ATI RN
ATI nur 211 Med Surg Final Assessment 2025 Questions
Question 1 of 5
A nurse is providing care for a postoperative client. Which of the following manifestations should the nurse identify as indicating the development of postoperative shock?
Correct Answer: C
Rationale: Hypotension and confusion are hallmark signs of postoperative shock, indicating inadequate circulation due to blood loss, fluid shifts, or sepsis. Hypertension, bradycardia, bradypnea, and metabolic alkalosis are not typical features of shock.
Question 2 of 5
A nurse is observing the closed chest drainage system of a client who is 24 hr post thoracotomy. The nurse notes slow, steady bubbling in the suction control chamber. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Slow, steady bubbling in the suction control chamber is expected, indicating proper function of the drainage system. Clamping the tube or checking for leaks is unnecessary unless there are signs of malfunction.
Extract:
Medical History
Nurses' Notes
75.year.old male who reports increased dyspnea x 4 days. Denies cough or fever.
Past medical history: Two pack a day smoker for 50 years. Diagnosed with lung cancer 4 years ago and treated. Over the last year has developed frequent pleural effusions treated with thoracentesis. Hypertension.
Surgical history: Right lower lobectomy 4 years ago. Left hernia repair 25 years ago.
Question 3 of 5
The nurse is caring for the client following a thoracentesis. Select the 3 findings that require immediate follow.up.
| Oxygen saturation of 95% |
| Heart rate 110/min and regular |
| Puncture site dry |
| Subcutaneous emphysema |
| Trachea midline |
| Decreased lung sounds |
Correct Answer: B,D,F
Rationale: Tachycardia, subcutaneous emphysema, and decreased lung sounds suggest complications like pneumothorax or respiratory distress, requiring immediate follow-up. Oxygen saturation of 95%, a dry puncture site, and midline trachea are not urgent.
Extract:
Question 4 of 5
A nurse is caring for a client who just had a flexible bronchoscopy. Which of the following nursing actions is appropriate?
Correct Answer: D
Rationale: Withholding food and liquids until the gag reflex returns prevents aspiration due to temporary anesthesia-induced suppression of the gag reflex.
Question 5 of 5
A nurse is planning care for a client who has idiopathic thrombocytopenic purpura (ITP). Which of the following manifestations is most appropriate for the nurse to monitor?
Correct Answer: C
Rationale: Ecchymosis is a key manifestation of ITP due to thrombocytopenia, increasing the risk of bruising and bleeding, which requires close monitoring.