ATI RN
ATI RN Targeted Medical Surgical Respiratory Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who is having an acute asthma exacerbation. When auscultating the client's chest, the nurse should expect to hear which of the following sounds?
Correct Answer: A
Rationale: Expiratory wheezes are high-pitched sounds caused by narrowed airways during an asthma exacerbation, resulting from bronchoconstriction and inflammation. Pleural friction rubs, fine rales, and rhonchi are associated with other conditions like pleurisy, pulmonary edema, or mucus obstruction, respectively.
Question 2 of 5
Which nursing assessment indicates a positive reading of a tuberculin (TB) skin test?
Correct Answer: A
Rationale: A positive TB skin test is based on induration size, not just redness, measured 48-72 hours post-injection. A 10-mm induration may indicate positivity, depending on risk factors, but the question lacks induration specificity.
Question 3 of 5
A nurse is reinforcing teaching with a client who has COPD about purse-lipped breathing. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Pursed-lip breathing involves nasal inhalation and oral exhalation through pursed lips to maintain airway pressure and reduce air trapping, improving COPD symptoms.
Question 4 of 5
A nurse is reinforcing teaching with the parents of a child who is starting to use a spacer with a metered-dose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: A spacer enhances lung delivery of MDI medication by slowing aerosol and reducing oropharyngeal deposition. Slow inhalation and open exhalation slots optimize use.
Question 5 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.