COTAC ALL ATI questions semester 4
1. A nurse is caring for a client who has experienced a right-hemispheric stroke. Which of
the following are expected findings? (Select all that apply.)
a. Impulse control difficulty
b. Left hemiplegia
c. Loss of depth perception
d. Aphasia
e. Lack of situational awareness
2. A nurse is caring for a client who has left homonymous hemianopsia. Which of the
following is an appropriate nursing intervention?
a. Teach the client to scan the right to see objects on the right side of her body.
b. Place the bedside table on the right side of the bed.
c. Orient the client to the food on her plate using the clock method.
d. Place the wheelchair on the client’s left side.
3. A nurse is planning care for a client who has dysphagia and a new dietary prescription.
Which of the following should the nurse include in the plan of care? (Select all that
apply.)
a. Have suction equipment available for use.
b. Feed the client thickened liquids.
c. Place food on the unaffected side of the client’s mouth.
d. Assign an assistive personnel to feed the client slowly.
e. Teach the client to swallow with her neck flexed.
4. A nurse is caring for a client who has global aphasia (both receptive and expressive.).
Which of the following should the nurse include in the client’s plan of care? (Select all
that apply.)
a. Speak to the client at a slower rate.
b. Assist the client to use flash cards with pictures.
c. Speak to the client in a loud voice.
d. Complete sentences that the client cannot finish.
e. Give instructions one step at a time.
5. A nurse is assessing a client who has experienced a left-hemispheric stroke. Which of
the following is an expected finding?
a. Impulse control difficulty
b. Poor judgement
c. Inability to recognize familiar objects
d. Loss of depth perception
Chapter 17 Questions
1. A nurse is caring for a client who is scheduled for a thoracentesis. Prior to the
procedure, which of the following actions should the nurse take?
a. Position the client in an upright position, leaning over the bedside table.
b. Explain the procedure.
, c. Obtain ABG’s.
d. Administer benzocaine spray.
2. A nurse is reviewing ABG laboratory results of a client who is in respiratory distress. The
results are pH 7.47, PaCo2 32 mm Hg. HCO3 22 mm Hg. The nurse should recognize that
the client is experiencing which of the following acid-base imbalances?
a. Respiratory acidosis
b. Respiratory alkalosis
c. Metabolic acidosis
d. Metabolic alkalosis
3. A nurse is assessing a client following bronchoscopy. Which of the following findings
should the nurse report to the provider?
a. Blood-tinged sputum
b. Dry, nonproductive cough
c. Sore throat
d. Bronchospasms
4. A nurse is caring for a client who is scheduled for a thoracentesis. Which of the following
supplies should the nurse ensure are in the client’s room? (Select all that apply.)
a. Oxygen equipment
b. Incentive spirometer
c. Pulse oximeter
d. Sterile dressing
e. Suture removal kit
5. A nurse is caring for a client following a thoracentesis. Which of the following
manifestations should the nurse recognize as risks for complications? (Select all that
apply.)
a. Dyspnea
b. Localized bloody drainage on the dressing
c. Fever
d. Hypotension
e. Report of pain at the puncture site
Chapter 18 Questions
1. A nurse is preparing to care for a client following chest tube placement. Which of the
following items should be available in the client’s room? (Select all that apply.)
a. Oxygen
b. Sterile water
c. Enclosed hemostat clamps
d. Indwelling urinary catheter
e. Occlusive dressing
2. A nurse is caring for a client who has a chest tube and drainage system in place. The
nurse observes that the chest tube was accidentally removed. Which of the following
actions should the nurse take first?
, a. Obtain a chest x-ray
b. Apply sterile gauze to the insertion site.
c. Place tape around the insertion site.
d. Assess respiratory status.
3. A nurse is assessing a client who has a chest tube and drainage system in place. Which
of the following are expected findings? (Select all that apply.)
a. Continuous bubbling in the water seal chamber
b. Gentle constant bubbling in the suction control chamber
c. Rise and fall in the level of water in the water seal chamber with inspiration and
expiration
d. Exposed sutures without dressing
e. Drainage system upright at chest level
4. A nurse is assisting a provider with the removal of a chest tube. Which of the following
should the nurse instruct the client to do?
a. Lie on it left side.
b. Use the incentive spirometer.
c. Cough at regular intervals.
d. Perform the Valsalva maneuver.
5. A nurse is planning care for a client following the insertion of a chest tube and drainage
system. Which of the following should be included in the plan of care? (Select all that
apply.)
a. Encourage the client to cough every 2 hours.
b. Check the continuous bubbling in the suction chamber.
c. Strip the drainage tubing every 4 hours.
d. Clamp the tube once a day.
e. Obtain a chest x-ray.
Chapter 19 Questions
1. A nurse is orientation a newly licensed nurse who is caring for a client who is receiving
mechanical ventilation and is receiving mechanical ventilation and is on pressure
support ventilation (PSV) mode. Which of the following statements by the newly
licensed nurse indicates and understanding of PSV?
a. “It keeps the alveoli open and prevents atelectasis.”
b. “It allows preset pressure delivered during spontaneous ventilation.”
c. “It guarantees minimal minute ventilator.”
d. “It delivers a preset ventilatory rate and tidal volume to the client.”
2. A nurse is caring for a client who is experiencing respiratory distress. Which of the
following early manifestations of hypoxemia should the nurse recognize? (Select all that
apply.)
a. Confusion
b. Pale skin
c. Bradycardia
d. Hypotension
, e. Elevation blood pressure.
3. A nurse is orienting a newly licensed nurse on performing routine assessment of a client
who is receiving mechanical ventilation via an endotracheal tube. Which of the following
information should the nurse include in the teaching?
a. Apply a vest restraint if self-extubation is attempted.
b. Monitor ventilator settings ever 8 hours.
c. Document tube placement in centimeters at the angle of jaw.
d. Assess breath sounds every 1 to 2 hours.
4. A nurse is caring for a client who has dyspnea and will receive oxygen continuously.
Which of the following oxygen devices should the nurse use to deliver a precise amount
of oxygen to the client?
a. Nonrebreather mask
b. Venturi mask
c. Nasal cannula
d. Simple face mask
5. A nurse is planning care for a client who is receiving mechanical ventilation. Which of
the following modes of ventilation that increase the effort of the client’s respiratory
muscles should the nurse include in the plan of care? (Select all that apply.)
a. Assist-control
b. Synchronized intermittent mandatory ventilation
c. Continuous positive airway pressure
d. Pressure support ventilation
e. Independent lung ventilation
Chapter 20 Questions
1. A nurse is monitoring a group of clients for increased risk for developing pneumonia.
Which of the following clients should the nurse expect to be at risk? (Select all that
apply.)
a. Client who has dysphagia
b. Client who has AIDS
c. Client who was vaccinated for pneumococcus and influenza 6 months ago
d. Client who is postoperative and received local anesthesia.
e. Client who has a closed head injury and is receiving ventilation
f. Client who has myasthenia gravis
2. A nurse in a clinic is caring for a client whose partner states the client woke up this
morning, did not recognize him, and did not know where she was. The client reports
chills and chest pain that is worse upon inspiration. Which of the following actions is the
nurse’s priority?
a. Obtain baseline vital signs and oxygen saturation.
b. Obtain a sputum culture.
1. A nurse is caring for a client who has experienced a right-hemispheric stroke. Which of
the following are expected findings? (Select all that apply.)
a. Impulse control difficulty
b. Left hemiplegia
c. Loss of depth perception
d. Aphasia
e. Lack of situational awareness
2. A nurse is caring for a client who has left homonymous hemianopsia. Which of the
following is an appropriate nursing intervention?
a. Teach the client to scan the right to see objects on the right side of her body.
b. Place the bedside table on the right side of the bed.
c. Orient the client to the food on her plate using the clock method.
d. Place the wheelchair on the client’s left side.
3. A nurse is planning care for a client who has dysphagia and a new dietary prescription.
Which of the following should the nurse include in the plan of care? (Select all that
apply.)
a. Have suction equipment available for use.
b. Feed the client thickened liquids.
c. Place food on the unaffected side of the client’s mouth.
d. Assign an assistive personnel to feed the client slowly.
e. Teach the client to swallow with her neck flexed.
4. A nurse is caring for a client who has global aphasia (both receptive and expressive.).
Which of the following should the nurse include in the client’s plan of care? (Select all
that apply.)
a. Speak to the client at a slower rate.
b. Assist the client to use flash cards with pictures.
c. Speak to the client in a loud voice.
d. Complete sentences that the client cannot finish.
e. Give instructions one step at a time.
5. A nurse is assessing a client who has experienced a left-hemispheric stroke. Which of
the following is an expected finding?
a. Impulse control difficulty
b. Poor judgement
c. Inability to recognize familiar objects
d. Loss of depth perception
Chapter 17 Questions
1. A nurse is caring for a client who is scheduled for a thoracentesis. Prior to the
procedure, which of the following actions should the nurse take?
a. Position the client in an upright position, leaning over the bedside table.
b. Explain the procedure.
, c. Obtain ABG’s.
d. Administer benzocaine spray.
2. A nurse is reviewing ABG laboratory results of a client who is in respiratory distress. The
results are pH 7.47, PaCo2 32 mm Hg. HCO3 22 mm Hg. The nurse should recognize that
the client is experiencing which of the following acid-base imbalances?
a. Respiratory acidosis
b. Respiratory alkalosis
c. Metabolic acidosis
d. Metabolic alkalosis
3. A nurse is assessing a client following bronchoscopy. Which of the following findings
should the nurse report to the provider?
a. Blood-tinged sputum
b. Dry, nonproductive cough
c. Sore throat
d. Bronchospasms
4. A nurse is caring for a client who is scheduled for a thoracentesis. Which of the following
supplies should the nurse ensure are in the client’s room? (Select all that apply.)
a. Oxygen equipment
b. Incentive spirometer
c. Pulse oximeter
d. Sterile dressing
e. Suture removal kit
5. A nurse is caring for a client following a thoracentesis. Which of the following
manifestations should the nurse recognize as risks for complications? (Select all that
apply.)
a. Dyspnea
b. Localized bloody drainage on the dressing
c. Fever
d. Hypotension
e. Report of pain at the puncture site
Chapter 18 Questions
1. A nurse is preparing to care for a client following chest tube placement. Which of the
following items should be available in the client’s room? (Select all that apply.)
a. Oxygen
b. Sterile water
c. Enclosed hemostat clamps
d. Indwelling urinary catheter
e. Occlusive dressing
2. A nurse is caring for a client who has a chest tube and drainage system in place. The
nurse observes that the chest tube was accidentally removed. Which of the following
actions should the nurse take first?
, a. Obtain a chest x-ray
b. Apply sterile gauze to the insertion site.
c. Place tape around the insertion site.
d. Assess respiratory status.
3. A nurse is assessing a client who has a chest tube and drainage system in place. Which
of the following are expected findings? (Select all that apply.)
a. Continuous bubbling in the water seal chamber
b. Gentle constant bubbling in the suction control chamber
c. Rise and fall in the level of water in the water seal chamber with inspiration and
expiration
d. Exposed sutures without dressing
e. Drainage system upright at chest level
4. A nurse is assisting a provider with the removal of a chest tube. Which of the following
should the nurse instruct the client to do?
a. Lie on it left side.
b. Use the incentive spirometer.
c. Cough at regular intervals.
d. Perform the Valsalva maneuver.
5. A nurse is planning care for a client following the insertion of a chest tube and drainage
system. Which of the following should be included in the plan of care? (Select all that
apply.)
a. Encourage the client to cough every 2 hours.
b. Check the continuous bubbling in the suction chamber.
c. Strip the drainage tubing every 4 hours.
d. Clamp the tube once a day.
e. Obtain a chest x-ray.
Chapter 19 Questions
1. A nurse is orientation a newly licensed nurse who is caring for a client who is receiving
mechanical ventilation and is receiving mechanical ventilation and is on pressure
support ventilation (PSV) mode. Which of the following statements by the newly
licensed nurse indicates and understanding of PSV?
a. “It keeps the alveoli open and prevents atelectasis.”
b. “It allows preset pressure delivered during spontaneous ventilation.”
c. “It guarantees minimal minute ventilator.”
d. “It delivers a preset ventilatory rate and tidal volume to the client.”
2. A nurse is caring for a client who is experiencing respiratory distress. Which of the
following early manifestations of hypoxemia should the nurse recognize? (Select all that
apply.)
a. Confusion
b. Pale skin
c. Bradycardia
d. Hypotension
, e. Elevation blood pressure.
3. A nurse is orienting a newly licensed nurse on performing routine assessment of a client
who is receiving mechanical ventilation via an endotracheal tube. Which of the following
information should the nurse include in the teaching?
a. Apply a vest restraint if self-extubation is attempted.
b. Monitor ventilator settings ever 8 hours.
c. Document tube placement in centimeters at the angle of jaw.
d. Assess breath sounds every 1 to 2 hours.
4. A nurse is caring for a client who has dyspnea and will receive oxygen continuously.
Which of the following oxygen devices should the nurse use to deliver a precise amount
of oxygen to the client?
a. Nonrebreather mask
b. Venturi mask
c. Nasal cannula
d. Simple face mask
5. A nurse is planning care for a client who is receiving mechanical ventilation. Which of
the following modes of ventilation that increase the effort of the client’s respiratory
muscles should the nurse include in the plan of care? (Select all that apply.)
a. Assist-control
b. Synchronized intermittent mandatory ventilation
c. Continuous positive airway pressure
d. Pressure support ventilation
e. Independent lung ventilation
Chapter 20 Questions
1. A nurse is monitoring a group of clients for increased risk for developing pneumonia.
Which of the following clients should the nurse expect to be at risk? (Select all that
apply.)
a. Client who has dysphagia
b. Client who has AIDS
c. Client who was vaccinated for pneumococcus and influenza 6 months ago
d. Client who is postoperative and received local anesthesia.
e. Client who has a closed head injury and is receiving ventilation
f. Client who has myasthenia gravis
2. A nurse in a clinic is caring for a client whose partner states the client woke up this
morning, did not recognize him, and did not know where she was. The client reports
chills and chest pain that is worse upon inspiration. Which of the following actions is the
nurse’s priority?
a. Obtain baseline vital signs and oxygen saturation.
b. Obtain a sputum culture.
