ATI RN
ATI RN Targeted Medical Surgical Respiratory Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is immobile. Which of the following actions is the priority for the nurse to contribute to the client's plan of care?
Correct Answer: D
Rationale: Antiembolic stockings prevent venous stasis and deep vein thrombosis, a critical risk in immobile clients, making it the priority intervention.
Question 2 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 3 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 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
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.