ATI MED SURG RESPIRA TORY

ATI MED SURG RESPIRA TORY

PROCTORED EXAM TEST BANK– 250

VERIFIED QUESTIONS AND DETAILED

ANSWERS

Question: A nurse is assessing a patient who has a chest tube

in place following a thoracic surgery. Which of the following findings indicates a need for intervention?

Correct answer: Continuous bubbling in the water seal

chamber.

Question: A nurse is caring for an elderly patient who suffers

from COPD with pneumonia. The nurse should monitor the patient for which of the following acid-base imbalances?

• Respiratory alkalosis
• Respiratory acidosis
• Metabolic alkalosis
• Metabolic acidosis

Correct answer: Respiratory acidosis

Question: Respiratory alkalosis

Correct answer: Occurs when pt exhales too much carbon

dioxide

Question: Metabolic alkalosis

Correct answer: Pt has excessive amount of bicarbonate

Question: A nurse is preparing to administer cisplatin IV to a

patient with lung cancer. The nurse should identify that which of the following findings is an adverse effect of this medication?

• Hallucinations
• Pruritus
• Hand and foot syndrome
• Tinnitus

Correct answer: Tinnitus

Question: A nurse is preparing to assist a provider to

withdraw arterial blood from a patient's radial artery for measurement of ABG. Which of the following actions should the nurse plan to take?

• Hyperventilate the client with 100% oxygen prior to

obtaining the specimen.

• Apply ice to site after obtaining the specimen
• Perform an Allen's test prior to obtaining the specimen
• Release pressure applied to puncture site 1 min after

needle is withdrawn

Correct answer: Perform an Allen's test prior to obtaining the

specimen.

Question: A nurse is providing instructions about pursed-lip

breathing for a patient who has COPD with emphysema. The nurse should explain that this breathing technique

accomplishes which of the following:

• Increases oxygen intake
• Promotes carbon dioxide elimination
• Uses the intercostal muscles
• Strengthens the diaphragm

Correct answer: Promotes carbon dioxide elimination

Question: Pursed lip breathing

Correct answer: The client who uses pursed-lip breathing

breathes in through the nares and out through pursed lips, rather than concentrating on using chest-wall muscles.

Question: A nurse is preparing a patient for a thoracentesis.

In which of the following positions should the nurse place the

patient:

• lying flat on affected side
• Prone with arms raised over head
• Supine with HOB elevated
• Sitting while leaning forward over the bedside table

Correct answer: Sitting while leaning forward over the

bedside table

Question: A nurse on a med-surg unit is caring for a patient

who is postoperative following a hip replacement surgery.The patient reports feeling apprehensive and restless. Which of the follow findings should the nurse recognize as an

indication of a PE:

• sudden onset of dyspnea
• Tracheal deviation
• Bradycardia
• Difficulty swallowing

Correct answer: sudden onset of dyspnea

Question: Nurse is providing discharge teaching to a client

who is postoperative following a rhinoplasty. Which of the following instructions should the nurse include?

• Apply warm compresses to the face
• Take aspirin 650 mg by mouth for mild pain
• Close your mouth when sneezing
• Lie on your back with your head elevated 30 degree when

resting

Correct answer: Lie on your back with your head elevated 30

degree when resting

Question: A nurse is planning care for a patient who has

COPD and is malnourished. Which of the following recommendations to promote nutritional intake should the

nurse include in the plan: