ATI RN
ATI RN Targeted Medical Surgical Respiratory Questions
Extract:
Question 1 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 2 of 5
A nurse is collecting data on a client who has oxygen toxicity. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Oxygen toxicity can cause vasodilation, leading to facial flushing. Muscle twitching, metallic taste, or periorbital edema are not typical symptoms.
Question 3 of 5
A nurse is assisting with the care of a client who is 2 days postoperative following the creation of a tracheostomy. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Humidified air prevents drying of secretions and maintains airway moisture post-tracheostomy. Sims' position, povidone-iodine, or clean technique are inappropriate for tracheostomy care.
Question 4 of 5
A nurse is assisting with the care of a client who is postoperative following a pneumonectomy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Splinting the incision during coughing reduces pain and supports healing post-pneumonectomy, minimizing complications like wound dehiscence.
Question 5 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.