ATI RN
ATI RN Targeted Medical Surgical Respiratory Questions
Extract:
Question 1 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 2 of 5
Which of the following could the nurse expect to observe in an older adult client who has a pneumothorax?
Correct Answer: A
Rationale: A pneumothorax impairs gas exchange, causing lower oxygen saturations (93%-94%) due to lung collapse. Higher saturations, lower energy use, or increased lung capacity are not expected.
Question 3 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 4 of 5
A nurse is caring for a client who has an acute respiratory illness. For which of the following manifestations of an airway obstruction should the nurse monitor? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Inspiratory stridor, retractions, and cyanosis indicate airway obstruction due to turbulent airflow, increased breathing effort, and poor oxygenation. Nausea and muscle tremors are not specific to airway obstruction.
Question 5 of 5
A nurse at a long-term care facility is reinforcing teaching with a newly hired nurse about care of clients who are receiving mechanical ventilation. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Elevating the bed to 40° reduces aspiration risk and improves ventilation in mechanically ventilated clients. Turning off alarms, using hydrogen peroxide, or infrequent repositioning are inappropriate.