Questions 49

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ATI nur 211 Med Surg Final Assessment 2025 Questions

Extract:


Question 1 of 5

A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?

Correct Answer: D

Rationale: Aspirin's antiplatelet action reduces clot formation, preventing recurrent MI.

Question 2 of 5

A nurse is caring for a child who has a tracheostomy. After suctioning the tracheostomy, the nurse should use which of the following findings to determine that the procedure was effective?

Correct Answer: A

Rationale: Clear breath sounds indicate successful removal of secretions, confirming effective suctioning.

Question 3 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.

Question 4 of 5

A nurse is caring for a client who is 12 hr postoperative and has a chest tube to a disposable waterseal drainage system with suction. The nurse should intervene for which of the following observations?

Correct Answer: D

Rationale: Continuous bubbling in the waterseal chamber indicates an air leak, requiring immediate intervention.

Question 5 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.

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