ATI RN Targeted Medical Surgical Respiratory Online Practice 2019
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1. a nurse is caring for a client who's receiving mechanical ventilation whenthe low-
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pressure alarm sounds. which of the following situations should thenurse recognize as a possi
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ble cause of the alarm?
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A.) Excess secretions B.) Kin
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ks in the tubing
b b b
C.) Artificial airway cuff leak
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D.) Biting on the endotracheal tube
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b ANS artificial airway cuff leak
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rationale
An artificial airway cuff leak interferes with oxygenation and causes the low-
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pressurealarm to sound. b b b
2. a nurse is providing discharge teaching to a client who has a temporarytracheostomy. w
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hich of the following statements by the client indicates anunderstanding of the teaching?
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A.) "Ringing in the ears is an adverse effect of this medication."
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1b/b11
, B.) "Have your skin test repeated in 4 months to show a positive result." C.) "Expect your uri
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ne and other secretions to be orange while taking thismedication."
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D.) "Remember to take this medication with a sip of water just before your first bite of each me
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al."
b ANS "I should remove the old twill ties after the new ties are inplace."
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rationale
As a safety measure, the nurse should teach the client to wait until the new ties arein place to
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remove the old ties. This practice can prevent accidental decannulation.
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3. a nurse is caring for 4 clients. which of the following clients is at greatestrisk for a pulmona
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ry embolism?
b
A.) A client who is 48 hr postoperative following a total hip arthroplasty
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B.) A client who is 8 hr postoperative following an open surgical appendecto-my
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C.) A client who is 2 hr postoperative following an open reduction externalfixation of the rig
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ht radius
b
D.) A client who is 4 hr postoperative following a laparoscopic cholecystecto-my
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b ANS A client who is 48 hr postoperative following a total hip arthroplasty
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rationale
2b/b11
, The nurse should identify that a client who has undergone a total hip arthroplasty surgery is
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at greatest risk for a pulmonary embolus because of decreased mobilityof the affected extre
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mity and an increased amount of blood clots forming in the veins of the thigh following hip s
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urgery. Deep- b
vein thromboses are most likely to occur 48 to 72 hr following the arthroplasty. The nurse sh
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ould intervene to reduce the risk by applying sequential compression devices or antiembolic
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b stockings and by administering anticoagulant medications.
b b b b b
4. a nurse is caring for a newly admitted client who has emphysema. the nurseshould place the cli
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ent in which of the following positions to promote effectivebreathing?
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A.) Lateral position with a pillow at the back and over the chest to support thearm
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B.) High-Fowler's position with the arms supported on the overbed tableC.) Semi-
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Fowler's position with pillows supporting both arms
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D.) Supine position with the head of the bed elevated to 15°
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b ANS High-Fowler'sposition with the arms supported on the overbed table
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rationale
The nurse should place the client in a position that allows for greater expansion of the chest,
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such as sitting upright and leaning slightly forward while supporting botharms with pillows fo
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r comfort on the overbed table.
b b b b b
3b/b11
b b b b b b b b
1. a nurse is caring for a client who's receiving mechanical ventilation whenthe low-
b b b b b b b b b b b b b
pressure alarm sounds. which of the following situations should thenurse recognize as a possi
b b b b b b b b b b b b b b
ble cause of the alarm?
b b b b
A.) Excess secretions B.) Kin
b b b b
ks in the tubing
b b b
C.) Artificial airway cuff leak
b b b b
D.) Biting on the endotracheal tube
b b b b b
b ANS artificial airway cuff leak
b b b b
rationale
An artificial airway cuff leak interferes with oxygenation and causes the low-
b b b b b b b b b b b
pressurealarm to sound. b b b
2. a nurse is providing discharge teaching to a client who has a temporarytracheostomy. w
b b b b b b b b b b b b b b
hich of the following statements by the client indicates anunderstanding of the teaching?
b b b b b b b b b b b b b
A.) "Ringing in the ears is an adverse effect of this medication."
b b b b b b b b b b b
1b/b11
, B.) "Have your skin test repeated in 4 months to show a positive result." C.) "Expect your uri
b b b b b b b b b b b b b b b b b
ne and other secretions to be orange while taking thismedication."
b b b b b b b b b b
D.) "Remember to take this medication with a sip of water just before your first bite of each me
b b b b b b b b b b b b b b b b b b
al."
b ANS "I should remove the old twill ties after the new ties are inplace."
b b b b b b b b b b b b b b
rationale
As a safety measure, the nurse should teach the client to wait until the new ties arein place to
b b b b b b b b b b b b b b b b b b b b
remove the old ties. This practice can prevent accidental decannulation.
b b b b b b b b b
3. a nurse is caring for 4 clients. which of the following clients is at greatestrisk for a pulmona
b b b b b b b b b b b b b b b b b b
ry embolism?
b
A.) A client who is 48 hr postoperative following a total hip arthroplasty
b b b b b b b b b b b b
B.) A client who is 8 hr postoperative following an open surgical appendecto-my
b b b b b b b b b b b b b
C.) A client who is 2 hr postoperative following an open reduction externalfixation of the rig
b b b b b b b b b b b b b b b b
ht radius
b
D.) A client who is 4 hr postoperative following a laparoscopic cholecystecto-my
b b b b b b b b b b b b
b ANS A client who is 48 hr postoperative following a total hip arthroplasty
b b b b b b b b b b b b
rationale
2b/b11
, The nurse should identify that a client who has undergone a total hip arthroplasty surgery is
b b b b b b b b b b b b b b b b
at greatest risk for a pulmonary embolus because of decreased mobilityof the affected extre
b b b b b b b b b b b b b b
mity and an increased amount of blood clots forming in the veins of the thigh following hip s
b b b b b b b b b b b b b b b b b
urgery. Deep- b
vein thromboses are most likely to occur 48 to 72 hr following the arthroplasty. The nurse sh
b b b b b b b b b b b b b b b b
ould intervene to reduce the risk by applying sequential compression devices or antiembolic
b b b b b b b b b b b b
b stockings and by administering anticoagulant medications.
b b b b b
4. a nurse is caring for a newly admitted client who has emphysema. the nurseshould place the cli
b b b b b b b b b b b b b b b b b
ent in which of the following positions to promote effectivebreathing?
b b b b b b b b b b
A.) Lateral position with a pillow at the back and over the chest to support thearm
b b b b b b b b b b b b b b b b
B.) High-Fowler's position with the arms supported on the overbed tableC.) Semi-
b b b b b b b b b b b b
Fowler's position with pillows supporting both arms
b b b b b b
D.) Supine position with the head of the bed elevated to 15°
b b b b b b b b b b b
b ANS High-Fowler'sposition with the arms supported on the overbed table
b b b b b b b b b b
rationale
The nurse should place the client in a position that allows for greater expansion of the chest,
b b b b b b b b b b b b b b b b b
such as sitting upright and leaning slightly forward while supporting botharms with pillows fo
b b b b b b b b b b b b b b
r comfort on the overbed table.
b b b b b
3b/b11
