ATI RN
ATI RN Targeted Medical Surgical Respiratory Questions
Extract:
Question 1 of 5
A nurse is collecting data for a client who has COPD. The nurse should expect the client's chest to be which of the following shapes?
Correct Answer: D
Rationale: COPD causes hyperinflation, leading to a barrel-shaped chest due to increased anterior-posterior diameter from air trapping. Pigeon, funnel, or kyphotic shapes are unrelated to COPD.
Question 2 of 5
A nurse at a long-term care facility is reinforcing teaching with a newly hired nurse about care of clients who are receiving mechanical ventilation. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Elevating the bed to 40° reduces aspiration risk and improves ventilation in mechanically ventilated clients. Turning off alarms, using hydrogen peroxide, or infrequent repositioning are inappropriate.
Question 3 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 4 of 5
A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed with emphysema. Which of the following instructions should be included in the teaching?
Correct Answer: C
Rationale: Pursed-lip breathing helps maintain positive airway pressure during exhalation, preventing airway collapse and improving gas exchange in emphysema. Supine positioning may worsen dyspnea, a low-protein diet is not beneficial, and limiting fluids can thicken secretions, impeding clearance.
Question 5 of 5
A nurse is assisting with the care of a client who is 2 days postoperative following the creation of a tracheostomy. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Humidified air prevents drying of secretions and maintains airway moisture post-tracheostomy. Sims' position, povidone-iodine, or clean technique are inappropriate for tracheostomy care.