ATI RN
ATI nur 211 Med Surg Final Assessment 2025 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has an absolute neutrophil count (ANC) less than 1,000/mm3. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Limiting visitors to healthy adults reduces infection risk in neutropenic clients, who are highly susceptible due to low ANC.
Question 2 of 5
A nurse is caring for a client who is 12 hr postoperative and has a chest tube to a disposable waterseal drainage system with suction. The nurse should intervene for which of the following observations?
Correct Answer: D
Rationale: Continuous bubbling in the waterseal chamber indicates an air leak, requiring immediate intervention.
Question 3 of 5
A nurse is planning care for a client who has an absolute neutrophil count (ANC) less than 1,000/mm3. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Limiting visitors to healthy adults reduces infection risk in neutropenic clients, who are highly susceptible due to low ANC.
Question 4 of 5
A nurse is planning care for a client who has idiopathic thrombocytopenic purpura (ITP). Which of the following manifestations is most appropriate for the nurse to monitor?
Correct Answer: C
Rationale: Ecchymosis is a key manifestation of ITP due to thrombocytopenia, increasing the risk of bruising and bleeding, which requires close monitoring.
Question 5 of 5
A nurse is planning care for a client who has suspected cardiac tamponade. Which of the following diagnostic tests should the nurse anticipate the provider to order first?
Correct Answer: B
Rationale: Echocardiogram is the first-line test for cardiac tamponade, visualizing pericardial effusion and cardiac compression.