ATI RN Targeted Medical Surgical Respiratory
Online Practice 2019
1. a nurse is caring for a client who's receiving mechanical ventilation
when the low-pressure alarm sounds. which of the following situations
should the nurse recognize as a possible cause of the alarm?
A.) Excess secretions
B.) Kinks in the tubing
C.) Artificial airway cuff leak
D.) Biting on the endotracheal tube: artificial airway cuff leak
rationale:
An artificial airway cuff leak interferes with oxygenation and causes
the low-pres- sure alarm to sound.
2. a nurse is providing discharge teaching to a client who has a
temporary tracheostomy. which of the following statements by the client
indicates an understanding of the teaching?
A.) "Ringing in the ears is an adverse effect of this medication."
B.) "Have your skin test repeated in 4 months to show a positive result."
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C.) "Expect your urine and other secretions to be orange while taking this
medication."
D.) "Remember to take this medication with a sip of water just before your
first bite of each meal.": "I should remove the old twill ties after the new
ties are in place."
rationale:
As a safety measure, the nurse should teach the client to wait until the
new ties are in place to remove the old ties. This practice can prevent
accidental decannulation.
3. a nurse is caring for 4 clients. which of the following clients is at
greatest risk for a pulmonary embolism?
A.) A client who is 48 hr postoperative following a total hip arthroplasty
B.) A client who is 8 hr postoperative following an open surgical
appendec- tomy
C.) A client who is 2 hr postoperative following an open reduction
external fixation of the right radius
D.) A client who is 4 hr postoperative following a laparoscopic
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cholecystec- tomy: A client who is 48 hr postoperative following a total
hip arthroplasty
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rationale:
The nurse should identify that a client who has undergone a total hip
arthroplasty surgery is at greatest risk for a pulmonary embolus
because of decreased mobility of the affected extremity and an
increased amount of blood clots forming in the veins of the thigh
following hip surgery. Deep-vein thromboses are most likely to occur
48 to 72 hr following the arthroplasty. The nurse should intervene to
reduce the risk by applying sequential compression devices or
antiembolic stockings and by administering anticoagulant medications.
4. a nurse is caring for a newly admitted client who has emphysema.
the nurse should place the client in which of the following positions to
promote effective breathing?
A.) Lateral position with a pillow at the back and over the chest to support
the arm
B.) High-Fowler's position with the arms supported on the overbed
table C.) Semi-Fowler's position with pillows supporting both arms
D.) Supine position with the head of the bed elevated to 15°: High-
Fowler's position with the arms supported on the overbed table
4 / 11
Online Practice 2019
1. a nurse is caring for a client who's receiving mechanical ventilation
when the low-pressure alarm sounds. which of the following situations
should the nurse recognize as a possible cause of the alarm?
A.) Excess secretions
B.) Kinks in the tubing
C.) Artificial airway cuff leak
D.) Biting on the endotracheal tube: artificial airway cuff leak
rationale:
An artificial airway cuff leak interferes with oxygenation and causes
the low-pres- sure alarm to sound.
2. a nurse is providing discharge teaching to a client who has a
temporary tracheostomy. which of the following statements by the client
indicates an understanding of the teaching?
A.) "Ringing in the ears is an adverse effect of this medication."
B.) "Have your skin test repeated in 4 months to show a positive result."
1 / 11
, Stuvia.com
Stuvia.com--The
TheMarketplace
Marketplace to
to Buy
Buy and
and Sell
Sell your
your Study
Study
Material
C.) "Expect your urine and other secretions to be orange while taking this
medication."
D.) "Remember to take this medication with a sip of water just before your
first bite of each meal.": "I should remove the old twill ties after the new
ties are in place."
rationale:
As a safety measure, the nurse should teach the client to wait until the
new ties are in place to remove the old ties. This practice can prevent
accidental decannulation.
3. a nurse is caring for 4 clients. which of the following clients is at
greatest risk for a pulmonary embolism?
A.) A client who is 48 hr postoperative following a total hip arthroplasty
B.) A client who is 8 hr postoperative following an open surgical
appendec- tomy
C.) A client who is 2 hr postoperative following an open reduction
external fixation of the right radius
D.) A client who is 4 hr postoperative following a laparoscopic
2 / 11
, Stuvia.com
Stuvia.com--The
TheMarketplace
Marketplace to
to Buy
Buy and
and Sell
Sell your
your Study
Study
Material
cholecystec- tomy: A client who is 48 hr postoperative following a total
hip arthroplasty
3 / 11
, Stuvia.com
Stuvia.com--The
TheMarketplace
Marketplace to
to Buy
Buy and
and Sell
Sell your
your Study
Study
Material
rationale:
The nurse should identify that a client who has undergone a total hip
arthroplasty surgery is at greatest risk for a pulmonary embolus
because of decreased mobility of the affected extremity and an
increased amount of blood clots forming in the veins of the thigh
following hip surgery. Deep-vein thromboses are most likely to occur
48 to 72 hr following the arthroplasty. The nurse should intervene to
reduce the risk by applying sequential compression devices or
antiembolic stockings and by administering anticoagulant medications.
4. a nurse is caring for a newly admitted client who has emphysema.
the nurse should place the client in which of the following positions to
promote effective breathing?
A.) Lateral position with a pillow at the back and over the chest to support
the arm
B.) High-Fowler's position with the arms supported on the overbed
table C.) Semi-Fowler's position with pillows supporting both arms
D.) Supine position with the head of the bed elevated to 15°: High-
Fowler's position with the arms supported on the overbed table
4 / 11
