ATI RN COMPREHENSIVE // ATI RN COMPREHENSIVE
PREDICTOR REAL TEST BANK EXAM AND STUDY GUIDE 322
QUESTONS AND CORRECT ANSWERS//ALREADY GRADED A+
A nurse is planning care for a client following the insertion of a chest tube and drainage system. Which
of the following should be included in the plan of care? SATA
A. Encourage the client to cough every 2 hours
B. Check the continuous bubbling in th suction chamber
C. Strip the drainage tubing every 4 hours.
D. Clamp the tube once a day.
E. Obtain a chest x-ray - CORRECT ANSWER-A. Encourage the client to cough every 2 hours
B. Check the continuous bubbling in th suction chamber
E. Obtain a chest x-ray
A nurse is orientation a newly licensed nurse who is caring for a client who is receiving mechanical
ventilation and is receiving mechanical ventilation and is on pressure support ventilation (PSV) mode.
Which of the following statements by the newly licensed nurse indicates and understanding of PSV?
A. "It keeps the alveoli open and prevents atelectasis."
B. "It allows preset pressure delivered during spontaneous ventilation."
C. "It guarantees minimal minute ventilator.
D. "It delivers a preset ventilatory rate and tidal volume to the client." - CORRECT ANSWER-B. "It allows
preset pressure delivered during spontaneous ventilation."
A nurse is caring for a client who is experiencing respiratory distress. Which of the following early
manifestations of hypoxemia should the nurse recognize? SATA
A. Confusion
B. Pale skin
C. Bradycardia
D. Hypotension
E. Elevation blood pressure. - CORRECT ANSWER-B. Pale skin
E. Elevation blood pressure.
,A nurse is orienting a newly licensed nurse on performing routine assessment of a client who is receiving
mechanical ventilation via an endotracheal tube. Which of the following information should the nurse
include in the teaching?
A. Apply a vest restraint if self-extubation is attempted.
B. Monitor ventilator settings ever 8 hours.
C. Document tube placement in centimeters at the angle of jaw.
D. Assess breath sounds every 1 to 2 hours. - CORRECT ANSWER-D. Assess breath sounds every 1 to 2
hours.
A nurse is caring for a client who has dyspnea and will receive oxygen continuously. Which of the
following oxygen devices should the nurse use to deliver a precise amount of oxygen to the client?
A. Non rebreather mask
B. Venturi mask
C. Nasal cannula
D. Simple face mask - CORRECT ANSWER-B. Venturi mask
A nurse is planning care for a client who is receiving mechanical ventilation. Which of the following
modes of ventilation that increase the effort of the client's respiratory muscles should the nurse include
in the plan of care? SATA
A. Assist-control
B. SIMV
C. CPAP
D. PSV
E. Independent lung ventilation - CORRECT ANSWER-B. SIMV
C. CPAP
D. PSV
A nurse is monitoring a group of clients for increased risk for developing pneumonia. Which of the
following clients should the nurse expect to be at risk? SATA
A. Client who has dysphagia
,B. Client who has AIDS
C. Client who was vaccinated for pneumococcus and influenza 6 months ago
D. Client who is postoperative and received local anesthesia
E. Client who has a closed head injury and is receiving ventilation
F. Client who has Myasthenia Gravis - CORRECT ANSWER-A. Client who has dysphagia
B. Client who has AIDS
E. Client who has a closed head injury and is receiving ventilation
F. Client who has Myasthenia Gravis
A nurse in a clinic is caring for a client whose partner states the client woke up this morning, did not
recognize him, and did not know where she was. The client reports chills and chest pain that is worse
upon inspiration. Which of the following actions is the nurse's priority?
A. Obtain baseline vital signs and oxygen saturation.
B. Obtain a sputum culture.
C. Obtain a complete history from the client.
D. Provide a pneumococcal vaccine. - CORRECT ANSWER-A. Obtain baseline vital signs and oxygen
saturation.
A nurse is caring for a client who has pneumonia. Assessment findings include temperature 37.8 C (100
F), respirations 30/min, blood pressure 130/76, heart rate 100/min, and SaO2 91% on room air.
Prioritize the following nursing interventions.
A. Administer antibiotics.
B. Administer oxygen therapy.
C. Perform a sputum culture.
D. Administer an antipyretic medication to promote client comfort. - CORRECT ANSWER-B. Administer
oxygen therapy.
C. Perform a sputum culture.
A. Administer antibiotics.
D. Administer an antipyretic medication to promote client comfort.
, A nurse in a clinic is assessing a client who has sinusitis. Which of the following techniques should the
nurse use to identify manifestations of this disorder?
A. Percussion of posterior lobes of lungs
B. Auscultation of the trachea
C. Inspection of the conjunctiva
D. Palpation of the orbital areas - CORRECT ANSWER-D. Palpation of the orbital areas
A nurse is teaching a group of clients about influenza. Which of the following client statements indicates
an understanding of the teaching?
A. I should wash my hands after blowing my nose to prevent spreading the virus
B. "I need to avoid drinking fluids if I develop symptoms."
C. "I need a flu shot every 2 years because of the different flu strains."
D. "I should cover my mouth with my hand when I sneeze." - CORRECT ANSWER-A. I should wash my
hands after blowing my nose to prevent spreading the virus
A nurse in the emergency department is caring for a client who is having an acute asthma attack. Which
of the following assessments indicates that the respiratory status is declining? SATA
A. SaO2 95%
B. Wheezing
C. Retraction of sternal muscles
D. Pink mucous membranes
E. Premature ventricular complexes (PVC's) - CORRECT ANSWER-B. Wheezing
C. Retraction of sternal muscles
E. Premature ventricular complexes (PVC's)
A nurse is caring for a client 2 hours after admission. The client has an SaO2 of 91%, exhibits audible
wheezes, and is using accessory muscles when breathing. Which of the following classes of medication
should the nurse expect to administer?
A. Antibiotic
B. Beta-blocker
C Antiviral
PREDICTOR REAL TEST BANK EXAM AND STUDY GUIDE 322
QUESTONS AND CORRECT ANSWERS//ALREADY GRADED A+
A nurse is planning care for a client following the insertion of a chest tube and drainage system. Which
of the following should be included in the plan of care? SATA
A. Encourage the client to cough every 2 hours
B. Check the continuous bubbling in th suction chamber
C. Strip the drainage tubing every 4 hours.
D. Clamp the tube once a day.
E. Obtain a chest x-ray - CORRECT ANSWER-A. Encourage the client to cough every 2 hours
B. Check the continuous bubbling in th suction chamber
E. Obtain a chest x-ray
A nurse is orientation a newly licensed nurse who is caring for a client who is receiving mechanical
ventilation and is receiving mechanical ventilation and is on pressure support ventilation (PSV) mode.
Which of the following statements by the newly licensed nurse indicates and understanding of PSV?
A. "It keeps the alveoli open and prevents atelectasis."
B. "It allows preset pressure delivered during spontaneous ventilation."
C. "It guarantees minimal minute ventilator.
D. "It delivers a preset ventilatory rate and tidal volume to the client." - CORRECT ANSWER-B. "It allows
preset pressure delivered during spontaneous ventilation."
A nurse is caring for a client who is experiencing respiratory distress. Which of the following early
manifestations of hypoxemia should the nurse recognize? SATA
A. Confusion
B. Pale skin
C. Bradycardia
D. Hypotension
E. Elevation blood pressure. - CORRECT ANSWER-B. Pale skin
E. Elevation blood pressure.
,A nurse is orienting a newly licensed nurse on performing routine assessment of a client who is receiving
mechanical ventilation via an endotracheal tube. Which of the following information should the nurse
include in the teaching?
A. Apply a vest restraint if self-extubation is attempted.
B. Monitor ventilator settings ever 8 hours.
C. Document tube placement in centimeters at the angle of jaw.
D. Assess breath sounds every 1 to 2 hours. - CORRECT ANSWER-D. Assess breath sounds every 1 to 2
hours.
A nurse is caring for a client who has dyspnea and will receive oxygen continuously. Which of the
following oxygen devices should the nurse use to deliver a precise amount of oxygen to the client?
A. Non rebreather mask
B. Venturi mask
C. Nasal cannula
D. Simple face mask - CORRECT ANSWER-B. Venturi mask
A nurse is planning care for a client who is receiving mechanical ventilation. Which of the following
modes of ventilation that increase the effort of the client's respiratory muscles should the nurse include
in the plan of care? SATA
A. Assist-control
B. SIMV
C. CPAP
D. PSV
E. Independent lung ventilation - CORRECT ANSWER-B. SIMV
C. CPAP
D. PSV
A nurse is monitoring a group of clients for increased risk for developing pneumonia. Which of the
following clients should the nurse expect to be at risk? SATA
A. Client who has dysphagia
,B. Client who has AIDS
C. Client who was vaccinated for pneumococcus and influenza 6 months ago
D. Client who is postoperative and received local anesthesia
E. Client who has a closed head injury and is receiving ventilation
F. Client who has Myasthenia Gravis - CORRECT ANSWER-A. Client who has dysphagia
B. Client who has AIDS
E. Client who has a closed head injury and is receiving ventilation
F. Client who has Myasthenia Gravis
A nurse in a clinic is caring for a client whose partner states the client woke up this morning, did not
recognize him, and did not know where she was. The client reports chills and chest pain that is worse
upon inspiration. Which of the following actions is the nurse's priority?
A. Obtain baseline vital signs and oxygen saturation.
B. Obtain a sputum culture.
C. Obtain a complete history from the client.
D. Provide a pneumococcal vaccine. - CORRECT ANSWER-A. Obtain baseline vital signs and oxygen
saturation.
A nurse is caring for a client who has pneumonia. Assessment findings include temperature 37.8 C (100
F), respirations 30/min, blood pressure 130/76, heart rate 100/min, and SaO2 91% on room air.
Prioritize the following nursing interventions.
A. Administer antibiotics.
B. Administer oxygen therapy.
C. Perform a sputum culture.
D. Administer an antipyretic medication to promote client comfort. - CORRECT ANSWER-B. Administer
oxygen therapy.
C. Perform a sputum culture.
A. Administer antibiotics.
D. Administer an antipyretic medication to promote client comfort.
, A nurse in a clinic is assessing a client who has sinusitis. Which of the following techniques should the
nurse use to identify manifestations of this disorder?
A. Percussion of posterior lobes of lungs
B. Auscultation of the trachea
C. Inspection of the conjunctiva
D. Palpation of the orbital areas - CORRECT ANSWER-D. Palpation of the orbital areas
A nurse is teaching a group of clients about influenza. Which of the following client statements indicates
an understanding of the teaching?
A. I should wash my hands after blowing my nose to prevent spreading the virus
B. "I need to avoid drinking fluids if I develop symptoms."
C. "I need a flu shot every 2 years because of the different flu strains."
D. "I should cover my mouth with my hand when I sneeze." - CORRECT ANSWER-A. I should wash my
hands after blowing my nose to prevent spreading the virus
A nurse in the emergency department is caring for a client who is having an acute asthma attack. Which
of the following assessments indicates that the respiratory status is declining? SATA
A. SaO2 95%
B. Wheezing
C. Retraction of sternal muscles
D. Pink mucous membranes
E. Premature ventricular complexes (PVC's) - CORRECT ANSWER-B. Wheezing
C. Retraction of sternal muscles
E. Premature ventricular complexes (PVC's)
A nurse is caring for a client 2 hours after admission. The client has an SaO2 of 91%, exhibits audible
wheezes, and is using accessory muscles when breathing. Which of the following classes of medication
should the nurse expect to administer?
A. Antibiotic
B. Beta-blocker
C Antiviral
