tuberculosis.
Which of the following findings is a clinical manifestation of pulmonary tuberculosis?
a. pericardial friction rub
b. weight gain
c. night sweats
d. cyanosis of the fingertips - ansc. night sweats
A nurse in an urgent care clinical is collecting data from a client who reports exposure to anthrax. Which
of the following findings is an indication of the prodromal stage of anthrax?
a. dry cough
b. rhinitis
c. sore throat
d. swollen lymph nodes - ansa. dry cough
A nurse in the emergency department is assessing a client for a 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 assess the client for Which of the following manifestations of
pneumothorax?
a. absence of breath sounds
b. expiratory wheezing
c. inspiratory stridor
d. rhonchi - ansa. absence of breath sounds
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?
a. the client is unable to speak
b. the client's airway secretions were last suctioned 2 hrs ago
c. the client coughs and expectorates a large mucous plug
d. the nurse auscultates coarse crackles in the lung fields - ansd. the nurse auscultates coarse crackles in
the lung fields
A nurse is caring for an older client who has chronic obstructive pulmonary disease with pneumonia. The
nurse should monitor the client for Which of the following acid-base imbalances?
a. respiratory alkalosis
b. respiratory acidosis
c. metabolic alkalosis
d. metabolic acidosis - ansb. respiratory acidosis
A nurse is developing a teaching plan for a client about preventing acute asthma attacks. Which of the
following points should the nurse plan to discuss first?
, 2024 -2025 ATI RESPIRATORY ACTUAL EXAM ASSESSMENT 80 QUESTION AND
CORRECT DETAILED ANSWERS WITH RATIONALES RATED A GRADE.
a. how to eliminate environmental triggers that precipitate attacks
b. the client's perception of the disease process and what might have triggered past attacks
c. the client's med regimen
d. manifestations of respiratory infections - ansb. the client's perception of the disease process and what
might have triggered past attacks
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?
a. clamp the chest tube if there is continuous bubbling in the water seal chamber
b. keep the chest tube drainage system at the level of the right atrium
c. tape all connections between the chest tube and drainage system
d. empty the collection chamber and record the amount of drainage every 8 hrs. - ansc. tape all
connections between the chest tube and drainage system.
A nurse is planning care for a client who has COPD and is malnourished. Which of the following
recommendations to promote nutritional intake should the nurse include in the plan?
a. eat high-calorie foods first
b. increase intake of water at meals
c. perform active rang-of-motion exercises before meals
d. keep saltine crackers nearby for snacking - ansa. eat high-calorie foods first
A nurse is preparing a client for a thoracentesis. In which of the following positions should the nurse place
the client?
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 - ansd. sitting while leaning forward over the
bedside table
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?
a. hallucinations
b. pruritis
c. hand and foot syndrome
d. tinnitus - ansd. tinnitus
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?
a. hyperventilate the client to 100% O2 prior to obtaining the specimen
b. apply ice to the site after obtaining the specimen
c. perform an Allen's test prior to obtaining the specimen
d. Release pressure applied to the puncture site 1 min after the needle is withdrawn. - ansc. perform an
Allen's test prior to obtaining the specimen
A nurse is providing a 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?
a. after the surgeon removes the lung, you will not need to cough
b. I'll make sure you get a cough suppressant to keep you from straining the incision when you cough
c. don't worry, you will have a pump that delivers pain medication as you need it, so you will have very
little pain
d. I will show you how to splint your incision while coughing. - ansI will show you how to splint your
incision while coughing
A nurse is providing discharge teaching to a client who is postoperative following a rhinopasty. Which of
the following instructions should the nurse include?
CORRECT DETAILED ANSWERS WITH RATIONALES RATED A GRADE.
A client is admitted to the emergency department following a motorcycle crash. The nurse notes a
crackling sensation upon palpation on the right side of the client's chest. After notifying the provider the
nurse should document this finding as which of the following?
a. friction rub
b. crackles
c. crepitus
d. tactile fremitus - ansc. crepitus
A nurse in a clinic is providing teaching for a client who is to have a tuberculin skin test. Which of the
following information should the nurse include?
a. if the test is positive, it means you have an active case of TB
b. if the test is positive, you should have another TB skin test in 3 weeks
c. you must return to the clinic to have the test read in 2 or 3 days
d. a nurse will use a small lancet to scratch the skin of your forearm before applying the tuberculin
substance. - ansc. you must return to the clinic to have the test read in 2-3 days
A nurse in a provider's office is assessing a client who states he was recently exposed to tuberculosis.
Which of the following findings is a clinical manifestation of pulmonary tuberculosis?
a. pericardial friction rub
b. weight gain
c. night sweats
d. cyanosis of the fingertips - ansc. night sweats
A nurse in an urgent care clinical is collecting data from a client who reports exposure to anthrax. Which
of the following findings is an indication of the prodromal stage of anthrax?
a. dry cough
b. rhinitis
c. sore throat
d. swollen lymph nodes - ansa. dry cough
A nurse in the emergency department is assessing a client for a 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 assess the client for Which of the following manifestations of
pneumothorax?
a. absence of breath sounds
b. expiratory wheezing
c. inspiratory stridor
d. rhonchi - ansa. absence of breath sounds
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?
a. the client is unable to speak
b. the client's airway secretions were last suctioned 2 hrs ago
c. the client coughs and expectorates a large mucous plug
d. the nurse auscultates coarse crackles in the lung fields - ansd. the nurse auscultates coarse crackles in
the lung fields
A nurse is caring for an older client who has chronic obstructive pulmonary disease with pneumonia. The
nurse should monitor the client for Which of the following acid-base imbalances?
a. respiratory alkalosis
b. respiratory acidosis
c. metabolic alkalosis
d. metabolic acidosis - ansb. respiratory acidosis
A nurse is developing a teaching plan for a client about preventing acute asthma attacks. Which of the
following points should the nurse plan to discuss first?
, 2024 -2025 ATI RESPIRATORY ACTUAL EXAM ASSESSMENT 80 QUESTION AND
CORRECT DETAILED ANSWERS WITH RATIONALES RATED A GRADE.
a. how to eliminate environmental triggers that precipitate attacks
b. the client's perception of the disease process and what might have triggered past attacks
c. the client's med regimen
d. manifestations of respiratory infections - ansb. the client's perception of the disease process and what
might have triggered past attacks
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?
a. clamp the chest tube if there is continuous bubbling in the water seal chamber
b. keep the chest tube drainage system at the level of the right atrium
c. tape all connections between the chest tube and drainage system
d. empty the collection chamber and record the amount of drainage every 8 hrs. - ansc. tape all
connections between the chest tube and drainage system.
A nurse is planning care for a client who has COPD and is malnourished. Which of the following
recommendations to promote nutritional intake should the nurse include in the plan?
a. eat high-calorie foods first
b. increase intake of water at meals
c. perform active rang-of-motion exercises before meals
d. keep saltine crackers nearby for snacking - ansa. eat high-calorie foods first
A nurse is preparing a client for a thoracentesis. In which of the following positions should the nurse place
the client?
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 - ansd. sitting while leaning forward over the
bedside table
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?
a. hallucinations
b. pruritis
c. hand and foot syndrome
d. tinnitus - ansd. tinnitus
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?
a. hyperventilate the client to 100% O2 prior to obtaining the specimen
b. apply ice to the site after obtaining the specimen
c. perform an Allen's test prior to obtaining the specimen
d. Release pressure applied to the puncture site 1 min after the needle is withdrawn. - ansc. perform an
Allen's test prior to obtaining the specimen
A nurse is providing a 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?
a. after the surgeon removes the lung, you will not need to cough
b. I'll make sure you get a cough suppressant to keep you from straining the incision when you cough
c. don't worry, you will have a pump that delivers pain medication as you need it, so you will have very
little pain
d. I will show you how to splint your incision while coughing. - ansI will show you how to splint your
incision while coughing
A nurse is providing discharge teaching to a client who is postoperative following a rhinopasty. Which of
the following instructions should the nurse include?
