ATI MED SURG: Respiratory Learning System Common
practice test Questions and Answers; verified and accurate
2025
The client should have the skin test read in 2 to 3 days. An area of induration after 48 to
72 hr indicates exposure to the tubercle bacillus. If the client does not return to have the
test read within 72 hr, another tuberculin skin test is necessary
Repeat TB test in 3 weeks = not necessary, pt will need chest xray
A nurse is teaching about daily chest physiotherapy with a patient who has cystic
fibrosis. The nurse should instruct the patient that which of the following is the purpose
of the treatments:
A. To encourage deep breaths
B. To mobilize secretions in airway
C. To dilate the bronchioles
D. To stimulate the cough reflex - correct answer 2. To mobilize secretions in the
airways
The purpose of chest physiotherapy is to loosen the patient's secretions and promote
drainage of secretions from the lungs. Chest physiotherapy includes percussion,
vibration, and promotion of drainage by gravity.
A positive test means the client has been exposed to tubercle bacillus (TB), but it does
not mean that the client has an active case of tuberculosis. The client should have a
chest x-ray to rule out active tuberculosis.
The nurse will inject 0.1 mL of purified protein derivative intradermally to the dorsal
aspect of the client's forearm.
,A nurse in an urgent care clinical is collecting data from a patient who reports exposure
to anthrax. Which of the following findings is an indication of the prodromal stage of
inhalation anthrax:
A. Dry cough
B. Rhinitis
C. Sore throat
D. Swollen lymph nodes - correct answer 1. Dry cough
A dry cough is a clinical manifestation found in the prodromal stage of having inhalation
anthrax.
During this stage, it is difficult to distinguish from influenza or pneumonia because there
is no sore throat or rhinitis.
Anthrax - correct answer An infection caused by the bacteria Bacillus anthracis.
Although it's most commonly found in grazing animals (such as sheep, pigs, cattle,
horses, and goats), anthrax can sometimes infect humans. In the environment, anthrax
can form spores (a version of the germ in a hard shell) that can live in the soil for years.
There are three main types of anthrax: cutaneous (skin) anthrax, which can occur if
someone handles contaminated animals or animal products (especially animal hides)
while they have a cut, abrasion, or rash on the skin; intestinal anthrax, which can occur
if someone eats contaminated meat; and pulmonary (inhaled) anthrax, which is
extremely rare but can occur if someone breathes anthrax spores, usually found in the
dust kicked up by animals. Symptoms vary depending on the type of anthrax.
Pulmonary anthrax usually begins with flu-like symptoms but, if untreated, can rapidly
turn into severe pneumonia (an inflammation of the lungs).
A nurse is providing preoperative teaching to a patient who is to undergo a
pneumoectomy. The patient states "I am afraid it will hurt to cough after 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 you cough. - correct answer D.. I will
show you how to splint your incision while you cough.
The client who had a pneumonectomy should cough to clear secretions from the
remaining lung. The nurse should show the client how to splint her incision to reduce
pain when coughing.
A patient is admitted to the emergency department following a motorcycle crash. The
nurse notes a crackling sensation upon palpation on the right side of the patient's chest.
After notifying the provider, the nurse should document the finding as which of the
following:
A. Friction rub
B. Crackles
C. Crepitus
D. Tactile Fremitus - correct answer 3. Crepitus
Crepitus, also called subcutaneous emphysema, is a coarse crackling sensation that
the nurse can feel when palpating the skin surface over the patient's chest. Crepitus
indicates an air leak into the subcutaneous tissue, which is often a clinical manifestation
of a pneumothorax.
Tactile fremitus - correct answer Tactile fremitus is a vibration of the chest wall that the
nurse can feel when palpating the client's chest as the client repeats a syllable such as
'nine-nine'.
Increased tactile fremitus is a clinical manifestation of pneumonia.
Crackles - correct answer Crackles, which are sometimes called rales, are wet,
popping sounds the nurse can hear when auscultating the client's lungs. This condition
occurs when there is fluid in the client's airways or alveoli. Crackles are a clinical
manifestation of pneumonia.
practice test Questions and Answers; verified and accurate
2025
The client should have the skin test read in 2 to 3 days. An area of induration after 48 to
72 hr indicates exposure to the tubercle bacillus. If the client does not return to have the
test read within 72 hr, another tuberculin skin test is necessary
Repeat TB test in 3 weeks = not necessary, pt will need chest xray
A nurse is teaching about daily chest physiotherapy with a patient who has cystic
fibrosis. The nurse should instruct the patient that which of the following is the purpose
of the treatments:
A. To encourage deep breaths
B. To mobilize secretions in airway
C. To dilate the bronchioles
D. To stimulate the cough reflex - correct answer 2. To mobilize secretions in the
airways
The purpose of chest physiotherapy is to loosen the patient's secretions and promote
drainage of secretions from the lungs. Chest physiotherapy includes percussion,
vibration, and promotion of drainage by gravity.
A positive test means the client has been exposed to tubercle bacillus (TB), but it does
not mean that the client has an active case of tuberculosis. The client should have a
chest x-ray to rule out active tuberculosis.
The nurse will inject 0.1 mL of purified protein derivative intradermally to the dorsal
aspect of the client's forearm.
,A nurse in an urgent care clinical is collecting data from a patient who reports exposure
to anthrax. Which of the following findings is an indication of the prodromal stage of
inhalation anthrax:
A. Dry cough
B. Rhinitis
C. Sore throat
D. Swollen lymph nodes - correct answer 1. Dry cough
A dry cough is a clinical manifestation found in the prodromal stage of having inhalation
anthrax.
During this stage, it is difficult to distinguish from influenza or pneumonia because there
is no sore throat or rhinitis.
Anthrax - correct answer An infection caused by the bacteria Bacillus anthracis.
Although it's most commonly found in grazing animals (such as sheep, pigs, cattle,
horses, and goats), anthrax can sometimes infect humans. In the environment, anthrax
can form spores (a version of the germ in a hard shell) that can live in the soil for years.
There are three main types of anthrax: cutaneous (skin) anthrax, which can occur if
someone handles contaminated animals or animal products (especially animal hides)
while they have a cut, abrasion, or rash on the skin; intestinal anthrax, which can occur
if someone eats contaminated meat; and pulmonary (inhaled) anthrax, which is
extremely rare but can occur if someone breathes anthrax spores, usually found in the
dust kicked up by animals. Symptoms vary depending on the type of anthrax.
Pulmonary anthrax usually begins with flu-like symptoms but, if untreated, can rapidly
turn into severe pneumonia (an inflammation of the lungs).
A nurse is providing preoperative teaching to a patient who is to undergo a
pneumoectomy. The patient states "I am afraid it will hurt to cough after 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 you cough. - correct answer D.. I will
show you how to splint your incision while you cough.
The client who had a pneumonectomy should cough to clear secretions from the
remaining lung. The nurse should show the client how to splint her incision to reduce
pain when coughing.
A patient is admitted to the emergency department following a motorcycle crash. The
nurse notes a crackling sensation upon palpation on the right side of the patient's chest.
After notifying the provider, the nurse should document the finding as which of the
following:
A. Friction rub
B. Crackles
C. Crepitus
D. Tactile Fremitus - correct answer 3. Crepitus
Crepitus, also called subcutaneous emphysema, is a coarse crackling sensation that
the nurse can feel when palpating the skin surface over the patient's chest. Crepitus
indicates an air leak into the subcutaneous tissue, which is often a clinical manifestation
of a pneumothorax.
Tactile fremitus - correct answer Tactile fremitus is a vibration of the chest wall that the
nurse can feel when palpating the client's chest as the client repeats a syllable such as
'nine-nine'.
Increased tactile fremitus is a clinical manifestation of pneumonia.
Crackles - correct answer Crackles, which are sometimes called rales, are wet,
popping sounds the nurse can hear when auscultating the client's lungs. This condition
occurs when there is fluid in the client's airways or alveoli. Crackles are a clinical
manifestation of pneumonia.
