ATI RESPIRATORY
x
Axnursexisxdevelopingxaxteachingxplanxforxaxclientxaboutxpreventingxacutexasthmaxattacks.x
Whichxofxthexfollowingxpointsxshouldxthexnursexplanxtoxdiscussxfirst?
a.xhowxtoxeliminatexenvironmentalxtriggersxthatxprecipitatexattacks
b.xthexclient'sxperceptionxofxthexdiseasexprocessxandxwhatxmightxhavextriggeredxpastxattack
s
c.xthexclient'sxmedxregimen
d.xmanifestationsxofxrespiratoryxinfectionsx–
x answerxb.xthexclient'sxperceptionxofxthexdiseasexprocessxandxwhatxmightxhavextriggeredxpa
stxattacks
Axclientxisxadmittedxtoxthexemergencyxdepartmentxfollowingxaxmotorcyclexcrash.xThexnursex
notesxaxcracklingxsensationxuponxpalpationxonxthexrightxsidexofxthexclient'sxchest.xAfterxnotif
yingxthexproviderxthexnursexshouldxdocumentxthisxfindingxasxwhichxofxthexfollowing?
a.xfrictionxrub
b.xcrackles
c.xcrepitus
d.xtactilexfremitusx–xanswerxc.xcrepitus
Axnursexisxprovidingxteachingxtoxaxclientxaboutxpulmonaryxfunctionxtests.xWhichxofxthexfollo
wingxtestsxmeasuresxthexvolumexofxairxthexlungsxcanxholdxatxthexendxofxmaximumxinhalatio
n?
a.xtotalxlungxcapacity
b.xvitalxlungxcapacity
c.xfunctionalxresidualxcapacity
d.xresidualxvolumex–xanswerxa.xtotalxlungxcapacity
Axnursexisxcaringxforxanxolderxclientxwhoxhasxchronicxobstructivexpulmonaryxdiseasexwithxp
neumonia.xThexnursexshouldxmonitorxthexclientxforxWhichxofxthexfollowingxacid-
baseximbalances?
, a.xrespiratoryxalkalosis
b.xrespiratoryxacidosis
c.xmetabolicxalkalosis
d.xmetabolicxacidosisx–xanswerxb.xrespiratoryxacidosis
Axnursexisxcaringxforxaxclientxwhoxhasxaxtracheostomyxwithxanxinflatedxcuffxinxplace.xWhichxo
fxthexfollowingxfindingsxindicatesxthatxthexnursexshouldxsuctionxthexclient'sxairwayxsecretion
s?
a.xthexclientxisxunablextoxspeak
b.xthexclient'sxairwayxsecretionsxwerexlastxsuctionedx2xhrsxago
c.xthexclientxcoughsxandxexpectoratesxaxlargexmucousxplug
d.xthexnursexauscultatesxcoarsexcracklesxinxthexlungxfieldsx–
x answerxd.xthexnursexauscultatesxcoarsexcracklesxinxthexlungxfields
Axnursexinxaxprovider'sxofficexisxassessingxaxclientxwhoxstatesxhexwasxrecentlyxexposedxtoxt
uberculosis.xWhichxofxthexfollowingxfindingsxisxaxclinicalxmanifestationxofxpulmonaryxtuberc
ulosis?
a.xpericardialxfrictionxrub
b.xweightxgain
c.xnightxsweats
d.xcyanosisxofxthexfingertipsx–xanswerxc.xnightxsweats
Axnursexinxthexemergencyxdepartmentxisxassessingxaxclientxforxaxclosedxpneumothoraxxand
x significantxbruisingxofxthexleftxchestxfollowingxaxmotor-
vehiclexcrash.xThexclientxreportsxseverexleftxchestxpainxonxinspiration.xThexnursexshouldxas
sessxthexclientxforxWhichxofxthexfollowingxmanifestationsxofxpneumothorax?
a.xabsencexofxbreathxsounds
b.xexpiratoryxwheezing
c.xinspiratoryxstridor
d.xrhonchix–xanswerxa.xabsencexofxbreathxsounds
x
Axnursexisxdevelopingxaxteachingxplanxforxaxclientxaboutxpreventingxacutexasthmaxattacks.x
Whichxofxthexfollowingxpointsxshouldxthexnursexplanxtoxdiscussxfirst?
a.xhowxtoxeliminatexenvironmentalxtriggersxthatxprecipitatexattacks
b.xthexclient'sxperceptionxofxthexdiseasexprocessxandxwhatxmightxhavextriggeredxpastxattack
s
c.xthexclient'sxmedxregimen
d.xmanifestationsxofxrespiratoryxinfectionsx–
x answerxb.xthexclient'sxperceptionxofxthexdiseasexprocessxandxwhatxmightxhavextriggeredxpa
stxattacks
Axclientxisxadmittedxtoxthexemergencyxdepartmentxfollowingxaxmotorcyclexcrash.xThexnursex
notesxaxcracklingxsensationxuponxpalpationxonxthexrightxsidexofxthexclient'sxchest.xAfterxnotif
yingxthexproviderxthexnursexshouldxdocumentxthisxfindingxasxwhichxofxthexfollowing?
a.xfrictionxrub
b.xcrackles
c.xcrepitus
d.xtactilexfremitusx–xanswerxc.xcrepitus
Axnursexisxprovidingxteachingxtoxaxclientxaboutxpulmonaryxfunctionxtests.xWhichxofxthexfollo
wingxtestsxmeasuresxthexvolumexofxairxthexlungsxcanxholdxatxthexendxofxmaximumxinhalatio
n?
a.xtotalxlungxcapacity
b.xvitalxlungxcapacity
c.xfunctionalxresidualxcapacity
d.xresidualxvolumex–xanswerxa.xtotalxlungxcapacity
Axnursexisxcaringxforxanxolderxclientxwhoxhasxchronicxobstructivexpulmonaryxdiseasexwithxp
neumonia.xThexnursexshouldxmonitorxthexclientxforxWhichxofxthexfollowingxacid-
baseximbalances?
, a.xrespiratoryxalkalosis
b.xrespiratoryxacidosis
c.xmetabolicxalkalosis
d.xmetabolicxacidosisx–xanswerxb.xrespiratoryxacidosis
Axnursexisxcaringxforxaxclientxwhoxhasxaxtracheostomyxwithxanxinflatedxcuffxinxplace.xWhichxo
fxthexfollowingxfindingsxindicatesxthatxthexnursexshouldxsuctionxthexclient'sxairwayxsecretion
s?
a.xthexclientxisxunablextoxspeak
b.xthexclient'sxairwayxsecretionsxwerexlastxsuctionedx2xhrsxago
c.xthexclientxcoughsxandxexpectoratesxaxlargexmucousxplug
d.xthexnursexauscultatesxcoarsexcracklesxinxthexlungxfieldsx–
x answerxd.xthexnursexauscultatesxcoarsexcracklesxinxthexlungxfields
Axnursexinxaxprovider'sxofficexisxassessingxaxclientxwhoxstatesxhexwasxrecentlyxexposedxtoxt
uberculosis.xWhichxofxthexfollowingxfindingsxisxaxclinicalxmanifestationxofxpulmonaryxtuberc
ulosis?
a.xpericardialxfrictionxrub
b.xweightxgain
c.xnightxsweats
d.xcyanosisxofxthexfingertipsx–xanswerxc.xnightxsweats
Axnursexinxthexemergencyxdepartmentxisxassessingxaxclientxforxaxclosedxpneumothoraxxand
x significantxbruisingxofxthexleftxchestxfollowingxaxmotor-
vehiclexcrash.xThexclientxreportsxseverexleftxchestxpainxonxinspiration.xThexnursexshouldxas
sessxthexclientxforxWhichxofxthexfollowingxmanifestationsxofxpneumothorax?
a.xabsencexofxbreathxsounds
b.xexpiratoryxwheezing
c.xinspiratoryxstridor
d.xrhonchix–xanswerxa.xabsencexofxbreathxsounds
