ATI RN
ATI RN Targeted Medical Surgical Respiratory Questions
Extract:
Question 1 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 2 of 5
A home health nurse is visiting a client who has COPD and is receiving oxygen at 2 L/min via nasal cannula. The client tells the nurse she has been having difficulty breathing. Which of the following actions is the nurse's priority at this time?
Correct Answer: B
Rationale: Assessing respiratory status is the priority to determine the cause and severity of breathing difficulty, guiding further interventions. Other actions may follow based on findings.
Question 3 of 5
Which principle(s) would be important to teach a patient about the use of a steroid inhaler? (Select all that apply)
Correct Answer: A,C,D,E
Rationale: Steroid inhalers require oral hygiene and rinsing to prevent thrush, bronchodilator use first for airway opening, and breath-holding for lung absorption. PRN use is incorrect for maintenance therapy.
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 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.