ATI LPN
ATI LPN LEVEL 3 Med Surg Resp Test Questions
Question 1 of 5
A nurse is assisting discharge planning for a client who has a new prescription for bi-level positive airway pressure (BIPAP). The nurse should plan to contact which of the following healthcare team members to educate the client?
Correct Answer: D
Rationale: A respiratory therapist specializes in respiratory equipment and is best suited to educate the client on proper BiPAP use.
Extract:
Nurses' Notes
Client presents to emergency department with report of shortness of breath for 2 days, with headache, chills, fever, sore throat, and cough. States went to a music concert recently "and probably picked up some kind of virus."
Oriented to person, place, and time. Appears lethargic, difficulty answering questioning due to shortness of breath. Follows simple commands, moves all extremities with weakness.
Client's face is flushed, sinus tachycardia, rate of 109/min. S1 and S2 heart sounds heard on auscultation. Pulses palpable.
Breath sounds with crackles to right lower lobe, tachypnea. rate of 28/min. Frequent productive cough with thick rusty sputum. Client denies hemoptysis. Unable to lie down, states "more comfortable to sit up."
Bowel sounds active x 4 quadrants. Denies diarrhea, last bowel movement yesterday. States "no appetite since I've been sick."
Reports decreased urination over past 24 hr. "Haven't been drinking as much water as I should because my throat hurts."
Client reports they have not had a pneumococcal vaccine and do not get annual influenza vaccinations. States "I just hate needles.
Vital Signs
1200:
Temperature 38.6° C (101.5° F)
Heart rate 109/min
Respiratory rate 28/min
Blood pressure 106/54 mm Hg
Oxygen saturation 94% on room air
Medical History
1215:
70 years of age
No significant medical history other than primary concern
Well-nourished
Home Medications
Daily multivitamin
Vitamin D
Social History
Lives alone partner died 5 years ago
Drinks 1 to 2 glasses of red wine daily
Has never smoked
Walks 2 to 3 miles 6 days/week
Diagnostic Results
1230
Chest x-ray: Areas of increased density and white infiltrates to lower right lobe indicative of pneumonia
Question 2 of 5
A nurse is caring for a client who has pneumonia. Select the 4 findings in the client's medical record that places them at risk for pneumonia.
Correct Answer: A,B,C,G
Rationale: A. Age: The client is 70 years old, which places them at a higher risk for pneumonia due to a weakened immune system. B. Fluid intake: Decreased fluid intake can lead to thicker respiratory secretions, increasing pneumonia risk. C. Influenza vaccine: Not receiving an influenza vaccine increases the risk of influenza-related pneumonia. G. Pneumococcal vaccine: Lack of pneumococcal vaccination increases the risk of pneumococcal pneumonia.
Extract:
Question 3 of 5
The nurse is caring for a client who has a pneumothorax and a water-seal chest tube drainage system to suction. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Maintaining the drainage container below the client's chest prevents backflow of fluid or air into the pleural space, ensuring effective drainage and preventing complications.
Question 4 of 5
A nurse is reinforcing discharge instructions with a parent of a 6-year-old child who has just had a tonsillectomy. Which of the following statements by the parent indicates an understanding of postoperative care?
Correct Answer: C
Rationale: Continuous swallowing may indicate bleeding, a serious complication post-tonsillectomy, requiring immediate medical attention.
Question 5 of 5
A client is receiving oxygen therapy via a nasal cannula. When the client asks the nurse why he needs to have oxygen tubing in his nose, which of the following explanations about the cannula should the nurse give him?
Correct Answer: C
Rationale: A nasal cannula delivers low concentrations of oxygen (24-44%), suitable for clients needing supplemental oxygen without requiring high concentrations.