Questions 49

ATI RN

ATI RN Test Bank

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.

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