ATI RN
ATI RN Targeted Medical Surgical Respiratory Questions
Extract:
Question 1 of 5
A nurse at a long-term care facility is reinforcing teaching with a newly hired nurse about care of clients who are receiving mechanical ventilation. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Elevating the bed to 40° reduces aspiration risk and improves ventilation in mechanically ventilated clients. Turning off alarms, using hydrogen peroxide, or infrequent repositioning are inappropriate.
Question 2 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 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 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 COPD. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Adequate hydration thins respiratory secretions, aiding clearance in COPD. Scheduled coughing is not individualized, a low-protein diet weakens respiratory muscles, and lying down after eating can increase dyspnea.