1|Page
ATI PME Respiratory Study Guide | Verified Practice
Questions, Correct Answers & High-Yield
Rationales||Newest Exam!!!
A nurse is assessing a patient who has a chest tube in
place following a thoracic surgery. Which of the following
findings indicates a need for intervention:
1. Fluctuation of drainage in the tubing with inspiration.
2. Continuous bubbling in the water seal chamber.
3. Drainage of 75 mL in the first hour after surgery.
4. Several small, dark-red blood clots in the tubing. -
Answers-2. Continuous bubbling in the water seal
chamber.
Continuous bubbling in the water seal chamber suggests
an air leak.
A nurse is caring for an elderly patient who suffers from
COPD with pneumonia. The nurse should monitor the
patient for which of the following acid-base imbalances?
,2|Page
1. Respiratory alkalosis
2. Respiratory acidosis
3. Metabolic alkalosis
4. Metabolic acidosis - Answers-2. Respiratory acidosis
Respiratory acidosis is a common complication of COPD.
This complication occurs because patients who have
COPD are unable to exhale carbon dioxide due to a loss
of elastic recoil in the lungs.
A nurse is preparing to administer cisplatin IV to a patient
with lung cancer. The nurse should identify that which of
the following findings is an adverse effect of this
medication?
1. Hallucinations
2. Pruritis
3. Hand and foot syndrome
4. Tinnitis - Answers-4. Tinnitis
An adverse effect of cisplatin is ototoxicity, which can
cause tinnitis.
,3|Page
A nurse is preparing to assist a provider to withdraw
arterial blood from a patient's radial artery for
measurement of ABG. Which of the following actions
should the nurse plan to take?
1. Hyperventilate the patient with 100% oxygen prior to
obtaining the specimen.
2. Apply ice to the site after obtaining the specimen.
3. Perform an Allen's test prior to obtaining the specimen.
4. Release pressure applied to the puncture site 1 minute
after the needle is withdrawn. - Answers-3. Perform an
Allen's test prior to obtaining the specimen.
The nurse should ensure that circulation to the hand is
adequate from the ulnar artery in case the radial artery is
injured from the blood draw. The most common site for
withdrawal of arterial blood gases is the radial artery.
A nurse is providing instructions about pursed-lip breathing
for a patient who has COPD with emphysema. The nurse
should explain that this breathing technique accomplishes
which of the following:
, 4|Page
1. Increases oxygen intake
2. Promotes carbon dioxide elimination
3. Uses the intercostal muscles
4. Strengthens the diaphram - Answers-2. Promotes
carbon dioxide elimination
A patient who has COPD with emphysema should use
pursed-lip breathing when experiencing dyspnea. This is
one of the simplest ways to control dyspnea. It slows the
patient's pace of breathing, making each breath more
effective. Pursed-lip breathing releases trapped air in the
lungs and prolongs exhalation to slow the breathing rate.
This improved breathing pattern moves carbon dioxide out
of the lungs more efficiently.
A nurse is preparing a patient for a thoracentesis. In which
of the following positions should the nurse place the
patient:
1. Lying flat on the affected site
2. Prone with arms raised over the head
3. Supine with the head of the bed elevated
ATI PME Respiratory Study Guide | Verified Practice
Questions, Correct Answers & High-Yield
Rationales||Newest Exam!!!
A nurse is assessing a patient who has a chest tube in
place following a thoracic surgery. Which of the following
findings indicates a need for intervention:
1. Fluctuation of drainage in the tubing with inspiration.
2. Continuous bubbling in the water seal chamber.
3. Drainage of 75 mL in the first hour after surgery.
4. Several small, dark-red blood clots in the tubing. -
Answers-2. Continuous bubbling in the water seal
chamber.
Continuous bubbling in the water seal chamber suggests
an air leak.
A nurse is caring for an elderly patient who suffers from
COPD with pneumonia. The nurse should monitor the
patient for which of the following acid-base imbalances?
,2|Page
1. Respiratory alkalosis
2. Respiratory acidosis
3. Metabolic alkalosis
4. Metabolic acidosis - Answers-2. Respiratory acidosis
Respiratory acidosis is a common complication of COPD.
This complication occurs because patients who have
COPD are unable to exhale carbon dioxide due to a loss
of elastic recoil in the lungs.
A nurse is preparing to administer cisplatin IV to a patient
with lung cancer. The nurse should identify that which of
the following findings is an adverse effect of this
medication?
1. Hallucinations
2. Pruritis
3. Hand and foot syndrome
4. Tinnitis - Answers-4. Tinnitis
An adverse effect of cisplatin is ototoxicity, which can
cause tinnitis.
,3|Page
A nurse is preparing to assist a provider to withdraw
arterial blood from a patient's radial artery for
measurement of ABG. Which of the following actions
should the nurse plan to take?
1. Hyperventilate the patient with 100% oxygen prior to
obtaining the specimen.
2. Apply ice to the site after obtaining the specimen.
3. Perform an Allen's test prior to obtaining the specimen.
4. Release pressure applied to the puncture site 1 minute
after the needle is withdrawn. - Answers-3. Perform an
Allen's test prior to obtaining the specimen.
The nurse should ensure that circulation to the hand is
adequate from the ulnar artery in case the radial artery is
injured from the blood draw. The most common site for
withdrawal of arterial blood gases is the radial artery.
A nurse is providing instructions about pursed-lip breathing
for a patient who has COPD with emphysema. The nurse
should explain that this breathing technique accomplishes
which of the following:
, 4|Page
1. Increases oxygen intake
2. Promotes carbon dioxide elimination
3. Uses the intercostal muscles
4. Strengthens the diaphram - Answers-2. Promotes
carbon dioxide elimination
A patient who has COPD with emphysema should use
pursed-lip breathing when experiencing dyspnea. This is
one of the simplest ways to control dyspnea. It slows the
patient's pace of breathing, making each breath more
effective. Pursed-lip breathing releases trapped air in the
lungs and prolongs exhalation to slow the breathing rate.
This improved breathing pattern moves carbon dioxide out
of the lungs more efficiently.
A nurse is preparing a patient for a thoracentesis. In which
of the following positions should the nurse place the
patient:
1. Lying flat on the affected site
2. Prone with arms raised over the head
3. Supine with the head of the bed elevated
