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 an adolescent who has hemophilia A and is scheduled for wisdom teeth extractions. Prior to the procedure, the nurse should anticipate that the client will receive which of the following products?

Correct Answer: A

Rationale: Recombinant factor VIII is used to prevent bleeding in hemophilia A by replacing deficient clotting factor before surgery.

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 2 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:

Nurses' Notes
Vital Signs
Diagnostic Results
Day 1:
Client is admitted with a 2day history of headache, muscle aches, fever, sore throat, and fatigue


Question 3 of 5

Based on the information in the EHR, which of the following actions should the nurse take? Select all that apply.

Correct Answer: A,C,E

Rationale: Influenza B requires droplet precautions (mask, private room) and hydration to prevent dehydration.

Extract:


Question 4 of 5

A nurse is admitting a client who has active tuberculosis to a room on a medicalsurgical unit. Which of the following room assignments should the nurse make for the client?

Correct Answer: A

Rationale: A negative-pressure room with outdoor exhaust is required for airborne precautions in active TB.

Extract:

Provider Prescriptions
Vital Signs
Nurses' Notes
Diagnostic Results
Medical History
Day 1:
Purified protein derivative 0.1 mL intradermal to right forearm
Isoniazid 300 mg PO daily
Rifampin 600 mg PO daily
Acetaminophen 500 mg 12 tablets PO every 4 to 6 hr PRN fever, pain


Question 5 of 5

Which of the following findings should the nurse report to the provider?

Correct Answer: A,B,E

Rationale: Yellow sclera and increasing AST/ALT levels suggest hepatotoxicity from TB medications, requiring immediate reporting.

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