ATI RN
ATI RN Targeted Medical Surgical Respiratory Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has tuberculosis and is about to start taking pyrazinamide. The nurse should identify that the client needs which of the following tests while taking this medication therapy?
Correct Answer: A
Rationale: Pyrazinamide can cause hepatotoxicity, necessitating regular liver function tests to monitor for liver damage. Gallbladder, thyroid, or glucose levels are not typically affected by this medication.
Question 2 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.
Question 3 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 4 of 5
A nurse is collecting data from a client who has emphysema. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Dyspnea, barrel chest, and shallow respirations are hallmark symptoms of emphysema due to reduced lung elasticity, air trapping, and hyperinflation. Clubbing of the fingers is more associated with chronic hypoxia in conditions like lung cancer or cystic fibrosis, not typically emphysema. Bradycardia is not expected; tachycardia may occur due to compensatory mechanisms for low oxygen levels.
Question 5 of 5
A nurse is reinforcing teaching for a client who presents with a pulmonary embolism. Which of the following information should the nurse provide?
Correct Answer: D
Rationale: All pulmonary embolisms require treatment, typically anticoagulation, to prevent progression or recurrence, regardless of symptoms or stability, due to the risk of complications.