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 thrombophlebitis and is receiving a continuous heparin infusion. Which of the following medications should the nurse have available to reverse heparin's effects?
Correct Answer: A
Rationale: Protamine sulfate is the antidote for heparin, neutralizing its anticoagulant effects.
Question 2 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 3 of 5
A nurse is providing teaching to a client who has coronary artery disease. Which of the following statements should the nurse include in the teaching to explain the correlation between changes in the coronary arteries and manifestations that occur?
Correct Answer: A
Rationale: Narrowing of coronary arteries due to atherosclerosis reduces blood flow, causing ischemia and symptoms like angina.
Extract:
Medical History
Nurses' Notes
75.year.old male who reports increased dyspnea x 4 days. Denies cough or fever.
Past medical history: Two pack a day smoker for 50 years. Diagnosed with lung cancer 4 years ago and treated. Over the last year has developed frequent pleural effusions treated with thoracentesis. Hypertension.
Surgical history: Right lower lobectomy 4 years ago. Left hernia repair 25 years ago.
Question 4 of 5
The nurse is caring for the client following a thoracentesis. Select the 3 findings that require immediate follow.up.
| Oxygen saturation of 95% |
| Heart rate 110/min and regular |
| Puncture site dry |
| Subcutaneous emphysema |
| Trachea midline |
| Decreased lung sounds |
Correct Answer: B,D,F
Rationale: Tachycardia, subcutaneous emphysema, and decreased lung sounds suggest complications like pneumothorax or respiratory distress, requiring immediate follow-up. Oxygen saturation of 95%, a dry puncture site, and midline trachea are not urgent.
Extract:
Question 5 of 5
A nurse is caring for a client who is receiving cisplatin for treatment of ovarian cancer. The client's most recent complete blood count (CBC) is shown in the table below. It is important for the nurse to consider which of the following for the client?
Correct Answer: C
Rationale: A WBC of 1,400/mm3 indicates severe neutropenia, increasing infection risk, a common effect of cisplatin.