ATI RN TARGETED MEDICAL SURGICAL
RESPIRATORY ONLINE PRACTICE ACTUAL EXAM
LATEST VERSION 2024 WITH QUESTION AND
CORRECT DETAILED ANSWERS WITH RATIONALES
GRADED A+
A Nurse receives prescriptions from the provider for performing nasopharyngeal
suctioning on 4 clients. for which of the following clients should the nurse clarify
the provider's prescription?
A.) pt w/ epistaxis
B.) pt w/ amyotrophic lateral sclerosis
C.) pt w/ pneumonia
D.) pt w/ emphysema - ANSWER-A client who has epistaxis
rationale:
The nurse should avoid providing nasopharyngeal suctioning for a client who has
nasal bleeding because this intervention might cause an increase in bleeding.
A Nurse is caring for a client who has a chest tube following a lobectomy. which of
the following items should the nurse keep easily accessible for the client?
A.) Extra drainage system
B.) Suture removal kit
C.) Container of sterile water
D.) Non adherent pads - ANSWER-Container of sterile water
rationale:
,The nurse should have a container of sterile water in a location that is easily
accessible for this client. The nurse should plan to place the open end of the
tubing into the sterile water if the tubing becomes disconnected to prevent a
pneumothorax.
A Nurse is caring for a client who's 1 hr postoperative following a thoracentesis.
which of the following is the priority assessment finding?
A.) Pallor
B.) Insertion site pain
C.) Persistent cough
D.) Temperature 37.3° C (99.1° F) - ANSWER-Persistent cough
rationale:
When using the airway, breathing, circulation approach to client care, the nurse
should determine that the priority finding is a persistent cough because this can
indicate a tension pneumothorax, which is a medical emergency.
A Nurse is assessing a client who has bacterial pneumonia. which of the following
manifestations should the nurse expect?
A.) decreased fremitus
B.) SaO2 95% on room air
C.) temperature 38.8° C (101.8° F)
D.) bradypnea - ANSWER-Temperature 38.8° C (101.8° F)
rationale:
, An elevated temperature is an expected finding for a client who has bacterial
pneumonia.
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 - ANSWER-artificial airway cuff leak
rationale:
An artificial airway cuff leak interferes with oxygenation and causes the low-
pressure alarm to sound.
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."
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." - ANSWER-"I should remove the old twill ties after the new ties
are in place."
RESPIRATORY ONLINE PRACTICE ACTUAL EXAM
LATEST VERSION 2024 WITH QUESTION AND
CORRECT DETAILED ANSWERS WITH RATIONALES
GRADED A+
A Nurse receives prescriptions from the provider for performing nasopharyngeal
suctioning on 4 clients. for which of the following clients should the nurse clarify
the provider's prescription?
A.) pt w/ epistaxis
B.) pt w/ amyotrophic lateral sclerosis
C.) pt w/ pneumonia
D.) pt w/ emphysema - ANSWER-A client who has epistaxis
rationale:
The nurse should avoid providing nasopharyngeal suctioning for a client who has
nasal bleeding because this intervention might cause an increase in bleeding.
A Nurse is caring for a client who has a chest tube following a lobectomy. which of
the following items should the nurse keep easily accessible for the client?
A.) Extra drainage system
B.) Suture removal kit
C.) Container of sterile water
D.) Non adherent pads - ANSWER-Container of sterile water
rationale:
,The nurse should have a container of sterile water in a location that is easily
accessible for this client. The nurse should plan to place the open end of the
tubing into the sterile water if the tubing becomes disconnected to prevent a
pneumothorax.
A Nurse is caring for a client who's 1 hr postoperative following a thoracentesis.
which of the following is the priority assessment finding?
A.) Pallor
B.) Insertion site pain
C.) Persistent cough
D.) Temperature 37.3° C (99.1° F) - ANSWER-Persistent cough
rationale:
When using the airway, breathing, circulation approach to client care, the nurse
should determine that the priority finding is a persistent cough because this can
indicate a tension pneumothorax, which is a medical emergency.
A Nurse is assessing a client who has bacterial pneumonia. which of the following
manifestations should the nurse expect?
A.) decreased fremitus
B.) SaO2 95% on room air
C.) temperature 38.8° C (101.8° F)
D.) bradypnea - ANSWER-Temperature 38.8° C (101.8° F)
rationale:
, An elevated temperature is an expected finding for a client who has bacterial
pneumonia.
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 - ANSWER-artificial airway cuff leak
rationale:
An artificial airway cuff leak interferes with oxygenation and causes the low-
pressure alarm to sound.
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."
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." - ANSWER-"I should remove the old twill ties after the new ties
are in place."
