ATI RN
ATI nur 211 Med Surg Final Assessment 2025 Questions
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 1 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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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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