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.
Extract:
Question 2 of 5
A nurse is caring for a client with a tracheostomy. The client's partner has been taught to perform suctioning. Which of the following actions by the partner should indicate to the nurse a readiness for the client's discharge?
Correct Answer: A
Rationale: Independent performance of suctioning demonstrates the partner's ability to safely manage the client's airway at home.
Question 3 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 4 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 5 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.