ATI RN
ATI nur 211 Med Surg Final Assessment 2025 Questions
Extract:
Question 1 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.
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 providing care for a postoperative client. Which of the following manifestations should the nurse identify as indicating the development of postoperative shock?
Correct Answer: C
Rationale: Hypotension and confusion are hallmark signs of postoperative shock, indicating inadequate circulation due to blood loss, fluid shifts, or sepsis. Hypertension, bradycardia, bradypnea, and metabolic alkalosis are not typical features of shock.
Question 4 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.
Question 5 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.