ATI LPN
ATI LPN LEVEL 3 Med Surg Resp Test Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is experiencing an acute asthma attack. Which of the following prescriptions should the nurse anticipate?
Correct Answer: C
Rationale: Albuterol, a short-acting beta-agonist, is the first-line treatment for acute asthma attacks, rapidly relieving bronchoconstriction.
Question 2 of 5
A nurse is assisting with the plan of care for a client who has pneumonia and requires chest percussion, vibration, and postural drainage. Which of the following actions should the nurse plan to complete first?
Correct Answer: C
Rationale: Auscultating lung fields first identifies areas with secretions, guiding effective positioning and percussion.
Question 3 of 5
A nurse is caring for a client who has pneumonia and is coughing up secretions. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Encouraging coughing and deep breathing is the priority to clear secretions and improve lung expansion in pneumonia.
Extract:
Vital Signs
Day 1:
Temperature 38.6 °C (101.4 °F)
Heart rate 96/min
Respiratory rate 26/min
Blood pressure 158/88 mm Hg
SaO2 91% on room air
Day 2:
Temperature 38.4 °C (101.2 °F)
Heart rate 88/min
Respiratory rate 24/min
Blood pressure 152/82 mm Hg
Sa0: 92% on 05 at 4 L/min
Day 3:
Temperature 37.8 °C (100.1 °F)
Heart rate 82/min
Respiratory rate 22/min
Blood pressure 130/78 mm Hg
Provider Prescriptions
Day 1:
Purified protein derivative 0.1 mL intradermal to right forearm
Day 1 through Day 3:
Isoniazid 300 mg PO daily
Rifampin 600 mg PO daily
Acetaminophen 500 mg 1-2 tablets PO every 4 to 6 hr PRN fever, pain
Medical History
No previous surgeries
No known allergies
No previous hospitalizations
No chronic illnesses
Traveled out of the country 2 months ago
Diagnostic Results
Day 1:
ALT 36 SI/L (4 to 36 SI/L)
AST 35 units/L (0 to 35 units/L)
Alkaline phosphatase 158 units/L (30 to 120 units/L)
Chest x-ray pending results
Day 3:
Mantoux Test: 12 mm induration (negative reaction less than 5 mm
ALT: 38 SI/L (4 to 36 SI/L)
AST: 36 units/L (0 to 35 units/L)
Alkaline phosphatase: 129 units/L (30 to 120 units/L)
Nurses' Notes
0900:
Client admitted from emergency department with hemoptysis, dull chest pain, increasing fatigue, anorexia, nausea, chest tightness, and 3.2 kg (7 Ib) weight loss in 2 weeks. Heart rate regular, lung sounds with crackles in bilateral upper lobes. No edema. Airborne precautions initiated upon admission.
Day 2:
1100:
Client reports shortness of breath, nausea, and fatigue. Crackles auscultated bilaterally throughout lung fields. Productive cough, with thick, blood-streaked sputum. Bowel sounds active, no edema.
Day 3:
0900
Client reports some improvement in dyspnea. Client coughing up thick, yellow blood-streaked sputum. Crackles auscultated in bilateral upper lobes of lungs. Sclera noted to be yellow. Clients weight is 0.7 kg (1.66) less than at admission. Preborrazed to increase intake of ora firmas Client reports urine appears recoish-orange in color.
Question 4 of 5
A nurse on a medical-surgical unit is caring for a newly admitted client who has a diagnosis of pulmonary tuberculosis. Which of the following findings should the nurse report to the charge nurse?
Correct Answer: A,E
Rationale: A. Yellow sclera indicates jaundice, suggesting potential hepatotoxicity from TB medications, requiring urgent reporting. E. Pending chest x-ray results are critical for assessing TB progression and should be reported once available.
Extract:
Question 5 of 5
A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin this client's secretions?
Correct Answer: B
Rationale: Humidified oxygen moistens secretions, making them easier to suction, which is critical for tracheostomy care.