ATI RN
ATI RN Targeted Medical Surgical Respiratory Questions
Question 1 of 5
Which patient(s) would be able to take an alpha-adrenergic decongestant safely? (Select all that apply)
Correct Answer: A,B
Rationale: Young, healthy individuals with rhinitis or cold symptoms can safely use decongestants. Heart disease, glaucoma, or prostatic hypertrophy increase risks due to vasoconstriction or anticholinergic effects.
Question 2 of 5
What is albuterol (Proventil) used to treat?
Correct Answer: A
Rationale: Albuterol is a bronchodilator that relaxes airway muscles, treating acute bronchospasm in conditions like asthma or COPD. It does not directly address allergies, congestion, or non-bronchospastic dyspnea.
Question 3 of 5
Which of the following could the nurse expect to observe in an older adult client who has a pneumothorax?
Correct Answer: A
Rationale: A pneumothorax impairs gas exchange, causing lower oxygen saturations (93%-94%) due to lung collapse. Higher saturations, lower energy use, or increased lung capacity are not expected.
Question 4 of 5
A nurse is reviewing the laboratory results of a client who is postoperative and has a respiratory rate of 7/min. The arterial blood gas (ABG) values include: pH 7.22 PaCO2 68 mm Hg Base excess -2 PaO2 78 mm Hg Oxygen saturation 80% Bicarbonate 28 mEq/L. Which of the following interpretations of the ABG values should the nurse make?
Correct Answer: B
Rationale: The low pH (7.22) and elevated PaCO2 (68 mm Hg) indicate respiratory acidosis, as the accumulation of carbon dioxide lowers the blood pH. The bicarbonate level is slightly elevated, suggesting partial compensation, but not indicative of metabolic alkalosis or acidosis.
Question 5 of 5
A nurse is assisting with the care of a client who is postoperative following a pneumonectomy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Splinting the incision during coughing reduces pain and supports healing post-pneumonectomy, minimizing complications like wound dehiscence.