ATI RN
ATI RN Targeted Medical Surgical Respiratory Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has asthma and signs of central cyanosis. Which of the following is a reliable indicator of cyanosis?
Correct Answer: A
Rationale: The oral mucosa is a reliable site for assessing cyanosis, showing bluish discoloration due to low oxygen saturation. Other sites are less consistent or not typically assessed.
Question 2 of 5
A nurse is collecting data from a client who has pulmonary tuberculosis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Fatigue is a common symptom of pulmonary tuberculosis due to the body's immune response and systemic inflammation. Fever may occur but not specifically in the morning, and edema or increased appetite are not typical.
Question 3 of 5
Which nursing assessment indicates a positive reading of a tuberculin (TB) skin test?
Correct Answer: A
Rationale: A positive TB skin test is based on induration size, not just redness, measured 48-72 hours post-injection. A 10-mm induration may indicate positivity, depending on risk factors, but the question lacks induration specificity.
Question 4 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 5 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.