ATI RN
ATI RN Targeted Medical Surgical Respiratory Questions
Extract:
Question 1 of 5
A home health nurse is visiting a client who has COPD and is receiving oxygen at 2 L/min via nasal cannula. The client tells the nurse she has been having difficulty breathing. Which of the following actions is the nurse's priority at this time?
Correct Answer: B
Rationale: Assessing respiratory status is the priority to determine the cause and severity of breathing difficulty, guiding further interventions. Other actions may follow based on findings.
Question 2 of 5
Which principle(s) would be important to teach a patient about the use of a steroid inhaler? (Select all that apply)
Correct Answer: A,C,D,E
Rationale: Steroid inhalers require oral hygiene and rinsing to prevent thrush, bronchodilator use first for airway opening, and breath-holding for lung absorption. PRN use is incorrect for maintenance therapy.
Question 3 of 5
A nurse is reinforcing teaching with a client who is to start taking montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Montelukast is taken orally once daily in the evening for asthma control. Rinsing is for inhaled steroids, it's not a rescue medication, and sodium reduction is unrelated.
Question 4 of 5
A nurse is assisting with the care of a client who has multiple injuries following a motor vehicle crash. The nurse should monitor for which of the following manifestations of a pneumothorax?
Correct Answer: C
Rationale: A pneumothorax causes lung collapse, leading to an absence of breath sounds over the affected area due to air in the pleural space preventing lung expansion. Stridor, wheezes, and crackles are associated with upper airway obstruction, bronchoconstriction, or fluid/mucus, respectively.
Question 5 of 5
A nurse is collecting data on a client who has obstructive sleep apnea. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Obstructive sleep apnea causes intermittent hypoxia, leading to morning headaches from cerebral vasodilation. Constipation, nausea, or hypotension are not typical.