ATI RN
ATI RN Targeted Medical Surgical Respiratory Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a newly licensed nurse about the manifestations of hypoxia. Which of the following findings should the nurse include in the teaching?
Correct Answer: C
Rationale: Hypoxia can cause agitation due to the brain's response to low oxygen levels, signaling distress. Nausea, dysphagia, or warm, dry skin are not typical hypoxia manifestations.
Question 2 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 3 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 4 of 5
A nurse is reinforcing teaching with a client who is to start taking montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Montelukast is taken orally once daily in the evening for asthma control. Rinsing is for inhaled steroids, it's not a rescue medication, and sodium reduction is unrelated.
Question 5 of 5
A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions is the priority for the nurse to take?
Correct Answer: B
Rationale: A pulmonary embolism impairs gas exchange, causing hypoxemia. Oxygen therapy is the priority to improve oxygenation and stabilize the client. Other interventions follow based on further assessment.