ATI RN
ATI RN Targeted Medical Surgical Respiratory Questions
Extract:
Question 1 of 5
What nursing intervention enhances the nutritional status of a patient with COPD?
Correct Answer: A
Rationale: Small, frequent meals reduce dyspnea and gastric distension, improving nutritional intake in COPD. Extra liquids, pre-meal exercise, or information alone are less effective.
Question 2 of 5
A nurse is collecting data on a client who has COPD. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Barrel chest is a classic COPD finding due to lung hyperinflation and air trapping. Spoon nails, edema, or pleural friction rubs are associated with other conditions.
Question 3 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 4 of 5
A nurse is collecting data on a client who has oxygen toxicity. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Oxygen toxicity can cause vasodilation, leading to facial flushing. Muscle twitching, metallic taste, or periorbital edema are not typical symptoms.
Question 5 of 5
A nurse is collecting data from a client who is having an acute asthma exacerbation. When auscultating the client's chest, the nurse should expect to hear which of the following sounds?
Correct Answer: A
Rationale: Expiratory wheezes are high-pitched sounds caused by narrowed airways during an asthma exacerbation, resulting from bronchoconstriction and inflammation. Pleural friction rubs, fine rales, and rhonchi are associated with other conditions like pleurisy, pulmonary edema, or mucus obstruction, respectively.