ATI RN
ATI RN Targeted Medical Surgical Respiratory Questions
Extract:
Question 1 of 5
Which nursing assessment indicates a positive reading of a tuberculin (TB) skin test?
Correct Answer: A
Rationale: A positive TB skin test is based on induration size, not just redness, measured 48-72 hours post-injection. A 10-mm induration may indicate positivity, depending on risk factors, but the question lacks induration specificity.
Question 2 of 5
A nurse is preparing to obtain a sputum specimen for a client. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Rinsing the mouth before sputum collection removes contaminants, ensuring a clean sample. Post-meal collection or non-sterile containers risk contamination, and timing is not evening-specific.
Question 3 of 5
A nurse is assisting with the care of a client who has multiple injuries following a motor vehicle crash. The nurse should monitor for which of the following manifestations of a pneumothorax?
Correct Answer: C
Rationale: A pneumothorax causes lung collapse, leading to an absence of breath sounds over the affected area due to air in the pleural space preventing lung expansion. Stridor, wheezes, and crackles are associated with upper airway obstruction, bronchoconstriction, or fluid/mucus, respectively.
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 has pulmonary tuberculosis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Fatigue is a common symptom of pulmonary tuberculosis due to the body's immune response and systemic inflammation. Fever may occur but not specifically in the morning, and edema or increased appetite are not typical.