NURSING 101MedSurg ATI Respiratory System Practice Questions
A nurse in the emergency department is assessing a client who
A home health nurse is teaching a patient who has active TB. The provider
was in a MVA. Findings include absent breath sounds in the left
has prescribed the following medication regiment: isoniazid 250 mg PO daily,
rifampin 500 mg PO daily, pyrazinamide 750 mg PO daily, and ethambutol 1 lower lobe with dyspnea, blood pressure 118/68 mm Hg, heart
mg PO daily. Which of the following patient statements indicate the client rate 124/min, respirations 38/min, temperature 101.4 F, and SaO2
understands the teaching? (Select all that apply) 92% on room air. Which of the following actions should the
1. "I can substitute one medication for another if I run out because they all
nurse take first?
fight infection."
2. "I will wash my hands each time I cough." 1. Obtain chest x-ray.
3. "I will wear a mask when I am in a public area."
4. "I am glad I don't have to have any more sputum specimens."
2. Prepare for chest tube insertion.
5. "I don't need to worry where I go once I start taking my medications." 3. Administer oxygen via a high-flow mask.
4. Initiate IV access.
A nurse in a clinic is providing teaching for a patient who is to
A nurse in the emergency department is assessing a patient for a
have a tuberculin skin test. Which of the following information
closed pneumothorax and significant bruising of the left chest
should the nurse include:
following a MVA. The client reports severe left chest pain on
inspiration. The nurse should assess the patient for which of the
1. If the test is positive, then you have an active case of TB.
following manifestations of a pneumothorax:
2. If the test is positive, you should have another tuberculin skin
test in 3 weeks.
1. Absence of breath sounds
3. You must return to the clinic to have the test read in 2 to 3
2. Expiratory wheezing
days.
3. Inspiratory stridor
4. A nurse will use a small lancet to scratch the skin of your
4. Rhronchi
forearm before applying the tuberculin substance.
A nurse in an urgent care clinical is collecting data A nurse in the emergency department is caring for a
from a patient who reports exposure to anthrax. patient who is having an acute asthma attack. Which of
the following assessments indicates that the respiratory
Which of the following findings is an indication of the
status is declining? (Select all that apply)
prodromal stage of inhalation anthrax:
1. SaO2 95%
1. Dry cough
2. Wheezing
2. Rhinitis 3. Retraction of sternal muscles
3. Sore throat 4. Pink mucous membranes
4. Swollen lymph nodes 5. Premature ventricular complexes (PVCs)
A nurse in a provider's office is assessing a patient A nurse is assessing a client following a gunshot wound
who states he was recently exposed to TB. Which of to the chest. For which of the following findings should
the nurse monitor to detect a pneumothorax? (Select all
the following findings is a clinical manifestation of
that apply)
pulmonary TB:
1. Tachypnea
1. Pericardial friction rub
2. Deviation of the trachea
2. Weight gain 3. Bradycardia
3. Night sweats 4. Decreased use of accessory muscles
4. Cyanosis of the fingertips 5. Pleuritic pain
A nurse in the emergency department is assessing a A nurse is assessing a client who has a PE. Which of
client who has a suspected flail chest. Which of the the following manifestations should the nurse expect
following findings should the nurse expect? (Select all
to find? (Select all that apply)
that apply)
1. Bradypnea
1. Bradycardia
2. Cyanosis
2. Pleural friction rub
3. Hypotension
3. Hypertension
4. Dyspnea 4. Petechiae
5. Paradoxic chest movement 5. Tachycardia
,NURSING 101MedSurg ATI Respiratory System Practice Questions
1a
,NURSING 101MedSurg ATI Respiratory System Practice Questions
2. "I will wash my hands each time I cough."
3. Administer oxygen via a high-flow mask. The client should wash her hands each time she
coughs to prevent spreading the infection.
According to the ABC process, the nurse
3. "I will wear a mask when I am in a public area."
should place the priority on administering The patient should wear a mask while in public areas
oxygen via high-flow mask to provide the to prevent spreading the infection. The client has
client oxygen to restore optimal breathing. active TB, which is transmitted through the airborne
route.
1. Absence of breath sounds 3. You must return to the clinic to have the test
read in 2 to 3 days.
A patient who has pneumothorax The patient should have the test read in 2 to 3
experiences severely diminished days. An area of induration after 48 to 72 hours
indicates exposure to tubercle bacillus. If the
or absent breath sounds on the patient does not return to have the test read
affected side. within 72 hours, another skin test is necessary.
2. Wheezing
Wheezing is a manifestation indicating the patient's respiratory 1. Dry cough
status is declining.
3. Retraction of sternal muscles A dry cough is a clinical manifestation found
Retraction of sternal muscles is a manifestation that the patient's in the prodromal stage of having inhalation
respiratory status is declining.
anthrax. During this stage, it is difficult to
5. Premature ventricular complexes (PVCs) distinguish from influenza or pneumonia
PVCs are a manifestation that the patient's respiratory status is
because there is no sore throat or rhinitis.
declining.
3. Night sweats
1. Tachypnea
2. Deviation of the trachea
Night sweats and fevers are
5. Pleuritic pain
clinical manifestations of TB.
2. Cyanosis
2. Pleural friction rub
3. Hypotension
4. Petechiae
4. Dyspnea
5. Tachycardia
5. Paradoxic chest movement
, NURSING 101MedSurg ATI Respiratory System Practice Questions
1b
A nurse in the emergency department is assessing a client who
A home health nurse is teaching a patient who has active TB. The provider
was in a MVA. Findings include absent breath sounds in the left
has prescribed the following medication regiment: isoniazid 250 mg PO daily,
rifampin 500 mg PO daily, pyrazinamide 750 mg PO daily, and ethambutol 1 lower lobe with dyspnea, blood pressure 118/68 mm Hg, heart
mg PO daily. Which of the following patient statements indicate the client rate 124/min, respirations 38/min, temperature 101.4 F, and SaO2
understands the teaching? (Select all that apply) 92% on room air. Which of the following actions should the
1. "I can substitute one medication for another if I run out because they all
nurse take first?
fight infection."
2. "I will wash my hands each time I cough." 1. Obtain chest x-ray.
3. "I will wear a mask when I am in a public area."
4. "I am glad I don't have to have any more sputum specimens."
2. Prepare for chest tube insertion.
5. "I don't need to worry where I go once I start taking my medications." 3. Administer oxygen via a high-flow mask.
4. Initiate IV access.
A nurse in a clinic is providing teaching for a patient who is to
A nurse in the emergency department is assessing a patient for a
have a tuberculin skin test. Which of the following information
closed pneumothorax and significant bruising of the left chest
should the nurse include:
following a MVA. The client reports severe left chest pain on
inspiration. The nurse should assess the patient for which of the
1. If the test is positive, then you have an active case of TB.
following manifestations of a pneumothorax:
2. If the test is positive, you should have another tuberculin skin
test in 3 weeks.
1. Absence of breath sounds
3. You must return to the clinic to have the test read in 2 to 3
2. Expiratory wheezing
days.
3. Inspiratory stridor
4. A nurse will use a small lancet to scratch the skin of your
4. Rhronchi
forearm before applying the tuberculin substance.
A nurse in an urgent care clinical is collecting data A nurse in the emergency department is caring for a
from a patient who reports exposure to anthrax. patient who is having an acute asthma attack. Which of
the following assessments indicates that the respiratory
Which of the following findings is an indication of the
status is declining? (Select all that apply)
prodromal stage of inhalation anthrax:
1. SaO2 95%
1. Dry cough
2. Wheezing
2. Rhinitis 3. Retraction of sternal muscles
3. Sore throat 4. Pink mucous membranes
4. Swollen lymph nodes 5. Premature ventricular complexes (PVCs)
A nurse in a provider's office is assessing a patient A nurse is assessing a client following a gunshot wound
who states he was recently exposed to TB. Which of to the chest. For which of the following findings should
the nurse monitor to detect a pneumothorax? (Select all
the following findings is a clinical manifestation of
that apply)
pulmonary TB:
1. Tachypnea
1. Pericardial friction rub
2. Deviation of the trachea
2. Weight gain 3. Bradycardia
3. Night sweats 4. Decreased use of accessory muscles
4. Cyanosis of the fingertips 5. Pleuritic pain
A nurse in the emergency department is assessing a A nurse is assessing a client who has a PE. Which of
client who has a suspected flail chest. Which of the the following manifestations should the nurse expect
following findings should the nurse expect? (Select all
to find? (Select all that apply)
that apply)
1. Bradypnea
1. Bradycardia
2. Cyanosis
2. Pleural friction rub
3. Hypotension
3. Hypertension
4. Dyspnea 4. Petechiae
5. Paradoxic chest movement 5. Tachycardia
,NURSING 101MedSurg ATI Respiratory System Practice Questions
1a
,NURSING 101MedSurg ATI Respiratory System Practice Questions
2. "I will wash my hands each time I cough."
3. Administer oxygen via a high-flow mask. The client should wash her hands each time she
coughs to prevent spreading the infection.
According to the ABC process, the nurse
3. "I will wear a mask when I am in a public area."
should place the priority on administering The patient should wear a mask while in public areas
oxygen via high-flow mask to provide the to prevent spreading the infection. The client has
client oxygen to restore optimal breathing. active TB, which is transmitted through the airborne
route.
1. Absence of breath sounds 3. You must return to the clinic to have the test
read in 2 to 3 days.
A patient who has pneumothorax The patient should have the test read in 2 to 3
experiences severely diminished days. An area of induration after 48 to 72 hours
indicates exposure to tubercle bacillus. If the
or absent breath sounds on the patient does not return to have the test read
affected side. within 72 hours, another skin test is necessary.
2. Wheezing
Wheezing is a manifestation indicating the patient's respiratory 1. Dry cough
status is declining.
3. Retraction of sternal muscles A dry cough is a clinical manifestation found
Retraction of sternal muscles is a manifestation that the patient's in the prodromal stage of having inhalation
respiratory status is declining.
anthrax. During this stage, it is difficult to
5. Premature ventricular complexes (PVCs) distinguish from influenza or pneumonia
PVCs are a manifestation that the patient's respiratory status is
because there is no sore throat or rhinitis.
declining.
3. Night sweats
1. Tachypnea
2. Deviation of the trachea
Night sweats and fevers are
5. Pleuritic pain
clinical manifestations of TB.
2. Cyanosis
2. Pleural friction rub
3. Hypotension
4. Petechiae
4. Dyspnea
5. Tachycardia
5. Paradoxic chest movement
, NURSING 101MedSurg ATI Respiratory System Practice Questions
1b
