Questions 49

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ATI nur 211 Med Surg Final Assessment 2025 Questions

Extract:


Question 1 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 2 of 5

A nurse is caring for a client who has acute respiratory distress syndrome (ARDS). The nurse should identify that which of the following conditions is the most common cause of ARDS?

Correct Answer: A

Rationale: Sepsis is the leading cause of ARDS due to its systemic inflammatory response, causing alveolar damage and pulmonary edema.

Question 3 of 5

A nurse is providing teaching to a client who has neutropenia. Which of the following information should the nurse include in the teaching?

Correct Answer: A

Rationale: Avoiding crowds reduces infection risk in neutropenic clients, who are highly susceptible to pathogens.

Question 4 of 5

A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to promote thinning of respiratory secretions?

Correct Answer: D

Rationale: Increased fluid intake thins respiratory secretions, facilitating airway clearance in pneumonia.

Question 5 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.

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