NSG 308 ATI Learning System. Questions & Answers. A Rated.

1. A nurse admits a client from the surgical suite following a left pneumonectomy for adenocarcinoma. Which type of chest drainage should the nurse anticipate the client will have? a. No chest drainage 2. During preoperative teaching of a client scheduled for a right pneumonectomy, the client tells the nurse, “ I cough all the time, and I’m really afraid it will hurt when I cough after the surgery.” Which of the following is an appropriate nursing response? a. I will show you how to splint your incision while coughing 3. A nurse is preparing a care plan for a client admitted following chest tube placement for a spontaneous pneumothorax. Which of the following is an appropriate intervention for the nurse to include? a. Tape all connections between the chest tube and drainage system 4. When performing an admission assessment for a client with reactive airway disease who is experiencing an acute asthma attack, the nurse should expect to auscultate for which of the following? a. An expiratory wheezing 5. A client is scheduled for a thoracentesis. Into which position should the nurse assist the client for the procedure? a. Sitting while leaning forward over the bedside table 6. While changing soiled Velcro ties for a client with a tracheostomy, the client suddenly coughs, dislodging the tracheostomy tube. Which of the following is the appropriate nursing action? a. Reinsert the tracheostomy tube 7. Following a bronchoscopy, a client is sleepy but asks for a drink. Which of the following should be the nurse’s first action. a. Check the client’s gag reflex 8. A nurse is caring for a client who has a tracheostomy with an inflated cuff in place. Which of the following indicates that the nurse should suction the client’s airways secretions? a. The nurse auscultates coarse crackles in the lung fields 9. A pulse oximeter reading from a client diagnosed with smoke inhalation is 85% with a 40% face mask. The provider prescribes an increase of the oxygen to 50%. Because the client is at high risk for adult respiratory distress syndrome (ARDS), the nurse must assess the client for which manifestation after the inspired oxygen change is implemented? a. Increased restlessness 10. An older adult client is admitted with respiratory acidosis as a complication of chronic obstructive pulmonary disease (COPD). The nurse suspects that this is related to which of the following? a. Decreased exhalation of carbon dioxide 11. While assessing a client who is unconscious following major trauma, the nurse notes that a portion of the client’s chest pulls inward on inspiration. On expiration, the same portion expands outward. The nurse documents the presence of which of the following? a. Flail chest 12. A client diagnosed with pneumonia is prescribed chest physiotherapy (CPT) every 4 hr. In planning the client’s care, the nurse understands that the purpose of CPT is which of the following? a. Mobilize secretions in the airways 13. Following a motor-vehicle crash, a client is admitted with multiple trauma, including significant bruising of the left chest from striking the steering wheel. The client is alert and reports severe left chest pain on inspiration. The nurse should assess the client for manifestations of pneumothorax, including which of the following? a. Absence of breath sounds 14. A nurse teaches a client with emphysema the proper technique for pursed lip breathing. The nurse explains to the client that pursed lip breathing will help do which of the following? a. Promote carbon dioxide elimination 15. A nurse plans to obtain a blood sample for a client’s preoperative arterial blood gas (ABG) analysis. Prior to withdrawing the blood, the nurse should do which of the following? a. Perform an Allen’s test