ATI RN
ATI RN Targeted Medical Surgical Respiratory Questions
Extract:
Question 1 of 5
A patient is admitted to the hospital with SOB. The nurse notices increasing confusion and combativeness during the past hour. Which of the following actions is appropriate first?
Correct Answer: A
Rationale: Assessing the patient and oxygen delivery ensures hypoxemia, a likely cause of confusion and combativeness, is addressed first. Other actions may follow based on findings.
Question 2 of 5
A nurse is assisting with planning interventions for an influenza outbreak in a long term care facility. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Restricting visitation reduces the risk of influenza transmission from external sources. Airborne precautions are not needed for influenza, antibiotics are ineffective, and symptomatic staff should stay home.
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
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 5 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.