Questions 49

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ATI nur 211 Med Surg Final Assessment 2025 Questions

Extract:


Question 1 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.

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 2 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:

Nurses' Notes
Laboratory Results
Vital Signs
Provider Prescriptions
2 months ago:
Client reports occasional headaches, dizziness, recent weight gain, and swelling in feet and ankles.
Bilateral 2+ pedal edema noted.
Today:
Client reports that headaches and dizziness have decreased in frequency. Bilateral 3+ edema noted in feet


Question 3 of 5

The nurse is evaluating the client's response to the prescribed medications. The client's [Blood pressure/Heart rate/Weight/Potassium level/HDL level/Pedal findings/Pulse oximetry] and [Blood pressure/Heart rate/Weight/Potassium level/HDL level/Pedal findings/Pulse oximetry] indicate an improvement in the client's condition.

Blood pressure
Heart rate
Weight
Potassium level
HDL level
Pedal findings
Pulse oximetry

Correct Answer: A,E

Rationale: Improved blood pressure and HDL levels indicate effective response to antihypertensive and lipid-lowering medications.

Extract:


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 educating clients about breast cancer at a community health event. Which of the following statements should the nurse include in the training?

Correct Answer: B

Rationale: Invasive ductal carcinoma is the most common type of breast cancer, originating in the milk ducts.

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