ATI RN
ATI RN Targeted Medical Surgical Respiratory Questions
Extract:
Question 1 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 2 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 3 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.
Question 4 of 5
A nurse is caring for a client who has a pneumothorax and a water-seal chest tube drainage system to suction. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Keeping the drainage container below chest level prevents backflow of fluid or air into the pleural space, ensuring effective drainage. Adding tap water, routine emptying, or clamping without indication can disrupt the system or cause complications like tension pneumothorax.
Question 5 of 5
A nurse is preparing to review discharge instructions with a client who has pulmonary tuberculosis. Which of the following information should the nurse include?
Correct Answer: D
Rationale: Wearing a mask in crowds prevents tuberculosis transmission via respiratory droplets, especially during the infectious phase. Improper tissue disposal, infrequent sputum cultures, or alcohol consumption are not advised.