ATI RN
ATI RN Targeted Medical Surgical Respiratory Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse is collecting data from a client who is having an acute asthma exacerbation. When auscultating the client's chest, the nurse should expect to hear which of the following sounds?
Correct Answer: A
Rationale: Expiratory wheezes are high-pitched sounds caused by narrowed airways during an asthma exacerbation, resulting from bronchoconstriction and inflammation. Pleural friction rubs, fine rales, and rhonchi are associated with other conditions like pleurisy, pulmonary edema, or mucus obstruction, respectively.
Question 4 of 5
A nurse is collecting data for a client who has COPD. The nurse should expect the client's chest to be which of the following shapes?
Correct Answer: D
Rationale: COPD causes hyperinflation, leading to a barrel-shaped chest due to increased anterior-posterior diameter from air trapping. Pigeon, funnel, or kyphotic shapes are unrelated to COPD.
Question 5 of 5
A nurse is checking the suction control chamber of a client's chest tube and notes that there is no bubbling in the suction control chamber. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The absence of bubbling in the suction control chamber indicates a lack of suction, which is not an expected finding. Verifying that the suction regulator is on is the first step to troubleshoot the issue, as it directly addresses the potential cause of the problem.