ATI MED SURG RESPIRATORY
1- A nurse is reviewing the discharge instruction for a client who is
recovering frompneumonia. Which of the following statements should
the nurse make?
-“You should avoid crowed areas.”
2- A nurse in an emergency department is assessing a client who has a flail
chest fromblunt chest trauma. Which of the following findings should the
nurse expect: (SATA)
-Cyanosis
-Dyspnea
-Paradoxical chest movement
3- A nurse is caring for an adolescent with cystic fibrosis. Which finding requires
immediateintervention when caring for this client?
-Chest pain with dyspnea
Rational: chest pain and dyspnea are signs of pneumothorax and should be
treatedimmediately.
4- A nurse in the emergency department is assessing a client admitted to the
emergencydepartment who has sustained crushing chest injuries in a car
accident. Which of the following signs indicate a possible pneumothorax?
-Diminished or absent breath sounds on the affected side
5- A client who had extensive pelvic surgery 24 hr ago becomes cyanotic, is
gasping forbreath, and complains of right-sided chest pain. What should the
nurse do first?
-Administer oxygen using a face mask
6- A client is admitted with second degree burns on face, neck, anterior chest, and
hands.
The nurse’s priority action would be:
, -Assess for dyspnea and stridor
7- A client who underwent a left lower lobectomy is forty-eight hrs post op. The
client is receiving morphine sulfate via a patient-controlled analgesia (PCA)
system and reporthaving pain in the left thorax that worsens coughing. The
nurse should:
-Obtain a more detailed assessment of the client’s pain using a pain scale.
8- A nurse is caring for a client who is undergoing tracheostomy. The nurse
understandsthat which of the following is a complication of this procedure?
-Damage to the recurrent laryngeal nerve.
9- A nurse is assessing a client’s arterial blood results. The results are pH 7.50,
bicarbonate 32mEq/L, and PaCO2 36 mmHg. Which of the following do these
arterialgas results indicate?
-Metabolic alkalosis
10- A nurse is caring for a client on a ventilator who has ventilator settings with a
preset tidalvolume. Which best describes the tidal volume (VT) in this setting:
-The amount of air inhaled with each breath
11- The nurse is caring for a client who has just been intubated for respiratory
failure. Thephysician orders the ventilator to be set SIMV mode. Which best
describes SIMV?
-A preset number of breaths delivered to the client at certain volume
12- A client with asthma is scheduled for treatment with methylxanthine for
nocturnal wheezing. Which of the following drugs are methylxanthine drugs that
are appropriate forthe treatment of this client? (SATA)
-Theophylline
-Aminophylline
13- The nurse is administering cromolyn sodium (Intal) for client with asthma.
Which of thefollowing are true about this drug? (SATA)
, -It causes headache
-It prevents an attack
14- A nurse caring for a client with hemothorax. The physician plans to insert a
right-sidedchest tube. (La pregunta pide ordenar los cuadritos en el orden
correcto)
-Check the physician order and gather the chest tube supplies
-Assist the client to the correct position for placement.
-Assist the provider with the chest tube insertion
-Move the drainage system unit so that it is below the level of the chest
-Administer pain medication as required
-Encourage the client to cough and deep breathe.
15- A 33-year-old client is in the ICU for treatment of acute respiratory distress
syndrome (ARDS). (la pregunta pide ordenar los pasos para realizar endotraqueal
suctioning enorden)
-Turn on the suction to 80-120 mmHg
-Pre-oxygenate the client by providing 100% oxygen through the ET tube
-Insert the suction catheter into the ET tube until resistance is met, taking care not to
applysuction with insertion.
-Apply suction while withdrawing the catheter from the ET tube
-Suction the in-line catheter with saline to clear for next use.
16- The nurse is assessing a client with ARDS (acute respiratory distress
syndrome).Which of the following may have caused the client’s condition?
(SATA)
- Heroin
- Pancreatitis
- Burns
- Fat emboli
17- The nurse is assessing a client with extrapulmonary tuberculosis.
, Which of thefollowing is true about this type of condition? (SATA)
-Genitourinary system is affected
-Osteomyelitis occurs
18- Which of the following devices is most appropriate for delivering a
predicted oxygenconcentration in a client with unstable chronic obstructive
pulmonary disease (COPD)?
-Venturi mask
Rational: this mas allowing delivery of fixed FiO2 that depends on the flow rate
and sizeof the entrainment port. It can delivery oxygen concentration ranging
from 24-60 % and flow rates between 4-12 L/min. Used to titrate the oxygen
concentration in clients with unstable COPD.
19- A nurse is assessing a client with emphysema. Which assessment findings
does thenurse anticipate in this form of COPD? (SATA)
-Hyperresonance on percussion of the lung area
-Increased respiratory effort
-Increased chest diameter when measured anteriorly and posteriorly
20- A nurse is caring for 4 new clients. When receiving reports, the nurse
shouldprioritize assessment of which of the following?
-A 70-year-old client after knee replacement complaining of sudden-onset
dyspneaaccompanied by chest pain
21- A charge nurse is admitting an elderly client with influenza. Which of the
followingprecautions are necessary for preventing the transmission of
influenza virus to other clients? (SATA)
-The client should wear a face mas when leaving the room
-The client should be assigned to a private room
-Visitor contact with the client should be limited
1- A nurse is reviewing the discharge instruction for a client who is
recovering frompneumonia. Which of the following statements should
the nurse make?
-“You should avoid crowed areas.”
2- A nurse in an emergency department is assessing a client who has a flail
chest fromblunt chest trauma. Which of the following findings should the
nurse expect: (SATA)
-Cyanosis
-Dyspnea
-Paradoxical chest movement
3- A nurse is caring for an adolescent with cystic fibrosis. Which finding requires
immediateintervention when caring for this client?
-Chest pain with dyspnea
Rational: chest pain and dyspnea are signs of pneumothorax and should be
treatedimmediately.
4- A nurse in the emergency department is assessing a client admitted to the
emergencydepartment who has sustained crushing chest injuries in a car
accident. Which of the following signs indicate a possible pneumothorax?
-Diminished or absent breath sounds on the affected side
5- A client who had extensive pelvic surgery 24 hr ago becomes cyanotic, is
gasping forbreath, and complains of right-sided chest pain. What should the
nurse do first?
-Administer oxygen using a face mask
6- A client is admitted with second degree burns on face, neck, anterior chest, and
hands.
The nurse’s priority action would be:
, -Assess for dyspnea and stridor
7- A client who underwent a left lower lobectomy is forty-eight hrs post op. The
client is receiving morphine sulfate via a patient-controlled analgesia (PCA)
system and reporthaving pain in the left thorax that worsens coughing. The
nurse should:
-Obtain a more detailed assessment of the client’s pain using a pain scale.
8- A nurse is caring for a client who is undergoing tracheostomy. The nurse
understandsthat which of the following is a complication of this procedure?
-Damage to the recurrent laryngeal nerve.
9- A nurse is assessing a client’s arterial blood results. The results are pH 7.50,
bicarbonate 32mEq/L, and PaCO2 36 mmHg. Which of the following do these
arterialgas results indicate?
-Metabolic alkalosis
10- A nurse is caring for a client on a ventilator who has ventilator settings with a
preset tidalvolume. Which best describes the tidal volume (VT) in this setting:
-The amount of air inhaled with each breath
11- The nurse is caring for a client who has just been intubated for respiratory
failure. Thephysician orders the ventilator to be set SIMV mode. Which best
describes SIMV?
-A preset number of breaths delivered to the client at certain volume
12- A client with asthma is scheduled for treatment with methylxanthine for
nocturnal wheezing. Which of the following drugs are methylxanthine drugs that
are appropriate forthe treatment of this client? (SATA)
-Theophylline
-Aminophylline
13- The nurse is administering cromolyn sodium (Intal) for client with asthma.
Which of thefollowing are true about this drug? (SATA)
, -It causes headache
-It prevents an attack
14- A nurse caring for a client with hemothorax. The physician plans to insert a
right-sidedchest tube. (La pregunta pide ordenar los cuadritos en el orden
correcto)
-Check the physician order and gather the chest tube supplies
-Assist the client to the correct position for placement.
-Assist the provider with the chest tube insertion
-Move the drainage system unit so that it is below the level of the chest
-Administer pain medication as required
-Encourage the client to cough and deep breathe.
15- A 33-year-old client is in the ICU for treatment of acute respiratory distress
syndrome (ARDS). (la pregunta pide ordenar los pasos para realizar endotraqueal
suctioning enorden)
-Turn on the suction to 80-120 mmHg
-Pre-oxygenate the client by providing 100% oxygen through the ET tube
-Insert the suction catheter into the ET tube until resistance is met, taking care not to
applysuction with insertion.
-Apply suction while withdrawing the catheter from the ET tube
-Suction the in-line catheter with saline to clear for next use.
16- The nurse is assessing a client with ARDS (acute respiratory distress
syndrome).Which of the following may have caused the client’s condition?
(SATA)
- Heroin
- Pancreatitis
- Burns
- Fat emboli
17- The nurse is assessing a client with extrapulmonary tuberculosis.
, Which of thefollowing is true about this type of condition? (SATA)
-Genitourinary system is affected
-Osteomyelitis occurs
18- Which of the following devices is most appropriate for delivering a
predicted oxygenconcentration in a client with unstable chronic obstructive
pulmonary disease (COPD)?
-Venturi mask
Rational: this mas allowing delivery of fixed FiO2 that depends on the flow rate
and sizeof the entrainment port. It can delivery oxygen concentration ranging
from 24-60 % and flow rates between 4-12 L/min. Used to titrate the oxygen
concentration in clients with unstable COPD.
19- A nurse is assessing a client with emphysema. Which assessment findings
does thenurse anticipate in this form of COPD? (SATA)
-Hyperresonance on percussion of the lung area
-Increased respiratory effort
-Increased chest diameter when measured anteriorly and posteriorly
20- A nurse is caring for 4 new clients. When receiving reports, the nurse
shouldprioritize assessment of which of the following?
-A 70-year-old client after knee replacement complaining of sudden-onset
dyspneaaccompanied by chest pain
21- A charge nurse is admitting an elderly client with influenza. Which of the
followingprecautions are necessary for preventing the transmission of
influenza virus to other clients? (SATA)
-The client should wear a face mas when leaving the room
-The client should be assigned to a private room
-Visitor contact with the client should be limited
