ATI RN
ATI RN Targeted Medical Surgical Respiratory Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who is having difficulty using an incentive spirometer. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Starting slowly and gradually increasing volume helps the client master the incentive spirometer technique, reducing discomfort and improving lung expansion over time. Alternatives or rapid increases may not be effective or safe.
Question 2 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 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
A nurse is checking the suction control chamber of a client's chest tube and notes that there is no bubbling in the suction control chamber. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The absence of bubbling in the suction control chamber indicates a lack of suction, which is not an expected finding. Verifying that the suction regulator is on is the first step to troubleshoot the issue, as it directly addresses the potential cause of the problem.
Question 5 of 5
A nurse is caring for a client who is postoperative and has developed atelectasis. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Atelectasis, or lung collapse, impairs gas exchange, leading to increasing dyspnea as oxygenation decreases. Facial flushing, decreasing respiratory rate, or dry cough are not typical findings.