ATI RN
ATI RN Targeted Medical Surgical Respiratory Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has been admitted with asthma exacerbation and is experiencing increased wheezing and has an oxygen saturation of 91%. The client is scheduled for his next breathing treatment in 1hr. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Albuterol, a bronchodilator, rapidly relieves bronchospasm and wheezing in asthma exacerbations, improving airflow and oxygenation. Other options do not address the acute symptoms effectively.
Question 2 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 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
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.