ATI RN
ATI RN Targeted Medical Surgical Respiratory Questions
Extract:
Question 1 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 2 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.
Question 3 of 5
A nurse is caring for a client who is scheduled to undergo thoracentesis. In which of the following positions should the nurse place the client for the procedure?
Correct Answer: B
Rationale: Sitting and leaning forward opens the intercostal spaces, providing better access to the pleural space for thoracentesis. Other positions do not facilitate needle insertion or patient comfort as effectively.
Question 4 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 5 of 5
A nurse is collecting data on a client who has obstructive sleep apnea. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Obstructive sleep apnea causes intermittent hypoxia, leading to morning headaches from cerebral vasodilation. Constipation, nausea, or hypotension are not typical.