ATI RN
ATI nur 211 Med Surg Final Assessment 2025 Questions
Extract:
Question 1 of 5
A nurse in the postanesthesia care unit is caring for a client who is postoperative following a thoracotomy and lobectomy. Which of the following postoperative assessments should the nurse give highest priority to?
Correct Answer: D
Rationale: Arterial blood gases assess oxygenation and ventilation, critical after thoracic surgery to detect hypoxemia or hypercapnia.
Question 2 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 3 of 5
A nurse is caring for a client on the medicalsurgical unit. The client has been taking warfarin at home and her laboratory values reveal her INR is 3.5. The client states she is checking herself out of the hospital and refuses to wait until her provider can discuss the situation with her. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Explaining the risks of leaving with an elevated INR educates the client about potential bleeding dangers.
Question 4 of 5
A nurse is admitting a toddler who has respiratory syncytial virus (RSV). Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Keeping a thermometer in the room prevents cross-contamination, as RSV is highly contagious.
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.