Med Surg Respiratory ATI actual exam questions
and verified answers already graded A+ updated
1- A nurse is assisting a provider with a comprehensive physical
examination of a client. When the provider uses transillumination,
the nurse should explain to the client that this technique help
evaluate which of the following structures?
- Maxillary sinuses
2- A charge nurse receives notification of the admission of a client
who is coughing frequently and whose sputum is pink, frothy, and
copious. The client has history of night sweats, anorexia, and
weight loss. Which of the following actions should the nurse take?
(SATA)
, - Assign the client to a private room with negative-pressure airflow
-
Wear an N95 respirator when entering the client’s room.
3- A nurse is caring for a client who smokes cigarettes and has a new
diagnosis of emphysema. How should the nurse assist the client
with smoking cessation?
- Discussways the client can reduce the number of cigarettes
smoked per day.
4- A nurse is planning care for a client who has chronic obstructive
pulmonary disease (COPD) and is malnourished. Which of the
following recommendations to promote nutritional intake should
the nurse include in the plan?
- Eat high-calorie food first.
Rational: client who has COPD experience early satiety. Client should eat
calorie-dense food first.
5- 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?
- Tinnitus.
Rational: An adverse effect of cisplatin is ototoxicity, which can
cause tinnitus.
6- A nurse in a medical-surgical unit is assessing a client. The
nurse should identify that which of the following findings is a
manifestation of a pulmonary embolism?
- Stabbing chest pain
, Rational: sudden chest pain that is sharp and stabbing is a
manifestation of pulmonary embolism. Other manifestations
include dyspnea, coughing, hemoptysis (coughing up blood),
tachypnea, tachycardia, diaphoresis, and feeling of impending
doom.
7- A nurse in the PACU is assessing a newly admitted client and
observes intercostal retractions and a high-pitched inspiratory
sound (stridor). The nurse should identify theses findings as
manifestations of which of the following complications?
- Respiratory obstruction
8- A nurse is reviewing the laboratory results of a client who has
metabolic alkalosis. Which of the following laboratory values
should the nurse expect?
- ph 7.49,HCO3-32mEq/L, PaCO2 40mmHg
Rational: Metabolic alkalosis: pH and bicarbonate values are
greater than the expected references range, and the PaCO2 is within
the expected reference range.
9- A nurse is providing teaching to a client who has a chronic
cough and is scheduled for a bronchoscopy. Which of the
following client statements indicates an understanding of the
teaching?
- “A tissue sample might be obtained during the procedure”
10- A nurse is preparing a client for a bronchoscopy. Which of the
following actions should the nurse take? (SATA)
, - Explain
that the client will receive sedation and will not remember
the procedure.
- Verify
that the client understands the purpose and nature of the
procedure.
11- A nurse is preparing a client for discharge following a
bronchoscopy. Which of the following assessment is the
nurse’s monitoring priority?
- Confirming the gag reflex
Rational: The greater risk to the client’s safety is aspiration resulting
from a depressed gag reflex. 12- A nurse is caring for a client
who is postoperative following a thoracic lobectomy. The client has 2
chest tubes in place: 1 in the lower portion of the thorax and the
other higher on the chest wall.
When a family member asks why the client has 2 chest tubes, which
of the following responses should the nurse make?
- “The lower tube will drain blood, and the higher tube will remove
air.”
13- A nurse is providing teaching to a client who will undergo a total
laryngectomy. Which of the following statements indicate that
the client understands the impact of the surgery?
- “I understands that I will have a permanent tracheostomy after the
surgery.”
Rational: With a partial laryngectomy, the tracheostomy is temporary.
With the total laryngectomy the tracheostomy will be permanent.
14- A nurse is providing discharge instructions to a client who has a
new laryngectomy. The nurse tells the client to be careful while
bathing to prevent which of the following complications?
and verified answers already graded A+ updated
1- A nurse is assisting a provider with a comprehensive physical
examination of a client. When the provider uses transillumination,
the nurse should explain to the client that this technique help
evaluate which of the following structures?
- Maxillary sinuses
2- A charge nurse receives notification of the admission of a client
who is coughing frequently and whose sputum is pink, frothy, and
copious. The client has history of night sweats, anorexia, and
weight loss. Which of the following actions should the nurse take?
(SATA)
, - Assign the client to a private room with negative-pressure airflow
-
Wear an N95 respirator when entering the client’s room.
3- A nurse is caring for a client who smokes cigarettes and has a new
diagnosis of emphysema. How should the nurse assist the client
with smoking cessation?
- Discussways the client can reduce the number of cigarettes
smoked per day.
4- A nurse is planning care for a client who has chronic obstructive
pulmonary disease (COPD) and is malnourished. Which of the
following recommendations to promote nutritional intake should
the nurse include in the plan?
- Eat high-calorie food first.
Rational: client who has COPD experience early satiety. Client should eat
calorie-dense food first.
5- 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?
- Tinnitus.
Rational: An adverse effect of cisplatin is ototoxicity, which can
cause tinnitus.
6- A nurse in a medical-surgical unit is assessing a client. The
nurse should identify that which of the following findings is a
manifestation of a pulmonary embolism?
- Stabbing chest pain
, Rational: sudden chest pain that is sharp and stabbing is a
manifestation of pulmonary embolism. Other manifestations
include dyspnea, coughing, hemoptysis (coughing up blood),
tachypnea, tachycardia, diaphoresis, and feeling of impending
doom.
7- A nurse in the PACU is assessing a newly admitted client and
observes intercostal retractions and a high-pitched inspiratory
sound (stridor). The nurse should identify theses findings as
manifestations of which of the following complications?
- Respiratory obstruction
8- A nurse is reviewing the laboratory results of a client who has
metabolic alkalosis. Which of the following laboratory values
should the nurse expect?
- ph 7.49,HCO3-32mEq/L, PaCO2 40mmHg
Rational: Metabolic alkalosis: pH and bicarbonate values are
greater than the expected references range, and the PaCO2 is within
the expected reference range.
9- A nurse is providing teaching to a client who has a chronic
cough and is scheduled for a bronchoscopy. Which of the
following client statements indicates an understanding of the
teaching?
- “A tissue sample might be obtained during the procedure”
10- A nurse is preparing a client for a bronchoscopy. Which of the
following actions should the nurse take? (SATA)
, - Explain
that the client will receive sedation and will not remember
the procedure.
- Verify
that the client understands the purpose and nature of the
procedure.
11- A nurse is preparing a client for discharge following a
bronchoscopy. Which of the following assessment is the
nurse’s monitoring priority?
- Confirming the gag reflex
Rational: The greater risk to the client’s safety is aspiration resulting
from a depressed gag reflex. 12- A nurse is caring for a client
who is postoperative following a thoracic lobectomy. The client has 2
chest tubes in place: 1 in the lower portion of the thorax and the
other higher on the chest wall.
When a family member asks why the client has 2 chest tubes, which
of the following responses should the nurse make?
- “The lower tube will drain blood, and the higher tube will remove
air.”
13- A nurse is providing teaching to a client who will undergo a total
laryngectomy. Which of the following statements indicate that
the client understands the impact of the surgery?
- “I understands that I will have a permanent tracheostomy after the
surgery.”
Rational: With a partial laryngectomy, the tracheostomy is temporary.
With the total laryngectomy the tracheostomy will be permanent.
14- A nurse is providing discharge instructions to a client who has a
new laryngectomy. The nurse tells the client to be careful while
bathing to prevent which of the following complications?
