ATI RN
ATI nur 211 Med Surg Final Assessment 2025 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has brain cancer and is undergoing radiation therapy. Which of the following manifestations should the nurse report immediately?
Correct Answer: C
Rationale: Seizures are a critical emergency in brain cancer patients due to tumor-related irritation or radiation-induced swelling, requiring immediate intervention.
Question 2 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.
Extract:
Nurses' Notes
Vital Signs
Diagnostic Results
0900:
Child is awake and alert, but not talkative. Child was brought in for an ongoing upper respiratory infection for the last 2 months that will not go away. Parents report the child's leukemia has been in remission for more than a year. Bruising noted on the child's shoulder, thighs, and back. Parents are not sure where it came from.
1000:
Child's breath sounds clear with subcostal retractions. Oxygen saturation is 92% on room air. Child's skin is pale and petechiae noted on trunk and thighs. Child states, "I feel like I can't breathe." Bed raised to high Fowler's, oxygen applied, and provider notified.
Question 3 of 5
Which of the following assessment findings should the nurse report to the provider? Select the 6 findings that should be reported to the provider.
| Hemoglobin |
| Upper respiratory infection |
| Breath sounds |
| Skin assessment |
| Retractions |
| Oxygen saturation |
| Respiratory rate |
Correct Answer: B,C,D,E,F,G
Rationale: Persistent infection, retractions, petechiae, decreased oxygen saturation, and increased respiratory rate suggest leukemia relapse or complications, requiring immediate reporting.
Extract:
Question 4 of 5
A nurse is assessing a client who has a possible abdominal aortic aneurysm (AAA). Which of the following is an early manifestation of an AAA?
Correct Answer: A
Rationale: Lower back or groin pain is an early sign of AAA due to pressure on surrounding structures.
Question 5 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.