1- A charge nurse receives notification of the admission of a client who is coughing frequently and

whose sputum is pink, frothy, and copious. The client has history of night sweats, anorexia, and

weight loss. Which of the following actions should the nurse take? (SATA)

-Assign the client to a private room with negative-pressure airflow

-Wear an N95 respirator when entering the client’s room.

2- A nurse is assisting a provider with a comprehensive physical examination of a client. When the

provider uses transillumination, the nurse should explain to the client that this technique help

evaluate which of the following structures?

-Maxillary sinuses

3- A nurse is caring for a client who smokes cigarettes and has a new diagnosis of emphysema. How

should the nurse assist the client with smoking cessation?

-Discuss ways the client can reduce the number of cigarettessmoked per day.

4- A nurse is planning care for a client who has chronic obstructive pulmonary disease (COPD) and

is malnourished. Which of the following recommendations to promote nutritional intake should

the nurse include in the plan?

-Eat high-calorie food first.

Rational: client who has COPD experience early satiety. Clientshould eat calorie-dense food first.

5- A nurse is preparing to administer cisplatin IV to a client who haslung cancer. The nurse should

identify that which of the following findings is an adverse effect of this medication?

-Tinnitus.

Rational: An adverse effect of cisplatin is ototoxicity, which can cause tinnitus.

6- A nurse in a medical-surgical unit is assessing a client. The nurse should identify that which of

the following findings is a manifestation of a pulmonary embolism?

-Stabbing chest pain

Rational: sudden chest pain that is sharp and stabbing is a manifestation of pulmonary

embolism. Other manifestations include dyspnea, coughing, hemoptysis (coughing up blood),

tachypnea, tachycardia, diaphoresis, and feeling of impending doom.

 NURS 406 - MED SURGE Respiratory ATI

7- A nurse in the PACU is assessing a newly admitted client and observes intercostal retractions and

a high-pitched inspiratory sound (stridor). The nurse should identify theses findings as

manifestations of which of the following complications?

-Respiratory obstruction

8- A nurse is reviewing the laboratory results of a client who has metabolic alkalosis. Which of the

following laboratory values should the nurse expect?

-ph 7.49,HCO3-32mEq/L, PaCO2 40mmHg

Rational: Metabolic alkalosis: pH and bicarbonate values are greater than the expected

references range, and the PaCO2 is within the expected reference range.

9- A nurse is providing teaching to a client who has a chronic cough and is scheduled for a

bronchoscopy. Which of the following clientstatementsindicates an understanding of the

teaching?

-“A tissue sample might be obtained during the procedure