ATI-MED Surg Respiratory exam Contains Questions
and correct Answers.
1. A nurse is developing a teaching plan for a client about preventing acute asthma attacks.
Which of the following points should the nurse plan to discuss first?
✓ The client's perception of the disease process and what might have triggered past attacks.
The nurse should apply the nursing process priority-setting framework. The nurse can use
the nursing process to plan client care and prioritize nursing actions. Each step of the
nursing process builds on the previous step, beginning with assessment. Before the nurse
can formulate a plan of action, implement a nursing intervention, or notify a provider of a
change in the client's status, the nurse must first collect adequate data from the client.
Assessing the client will provide the nurse with knowledge to make an appropriate
decision. Therefore, the first step the nurse should take is to assess the client's current
knowledge.
2. A client is admitted to the emergency department following a motorcycle crash. The
nurse notes a crackling sensation upon palpation on the right side of the client's chest. After
notifying the provider, the nurse should document this finding as which of the following?
✓ Crepitus
Crepitus, also called subcutaneous emphysema, is a coarse crackling sensation that the
nurse can feel when palpating the skin surface over the client's chest. Crepitus indicates
an air leak into the subcutaneous tissue, which is often a clinical manifestation of a
pneumothorax.
Note:
-Crackles, which are sometimes called rales, are wet, popping sounds the nurse can hear
when auscultating the client's lungs.
3. A nurse is providing teaching to a client about pulmonary function tests. Which of the
following tests measures the volume of air the lungs can hold at the end of maximum
inhalation?
✓ Total lung capacity
Pulmonary function tests are used to examine the effectiveness of the lungs and identify
lung problems. Total lung capacity measures the amount of air the lungs can hold after
maximum inhalation.
4. A nurse is caring for an older adult client who has chronic obstructive pulmonary disease
with pneumonia. The nurse should monitor the client for which of the following acid-base
imbalances?
and correct Answers.
1. A nurse is developing a teaching plan for a client about preventing acute asthma attacks.
Which of the following points should the nurse plan to discuss first?
✓ The client's perception of the disease process and what might have triggered past attacks.
The nurse should apply the nursing process priority-setting framework. The nurse can use
the nursing process to plan client care and prioritize nursing actions. Each step of the
nursing process builds on the previous step, beginning with assessment. Before the nurse
can formulate a plan of action, implement a nursing intervention, or notify a provider of a
change in the client's status, the nurse must first collect adequate data from the client.
Assessing the client will provide the nurse with knowledge to make an appropriate
decision. Therefore, the first step the nurse should take is to assess the client's current
knowledge.
2. A client is admitted to the emergency department following a motorcycle crash. The
nurse notes a crackling sensation upon palpation on the right side of the client's chest. After
notifying the provider, the nurse should document this finding as which of the following?
✓ Crepitus
Crepitus, also called subcutaneous emphysema, is a coarse crackling sensation that the
nurse can feel when palpating the skin surface over the client's chest. Crepitus indicates
an air leak into the subcutaneous tissue, which is often a clinical manifestation of a
pneumothorax.
Note:
-Crackles, which are sometimes called rales, are wet, popping sounds the nurse can hear
when auscultating the client's lungs.
3. A nurse is providing teaching to a client about pulmonary function tests. Which of the
following tests measures the volume of air the lungs can hold at the end of maximum
inhalation?
✓ Total lung capacity
Pulmonary function tests are used to examine the effectiveness of the lungs and identify
lung problems. Total lung capacity measures the amount of air the lungs can hold after
maximum inhalation.
4. A nurse is caring for an older adult client who has chronic obstructive pulmonary disease
with pneumonia. The nurse should monitor the client for which of the following acid-base
imbalances?
