ATI RN
ATI RN Targeted Medical Surgical Respiratory Questions
Extract:
Question 1 of 5
A nurse enters a client's room to administer medication and finds the client lying in bed disoriented with labored and fast respirations. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Elevating the head of the bed improves lung expansion and reduces breathing effort, addressing immediate respiratory distress. Other actions require further assessment.
Question 2 of 5
A nurse is collecting data on a client who has COPD. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Barrel chest is a classic COPD finding due to lung hyperinflation and air trapping. Spoon nails, edema, or pleural friction rubs are associated with other conditions.
Question 3 of 5
A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed with emphysema. Which of the following instructions should be included in the teaching?
Correct Answer: C
Rationale: Pursed-lip breathing helps maintain positive airway pressure during exhalation, preventing airway collapse and improving gas exchange in emphysema. Supine positioning may worsen dyspnea, a low-protein diet is not beneficial, and limiting fluids can thicken secretions, impeding clearance.
Question 4 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 5 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.