ATI: Medical Terminology and Documentation, ATI O2, ATI respiratory, ATI practice test 4

A nurse is a providers office is assessing a client. The nurse should identify that which of the following findings are manifestations of pulmonary tuberculosis?

Night sweats Low-grade fever Blood in the sputum

A nurse is caring for an older client who has chronic obstructive pulmonary disease with pneumonia. The nurse should monitor the client for Which of the following acid-base imbalances? a. respiratory alkalosis b. respiratory acidosis c. metabolic alkalosis d. metabolic acidosis

b. respiratory acidosis

A nurse is developing a teaching plan for a client about preventing acute asthma attacks. Which of the following points should the nurse plan to discuss first? a. how to eliminate environmental triggers that precipitate attacks b. the client's perception of the disease process and what might have triggered past attacks c. the client's med regimen d. manifestations of respiratory infections

b. the client's perception of the disease process and what might have triggered past attacks

A nurse is teaching about daily chest physiotherapy with a client who has cystic fibrosis. The nurse should instruct the client that Which of the following is the purpose of the treatments? a. to encourage deep breaths b. to mobilize secretions in the airways c. to dilate the bronchioles d. to stimulate the cough reflex

b. to mobilize secretions in the airways

When assessing a patient with COPD, the nurse should expect the patients chest to be which of the following shapes; pigeon funnel kyphotic barrel

barrel

A client is admitted to the emergency department following a motorcycle crash. The nurse notes a crackling sensation upon palpation on the right side of the client's chest. After notifying the provider the nurse should document this finding as which of the following? a. friction rub b. crackles c. crepitus d. tactile fremitus

c. crepitus

A nurse in a provider's office is assessing a client who states he was recently exposed to tuberculosis. Which of the following findings is a clinical manifestation of pulmonary tuberculosis? a. pericardial friction rub b. weight gain c. night sweats d. cyanosis of the fingertips

c. night sweats

A nurse is preparing to assist a provider to withdraw arterial blood from a client's radial artery for measurement of ABG. Which of the following actions should the nurse plan to take? a. hyperventilate the client to 100% O2 prior to obtaining the specimen b. apply ice to the site after obtaining the specimen c. perform an Allen's test prior to obtaining the specimen d. Release pressure applied to the puncture site 1 min after the needle is withdrawn.

c. perform an Allen's test prior to obtaining the specimen

A nurse is planning care for a client following placement of a chest tube 1 hr ago. Which of the following actions should the nurse include in the plan of care? a. clamp the chest tube if there is continuous bubbling in the water seal chamber b. keep the chest tube drainage system at the level of the right atrium c. tape all connections between the chest tube and drainage system d. empty the collection chamber and record the amount of drainage every 8 hrs.

c. tape all connections between the chest tube and drainage system.

A nurse in a clinic is providing teaching for a client who is to have a tuberculin skin test. Which of the following information should the nurse include? a. if the test is positive, it means you have an active case of TB b. if the test is positive, you should have another TB skin test in 3 weeks c. you must return to the clinic to have the test read in 2 or 3 days d. a nurse will use a small lancet to scratch the skin of your forearm before applying the tuberculin substance.

c. you must return to the clinic to have the test read in 2-3 days

When assessing a patient with chronic respiratory insufficiency, which of the following findings should the nurse expect as a result of the long-term inadequate oxygenation? Restlessness Retractions Dependent edema clubbing of fingers

clubbing of fingers

A nurse in a provider's office is assessing an older adult patient whose son reports that the client has been sick with a respiratory illness for the past 6 days. Which of the following assessment findings is a manifestation of pneumonia in the older adult client? Bradycardia night sweat confusion narrowed pulse pressure

confusion

A nurse is preparing a client for a thoracentesis. In which of the following positions should the nurse place the client? a. lying flat on the affected side b. prone with the arms raised over the head c. supine with the head of the bed elevated d. sitting while leaning forward over the bedside table

d. sitting while leaning forward over the bedside table

A nurse is caring for a client who has a tracheostomy with an inflated cuff in place. Which of the following findings indicates that the nurse should suction the client's airway secretions? a. the client is unable to speak b. the client's airway secretions were last suctioned 2 hrs ago c. the client coughs and expectorates a large mucous plug d. the nurse auscultates coarse crackles in the lung fields

d. the nurse auscultates coarse crackles in the lung fields

A nurse is preparing to administer cisplatin IV to a client who has lung cancer. The nurse should identify that Which of the following findings is an adverse effect of this medication? a. hallucinations b. pruritis c. hand and foot syndrome d. tinnitus

d. tinnitus

A nurse is auscultating a patient's lung sounds and identifies crackles in the left lower lobe. Which of the following interventions should the nurse take? Repeat auscultation after asking to breathe deeply and cough instruct patient to limit fluid intake to <2000mL/day prepare to administer antibiotics place patient on bed rest in semi-flower's position

repeat auscultation after asking to breath deeply and cough

A nurse is caring for a patient who has an acute respiratory failure (ARF). The nurse should monitor the patient for which of the following manifestations of this condition? (select all that apply) Severe dyspnea nausea decreased level of consciousness headache hypotension

severe dyspnea, decreased level of consciousness, headache, hypotension

When assessing a patient with hypoxia, which of the following findings should the nurse expect? Bradypnea somnolence pallor tachycardia.

tachycardia

When providing discharge instructions to a patient with asthma who is about to start taking theophylline (Theo-24), the nurse should tell the client that this medication might cause which of the following adverse effects? Drowsiness constipation oliguria tachycardia

tachycardia

A nurse is providing discharge teaching to a patient who has asthma and a new prescription for fluticasone/salmeterol. For which of the following adverse effects should the nurse instruct the client to report to the provider? Sedation increased appetite white coating in the mouth dry oral mucous membranes

white coating in the mouth

A nurse is providing discharge teaching to a client who has a new prescription for home oxygen therapy via nasal cannula. Which of the following should the nurse include in the teaching?

-Check the cannula position on a regular basis -Check the tops of the ears for skin breakdown -Post "no smoking" signs in a prominent location in the home

A nurse is caring for a client who is receiving positive-pressure mechanical ventilation. Which of the following interventions should the nurse implement to prevent complications?

-Elevate the HOB to at least 30 -Administer pantoprazole as prescribed -Reposition the endotracheal tube to the opposite side of the mouth daily

A nurse in an emergency department is assessing a client who is having a suspected acute myocardial infarction (MI). Which of the following manifestations should the nurse expect to find for a client experiencing an acute MI?

-Nausea -Tachycardia -Diaphoresis

What actions to take with a patient with active pulmonary tuberculosis

-Protective mask -Closed door sign -Puncture-proof sharps container -Hand hygiene

A nurse finds that a client did not receive a scheduled dose of furosemide (Lasix). Which of the following should the nurse include in incident/variance report?

-The date of the incident -The time the client was to receive the medication -The clients vital signs

A nurse is teaching a patient who has asthma how to use a metered-dose inhaler (MDI). The nurse identifies the sequence of steps the patient should follow

1)inhale deeply and then exhale completely, place lips firmly around mouthpiece, breathe in deeply over 2-3 seconds while pushing down on the canister, hold breath for 10 seconds, exhale slowly through pursed lips, wait 60 seconds between each puff

A nurse is caring for a patient who is receiving O2 and 2L/min via nasal cannula. The nurse recognizes the patient is receiving which of the following inspired O2 concentration? 28%, 36%, 50%, 70%

28%

Mental Status Exam (MSE)

A nurse is admitting an older adult client who has a suspected cognitive disorder. Which of the following inventories should be included as part of the admission assessment? Mental Status Exam (MSE) Brief Patient Health Questionnaire (Brief PHQ) Abnormal Involuntary Movements Scale (AIMS) Scale for Assessing of Negative Symptoms (SANS)

Peripheral edema An increase of venous hydrostatic pressure, which develops when fluid accumulates in the veins, causes fluid to leak out into the tissues resulting in edema.

A nurse is assessing a client who has chronic venous insufficiency. Which of the following findings should the nurse expect? Dependent rubor Peripheral edema Hair loss Thick, deformed toenails

Extreme thirst Extreme thirst is a sign of diabetes

A nurse is assessing a client who has peritonitis. the nurse would expect all of the following findings except: Hypoactive bowel sounds Decreased urinary output Rigid abdomen Extreme thirst

Unilateral leg swelling Calf pain, groin pain, and unilateral leg swelling are manifestations of DVT

A nurse is assessing a client who is at risk for deep-vein thrombosis (DVT). Which of the following findings is a manifestation of DVT? Cold and bluish extremities Bluish veins on the surface of the leg Deep necrotic ulcers Unilateral leg swelling

Intermittent claudication This is ischemic pain that is precipitated by exercise, resolves with rest, and is reproducible. The pain associated with claudication arises when cellular oxygen demand exceeds supply. It occurs early in the disease course, and is typically the initial reason clients who have PAD seek medical attention.

A nurse is caring for a client who has peripheral arterial disease (PAD). Which of the following symptoms should the nurse expect to find in the EARLY stage of the disease? Intermittent claudication Dependent rubor Rest pain Foot ulcers

They improve your circulation to keep blood from pooling in your legs.

A nurse is providing pre-op teaching. the nurse explains that the client will wear anti-embolism stockings during and after the procedure. When asked what the stockings do, which of the following responses should the nurse make? They protect your legs and heels from skin breakdown. They help keep you warm after surgery. They improve your circulation to keep blood from pooling in your legs. They make it easier for you to do leg exercises after surgery.

A nurse caring for a child who is experiencing status asthmaticus, which of the following interventions is the priority for the nurse to take? Administer a SABA obtain a peak flow reading administer an inhaled glucocorticoid determine the cause of the acute exacerbation

Administer a SABA

A home health nurse visits a patient who has COPD and receives O2 at 2L/min via nasal cannula. The patient reports difficulty breathing. Which of the following actions is the nurses priority? Increase O2 to 3L/m Asses clients respiratory status call emergency services for the patient have the patient cough and expectorate secretions

Assess the client's respiratory status

A nurse is providing discharge teaching to a patient who has asthma and new prescriptions for cromolyn and albuterol, both by nebulizer. Which of the following statements by the patient indicates an understanding of teaching? If my breathing begins to feel tight, I will use the cromolyn immediately I will be sure to take the albuterol before taking the cromolyn I will use both medications immediately after exercising I will administer the medications 10 minutes apart.

I will be sure to take the albuterol before taking the cromolyn

A nurse is providing a preoperative teaching to a client who is to undergo a pneumonectomy. The client states, "I am afraid it will hurt to cough after the surgery." Which of the following statements by the nurse is appropriate? a. after the surgeon removes the lung, you will not need to cough b. I'll make sure you get a cough suppressant to keep you from straining the incision when you cough c. don't worry, you will have a pump that delivers pain medication as you need it, so you will have very little pain d. I will show you how to splint your incision while coughing.

I will show you how to splint your incision while coughing

A nurse is teaching a patient who has COPD about ways to facilitate eating, which of the following statements indicates a need for further teaching? I will rest for at least 30 minutes before eating I will take my bronchodilators after meals I will eat five or six small meals each day I will choose foods that are not gas-forming

I will take my bronchodilators after meals

A nurse is assessing a client who as fluid overload. Which of the following findings should the nurse expect?

Increased heart rate Increased blood pressure Increased respiratory rate

A nurse is teaching a patient who has COPD and is to start using fluticasone by MDI twice daily, which of the following instructions should the nurse include? Check your heart rate before each dose Inspect your mouth for lesions daily Use this medication to relieve an acute attack skip the morning dose if you do not have any symptoms

Inspect your mouth for lesions daily

A nurse is developing a plan of care for a patient who has COPD. The nurse should include which of the following interventions in the plan? Restrict the patient's fluid intake to <2L/day provide the patient with a low=protein diet have the patient use the early-morning hours for exercise and activity instruct the patient to use pursed-lip breathing

Instruct the patient to use pursed-lip breathing

Lateral segment of the left lower lobe Lateral segment of the right lower lobe Posterior segment of the right middle lobe Posterior segment of the right lower lobe

L

A nurse is caring for a patient who has returned to the unit following a surgical procedure. The patient's oxygen saturation is 85%. Which of the following actions should the nurse take first? Administer O2 @ 2L/min Administer prescribed analgesic medication encourage coughing and deep breathing raise the head of the bed.

Raise the head of the bed

These organs support immunity.

The nurse is caring for a client who asks about the functions of the thymus, spleen, and lymph nodes. Which of the following responses should the nurse make? These organs support immunity. These organs are used in digestion. These organs regulate electrolyte balance. These organs assist vitamin absorption.

Arterial insufficiency

When checking a client's capillary refill, the nurse finds that the color returns in 10 seconds. The nurse should understand that this indicates: Arterial insufficiency Venous insufficiency Within the expect range Thrombus formation in the vein

A nurse is providing instructions about pursed-lip breathing for a client who has chronic obstructive pulmonary disease with emphysema. The nurse should explain that this breathing techniques accomplishes Which of the following? a. increases O2 intake b. promotes carbon dioxide elimination c. uses the intercostal muscles d. strengthens the diaphragm

b. promotes carbon dioxide elimination

A nurse in the emergency department is assessing a client for a closed pneumothorax and significant bruising of the left chest following a motor-vehicle crash. The client reports severe left chest pain on inspiration. The nurse should assess the client for Which of the following manifestations of pneumothorax? a. absence of breath sounds b. expiratory wheezing c. inspiratory stridor d. rhonchi

a. absence of breath sounds

A nurse in an urgent care clinical is collecting data from a client who reports exposure to anthrax. Which of the following findings is an indication of the prodromal stage of anthrax? a. dry cough b. rhinitis c. sore throat d. swollen lymph nodes

a. dry cough

A nurse is planning care for a client who has COPD and is malnourished. Which of the following recommendations to promote nutritional intake should the nurse include in the plan? a. eat high-calorie foods first b. increase intake of water at meals c. perform active rang-of-motion exercises before meals d. keep saltine crackers nearby for snacking

a. eat high-calorie foods first

A nurse on a medical-surgical unit is caring for a client who is postoperative following a hip replacement surgery. The client reports feeling apprehensive and restless. Which of the following findings should the nurse recognize as an indication of pulmonary embolism a. sudden onset of dyspnea b. tracheal deviation c. bradycardia d. difficulty swallowing

a. sudden onset of dyspnea

A nurse is providing teaching to a client about pulmonary function tests. Which of the following tests measures the volume of air the lungs can hold at the end of maximum inhalation? a. total lung capacity b. vital lung capacity c. functional residual capacity d. residual volume

a. total lung capacity

A nurse in urgent care is caring for a patient who is having an acute asthma exacerbation. Which of the following actions is the nurse's highest priority? Initiating O2 therapy providing immediate rest for patient positioning patient in high-Fowler's Administering a nebulizer beta-adrenergic

administering a nebulizer beta-adrenergic

When assessing a patient for hypoxemia during an asthma attach, which of the following manifestations should the nurse expect? Nausea dysphagia agitation hypotension

agitation

An ER nurse is caring for a child who is experiencing an acute asthma attack, which of the following medications should the nurse expect to administer first? fluticasone budesonide montelukast albuterol

albuterol

When preparing an adolescent patient who has pneumonia for percussion, vibration, and postural drainage, which of the following nursing actions should the nurse complete first prior to the procedure? Auscultate lung fields assess pulse and respirations assess characteristics of her sputum instruct to slowly exhale with pursed lips

auscultate lung fields

A nurse on a medical unit is caring for a client who aspirated gastric contents prior to admission. The nurse administers 100% oxygen by nonrebreather mask after the client reports severe dyspnea. Which of the following findings is a clinical manifestation of acute respiratory distress syndrome? a. tympanic temp 38 C (100.4 F) b. PaO2 50 mmHg c. rhonchi d. hypopnea

b. PaO2 50 mmHg

When caring for a client who has emphysema, which of the following findings should the nurse expect to assess in the patient? (select all that apply) Dyspnea, bradycardia, barrel chest, clubbing of fingers, shallow respirations

dyspnea, barrel chest, clubbing, shallow respiration

When caring for patient with pneumonia, which of the following actions should the nurse take to promote thinning of respiratory secretions? Encourage frequent ambulation encourage coughing and deep breathing encourage increase of fluid intake encourage regular use of IS

encourage increased fluid intake (1500-2500mL/day)

A nurse is caring for a patient who has COPD. The patient tells the nurse, "I can feel the congestion in my lungs, and I certainly cough a lot, but I can't seem to bring anything up". Which of the following actions should the nurse take to help this patient with tenacious bronchial secretions? Maintaining a semi-Fowlers position as often as possible Administering O2 via nasal cannula @ 2L/min Helping the patient select a low-salt diet encouraging the patient to drink 2-3L water daily.

encouraging the patient to drink 2-3 L water daily

When teaching an asthmatic patient how to use an albuterol inhaler, which action by the patient indicates an understanding of the teaching? Holding breath for 10 seconds after inhaling the med, a quick inhalation while releasing med from inhaler, exhales as med is released from inhaler, waits 10min between inhalations

holds breath for 10 seconds after inhaling med

A nurse is caring for a patient who has emphysema and difficulty with mobility. The patient receives home health care and spends most of his day in a reclining chair. Which of the following physiological responses to prolonged immobility should the nurse expect? Increased insulin production, Decreased RBC production Decreased sodium excretion increased calcium excretion

increased calcium excretion

A nurse is providing discharge teaching to a client who is postoperative following a rhinopasty. Which of the following instructions should the nurse include? a. apply warm compresses to the face b. take aspirin 650 mg by mouth for mild pain c. close your mouth when sneezing d. lie on your back with your head elevated 30 degrees when resting

lie on your back with your head elevated 30 degrees when resting

A nurse is caring for a patient who has asthma and is taking fluticasone, the nurse should monitor the patient for which of the following adverse effects? Hypoglycemia Hypertension Polyuria Oral candidiasis

oral candidiasis