ATI RN
ATI RN Targeted Medical Surgical Respiratory Questions
Extract:
Question 1 of 5
A nurse is contributing to the care plan of an older adult client who has pneumonia. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: Increased fluid intake thins secretions, aiding clearance in pneumonia. Coughing and deep breathing are helpful but not the primary intervention, and N-95 respirators or full ADL independence are not indicated.
Question 2 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 3 of 5
A nurse is caring for a client who has been admitted with asthma exacerbation and is experiencing increased wheezing and has an oxygen saturation of 91%. The client is scheduled for his next breathing treatment in 1hr. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Albuterol, a bronchodilator, rapidly relieves bronchospasm and wheezing in asthma exacerbations, improving airflow and oxygenation. Other options do not address the acute symptoms effectively.
Question 4 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 5 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.