Questions 49

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ATI nur 211 Med Surg Final Assessment 2025 Questions

Extract:


Question 1 of 5

A nurse is planning nutritional teaching for a client who is experiencing fatigue due to iron deficiency anemia. Which of the following foods should the nurse recommend to the client?

Correct Answer: A

Rationale: Black beans are rich in iron, aiding in correcting iron deficiency anemia.

Question 2 of 5

A nurse is reviewing the CBC findings for a female client who is receiving combination chemotherapy for breast cancer. Which of the following findings should the nurse report to the provider?

Correct Answer: C

Rationale: A WBC of 2300/mm3 indicates severe neutropenia, increasing infection risk, which requires immediate reporting.

Question 3 of 5

A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?

Correct Answer: D

Rationale: Aspirin's antiplatelet action reduces clot formation, preventing recurrent MI.

Question 4 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.

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 5 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.

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