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 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 2 of 5
A nurse is assisting with planning interventions for an influenza outbreak in a long term care facility. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Restricting visitation reduces the risk of influenza transmission from external sources. Airborne precautions are not needed for influenza, antibiotics are ineffective, and symptomatic staff should stay home.
Question 3 of 5
A nurse is caring for a client who has an acute respiratory illness. For which of the following manifestations of an airway obstruction should the nurse monitor? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Inspiratory stridor, retractions, and cyanosis indicate airway obstruction due to turbulent airflow, increased breathing effort, and poor oxygenation. Nausea and muscle tremors are not specific to airway obstruction.
Question 4 of 5
A nurse is contributing to the care plan of an older adult client who has pneumonia. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: Increased fluid intake thins secretions, aiding clearance in pneumonia. Coughing and deep breathing are helpful but not the primary intervention, and N-95 respirators or full ADL independence are not indicated.
Question 5 of 5
A home health nurse is visiting a client who has COPD and is receiving oxygen at 2 L/min via nasal cannula. The client tells the nurse she has been having difficulty breathing. Which of the following actions is the nurse's priority at this time?
Correct Answer: B
Rationale: Assessing respiratory status is the priority to determine the cause and severity of breathing difficulty, guiding further interventions. Other actions may follow based on findings.