ATI RN
ATI RN Targeted Medical Surgical Respiratory Questions
Question 1 of 5
The nurse is providing instruction about ipratropium (Atrovent) to a patient with COPD. Which is a common adverse effect that tends to resolve with therapy?
Correct Answer: A
Rationale: Ipratropium's anticholinergic effects cause dry mouth, which often improves with continued use. Anxiety, tachycardia, or urinary retention are less common or unrelated.
Question 2 of 5
A nurse is caring for a client who is immobile. Which of the following actions is the priority for the nurse to contribute to the client's plan of care?
Correct Answer: D
Rationale: Antiembolic stockings prevent venous stasis and deep vein thrombosis, a critical risk in immobile clients, making it the priority intervention.
Question 3 of 5
A patient has a diagnosis of Impaired Gas Exchange. Which assessment finding shows that the interventions have been effective?
Correct Answer: A
Rationale: An SpO2 of 97% on 2L nasal cannula indicates effective oxygenation, directly reflecting improved gas exchange. Comfort, sputum production, or mobility are less specific indicators.
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 caring for a client who has just had a bronchoscopy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A bronchoscopy can impair the gag reflex due to local anesthesia, increasing aspiration risk. Withholding food and liquids until the gag reflex returns prevents aspiration. Routine irrigation, prolonged silence, or frequent suctioning are not indicated.