Comprehensive Study 1 Up to Date Content
ATI learning system Respiratory
Latest Questions and Graded
Answers
A nurse is caring for a client who has a tracheostomy with an
inflated cuff in place. Which of the following findings
indicates that the nurse should suction the client's airway
secretion?
A. The client is unable to speak
B. The client's airway secretions were last suctioned 2 hr ago
C. The client coughs and expectorates a large mucous plug
D. The nurse auscultate coarse crackles in the lung fields
Ans: D. The nurse auscultates coarse crackles in the
lung fields
should auscultate coarse crackles or rhonchi, identify
a moist cough, hear or see secretions in the
tracheostomy tube and then suction the client's
airway secretions
- who has tracheostomy with inflated cuff in place is
unable to speak
- should assess the need for suctioning every 2 hr and
then suction as necessary
- should assess the client's airway after coughing and
only suction client's secretions if client is not able to
cough and expectorate secretions
Up to Date Content
,Comprehensive Study 2 Up to Date Content
A nurse in a clinic is providing teaching for a client who is to
have a tuberculin skin test. Which of the following
information should the nurse include?
A. If the test is positive, it means you have an active case of
TB
B. If the test is positive, you should have another tuberculin
test in 3 weeks
C. You must return to the clinic to have the test read in 2 or 3
days
D. A nurse will use a small lancet to scratch the skin of your
forearm before applying the tuberculin substance
Ans: C. You must return to the clinic to have the
test read 2 or 3 days
should have skin test read in 2-3 ays. Area of
induration after 48-72 hr indicates exposure to the
tubercle bacillus. If the client does not return to have
test read within 72 hr, another tuberculin test is
necessary
- positive test means client has exposed TB but
doesn't mean that the client has an active case of TB,
should have chest x-ray to rule out active TB
- Who have positive skin test should have x-ray to
rule out active TB. -subsequent test will be always
positive
- will inject 0.1mL of purified protein derivates
intradermally to dorsal aspect of the forearm
Up to Date Content
, Comprehensive Study 3 Up to Date Content
A nurse is providing discharge teaching to a client who is
postoperative following a rhinoplasty. Which of the following
instructions should the nurse include?
A. Apply warm compress to the face
B. Take aspirin 650 mg by mouth for mild pain
C. Close your mouth when sneezing
D. Lie on your back with your head elevated 30 degree when
resting
Ans: D. Lie on your back with your head elevated 30
degree when resting
the nurse should instruct client to rest in semi-
Fowler position to prevent aspiration of nasal
secretions
- should apply cold compresses to his face to
decrease swelling
- should avoid taking aspirin, because it increases the
risk of bleeding by decreasing platelet aggregation
- should open her mouth when sneezing to reduce
straining on the incisional site
A nurse is planning for a client who has chronic pulmonary
disease and is malnourished. Which of the following
recommendations to promote nutritional intake should the
nurse include in the plan?
A. Eat high-calorie food first
Up to Date Content
ATI learning system Respiratory
Latest Questions and Graded
Answers
A nurse is caring for a client who has a tracheostomy with an
inflated cuff in place. Which of the following findings
indicates that the nurse should suction the client's airway
secretion?
A. The client is unable to speak
B. The client's airway secretions were last suctioned 2 hr ago
C. The client coughs and expectorates a large mucous plug
D. The nurse auscultate coarse crackles in the lung fields
Ans: D. The nurse auscultates coarse crackles in the
lung fields
should auscultate coarse crackles or rhonchi, identify
a moist cough, hear or see secretions in the
tracheostomy tube and then suction the client's
airway secretions
- who has tracheostomy with inflated cuff in place is
unable to speak
- should assess the need for suctioning every 2 hr and
then suction as necessary
- should assess the client's airway after coughing and
only suction client's secretions if client is not able to
cough and expectorate secretions
Up to Date Content
,Comprehensive Study 2 Up to Date Content
A nurse in a clinic is providing teaching for a client who is to
have a tuberculin skin test. Which of the following
information should the nurse include?
A. If the test is positive, it means you have an active case of
TB
B. If the test is positive, you should have another tuberculin
test in 3 weeks
C. You must return to the clinic to have the test read in 2 or 3
days
D. A nurse will use a small lancet to scratch the skin of your
forearm before applying the tuberculin substance
Ans: C. You must return to the clinic to have the
test read 2 or 3 days
should have skin test read in 2-3 ays. Area of
induration after 48-72 hr indicates exposure to the
tubercle bacillus. If the client does not return to have
test read within 72 hr, another tuberculin test is
necessary
- positive test means client has exposed TB but
doesn't mean that the client has an active case of TB,
should have chest x-ray to rule out active TB
- Who have positive skin test should have x-ray to
rule out active TB. -subsequent test will be always
positive
- will inject 0.1mL of purified protein derivates
intradermally to dorsal aspect of the forearm
Up to Date Content
, Comprehensive Study 3 Up to Date Content
A nurse is providing discharge teaching to a client who is
postoperative following a rhinoplasty. Which of the following
instructions should the nurse include?
A. Apply warm compress to the face
B. Take aspirin 650 mg by mouth for mild pain
C. Close your mouth when sneezing
D. Lie on your back with your head elevated 30 degree when
resting
Ans: D. Lie on your back with your head elevated 30
degree when resting
the nurse should instruct client to rest in semi-
Fowler position to prevent aspiration of nasal
secretions
- should apply cold compresses to his face to
decrease swelling
- should avoid taking aspirin, because it increases the
risk of bleeding by decreasing platelet aggregation
- should open her mouth when sneezing to reduce
straining on the incisional site
A nurse is planning for a client who has chronic pulmonary
disease and is malnourished. Which of the following
recommendations to promote nutritional intake should the
nurse include in the plan?
A. Eat high-calorie food first
Up to Date Content
