ATI RN
ATI RN Targeted Medical Surgical Respiratory Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has pulmonary tuberculosis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Fatigue is a common symptom of pulmonary tuberculosis due to the body's immune response and systemic inflammation. Fever may occur but not specifically in the morning, and edema or increased appetite are not typical.
Question 2 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: A
Rationale: Humidified oxygen adds moisture to the airway, thinning secretions and aiding clearance. Chest physiotherapy mobilizes secretions but doesn't thin them, and the other options do not address secretion viscosity.
Question 3 of 5
A nurse is reviewing the laboratory results of a client who is postoperative and has a respiratory rate of 7/min. The arterial blood gas (ABG) values include: pH 7.22 PaCO2 68 mm Hg Base excess -2 PaO2 78 mm Hg Oxygen saturation 80% Bicarbonate 28 mEq/L. Which of the following interpretations of the ABG values should the nurse make?
Correct Answer: B
Rationale: The low pH (7.22) and elevated PaCO2 (68 mm Hg) indicate respiratory acidosis, as the accumulation of carbon dioxide lowers the blood pH. The bicarbonate level is slightly elevated, suggesting partial compensation, but not indicative of metabolic alkalosis or acidosis.
Question 4 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 5 of 5
A nurse is assessing a client who has asthma and signs of central cyanosis. Which of the following is a reliable indicator of cyanosis?
Correct Answer: A
Rationale: The oral mucosa is a reliable site for assessing cyanosis, showing bluish discoloration due to low oxygen saturation. Other sites are less consistent or not typically assessed.