Questions 49

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ATI RN Test Bank

ATI nur 211 Med Surg Final Assessment 2025 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who is receiving radiation therapy to treat lung cancer. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Xerostomia is a common side effect of radiation to the chest, requiring monitoring to manage oral complications.

Question 2 of 5

A nurse is planning care for a client who has acute respiratory distress syndrome (ARDS). Which of the following changes should the nurse expect? (Select All that Apply.)

Correct Answer: A,C,D

Rationale: ARDS leads to muscle wasting, cognitive loss, and functional impairment due to prolonged critical illness, hypoxia, and immobility.

Question 3 of 5

A nurse is admitting a child who has leukemia and a critically low platelet count. Which of the following precautions should the nurse initiate?

Correct Answer: C

Rationale: Bleeding precautions are necessary due to thrombocytopenia, reducing the risk of hemorrhage.

Question 4 of 5

A nurse is caring for a client who is 1day postoperative following a left lower lobectomy and has a chest tube in place. When assessing the client's threechamber drainage system, the nurse notes that there is no bubbling in the suction control chamber. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: No bubbling in the suction control chamber suggests a suction issue, requiring verification of the regulator and tubing integrity.

Question 5 of 5

A nurse is observing the closed chest drainage system of a client who is 24 hr post thoracotomy. The nurse notes slow, steady bubbling in the suction control chamber. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Slow, steady bubbling in the suction control chamber is expected, indicating proper function of the drainage system. Clamping the tube or checking for leaks is unnecessary unless there are signs of malfunction.

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