ATI MED SURG RESPIRATORY PROCTORED
COMPLETE SOLUTION 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
⩥ Respiratory alkalosis. Answer: hyperventilation
Occurs when pt exhales too much carbon dioxide
⩥ Metabolic alkalosis. Answer: high pH, high HCO3
Pt has excessive amount of bicarbonate
Clients who use bicarbonate of soda as an antacid are at risk for the
development of metabolic alkalosis.
Excessive vomiting also places a client at risk for development of
metabolic alkalosis.
⩥ 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?
A. Hallucinations
B. Pruritus
,C. Hand and foot syndrome
D. Tinnitus. Answer: Tinnitis
An adverse effect of cisplatin is ototoxicity, which can cause tinnitis.
Hand and foot syndrome = adverse effect of capecitabine, an
antineoplastic
- medication used to treat breast and colorectal cancer.
Pruritus is an adverse effect of methotrexate, which is used to treat
cancer and rheumatoid arthritis.
Hallucinations are an adverse effect of asparaginase, which is an
antineoplastic medication used to treat acute lymphocytic leukemi
⩥ 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?
A. Hyperventilate the client with 100% oxygen prior to obtaining the
specimen.
B. Apply ice to site after obtaining the specimen
,C. Perform an Allen's test prior to obtaining the specimen
D. Release pressure applied to puncture site 1 min after needle is
withdrawn Answer: 3.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.
The nurse should apply pressure to the puncture site for 5 to 10 min after
the needle is withdrawn. High pressure of the blood in the arteries places
the client at risk for hemorrhage from the withdrawal site.
The nurse should use ice to preserve the arterial blood gas specimen
during transport to the laboratory. If the sample is not placed on ice, the
pH and PO2 values can be inaccurate. It is not necessary to place ice on
the withdrawal site.
The nurse should not administer oxygen prior to the blood draw, because
the test measures the client's arterial blood gases when breathing room
air.
, ⩥ 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:
A. Increases oxygen intake
B. Promotes carbon dioxide elimination
C. Uses the intercostal muscles
D. Strengthens the diaphragm Answer: B. Promotes carbon dioxide
elimination
The client 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 client'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.
⩥ Pursed lip breathing Answer: The client who uses pursed-lip breathing
breathes in through the nares and out through pursed lips, rather than
concentrating on using chest-wall muscles.
- uses the intercostal muscles
- Strengthens the diaphragm
- Prolongs exhalation
COMPLETE SOLUTION 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
⩥ Respiratory alkalosis. Answer: hyperventilation
Occurs when pt exhales too much carbon dioxide
⩥ Metabolic alkalosis. Answer: high pH, high HCO3
Pt has excessive amount of bicarbonate
Clients who use bicarbonate of soda as an antacid are at risk for the
development of metabolic alkalosis.
Excessive vomiting also places a client at risk for development of
metabolic alkalosis.
⩥ 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?
A. Hallucinations
B. Pruritus
,C. Hand and foot syndrome
D. Tinnitus. Answer: Tinnitis
An adverse effect of cisplatin is ototoxicity, which can cause tinnitis.
Hand and foot syndrome = adverse effect of capecitabine, an
antineoplastic
- medication used to treat breast and colorectal cancer.
Pruritus is an adverse effect of methotrexate, which is used to treat
cancer and rheumatoid arthritis.
Hallucinations are an adverse effect of asparaginase, which is an
antineoplastic medication used to treat acute lymphocytic leukemi
⩥ 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?
A. Hyperventilate the client with 100% oxygen prior to obtaining the
specimen.
B. Apply ice to site after obtaining the specimen
,C. Perform an Allen's test prior to obtaining the specimen
D. Release pressure applied to puncture site 1 min after needle is
withdrawn Answer: 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.
The nurse should apply pressure to the puncture site for 5 to 10 min after
the needle is withdrawn. High pressure of the blood in the arteries places
the client at risk for hemorrhage from the withdrawal site.
The nurse should use ice to preserve the arterial blood gas specimen
during transport to the laboratory. If the sample is not placed on ice, the
pH and PO2 values can be inaccurate. It is not necessary to place ice on
the withdrawal site.
The nurse should not administer oxygen prior to the blood draw, because
the test measures the client's arterial blood gases when breathing room
air.
, ⩥ 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:
A. Increases oxygen intake
B. Promotes carbon dioxide elimination
C. Uses the intercostal muscles
D. Strengthens the diaphragm Answer: B. Promotes carbon dioxide
elimination
The client 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 client'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.
⩥ Pursed lip breathing Answer: The client who uses pursed-lip breathing
breathes in through the nares and out through pursed lips, rather than
concentrating on using chest-wall muscles.
- uses the intercostal muscles
- Strengthens the diaphragm
- Prolongs exhalation
