ATI RN
ATI RN Targeted Medical Surgical Respiratory Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has just had a bronchoscopy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A bronchoscopy can impair the gag reflex due to local anesthesia, increasing aspiration risk. Withholding food and liquids until the gag reflex returns prevents aspiration. Routine irrigation, prolonged silence, or frequent suctioning are not indicated.
Question 2 of 5
Which principle(s) would be important to teach a patient about the use of a steroid inhaler? (Select all that apply)
Correct Answer: A,C,D,E
Rationale: Steroid inhalers require oral hygiene and rinsing to prevent thrush, bronchodilator use first for airway opening, and breath-holding for lung absorption. PRN use is incorrect for maintenance therapy.
Question 3 of 5
A patient is admitted to the hospital with SOB. The nurse notices increasing confusion and combativeness during the past hour. Which of the following actions is appropriate first?
Correct Answer: A
Rationale: Assessing the patient and oxygen delivery ensures hypoxemia, a likely cause of confusion and combativeness, is addressed first. Other actions may follow based on findings.
Question 4 of 5
A nurse is caring for a client who has a pneumothorax and a water-seal chest tube drainage system to suction. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Keeping the drainage container below chest level prevents backflow of fluid or air into the pleural space, ensuring effective drainage. Adding tap water, routine emptying, or clamping without indication can disrupt the system or cause complications like tension pneumothorax.
Question 5 of 5
Which patient(s) would be able to take an alpha-adrenergic decongestant safely? (Select all that apply)
Correct Answer: A,B
Rationale: Young, healthy individuals with rhinitis or cold symptoms can safely use decongestants. Heart disease, glaucoma, or prostatic hypertrophy increase risks due to vasoconstriction or anticholinergic effects.