ATI RN
ATI nur 211 Med Surg Final Assessment 2025 Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to be transported to the xray department. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Keeping the drainage system below chest level prevents backflow and maintains proper function.
Question 3 of 5
A nurse is caring for a client with a tracheostomy. The client's partner has been taught to perform suctioning. Which of the following actions by the partner should indicate to the nurse a readiness for the client's discharge?
Correct Answer: A
Rationale: Independent performance of suctioning demonstrates the partner's ability to safely manage the client's airway at home.
Question 4 of 5
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). The client tells the nurse, 'I can feel the congestion in my lungs, and I certainly cough a lot, but I can't seem to bring anything up.' Which of the following actions should the nurse take to help this client with tenacious bronchial secretions?
Correct Answer: C
Rationale: Hydration thins bronchial secretions, aiding expectoration in COPD patients.
Question 5 of 5
A nurse is teaching a client who has septic shock about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?
Correct Answer: B
Rationale: DIC involves abnormal coagulation with fibrinogen consumption, leading to thrombosis and bleeding.