Questions 49

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ATI nur 211 Med Surg Final Assessment 2025 Questions

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 1 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:

Provider Prescriptions
Vital Signs
Nurses' Notes
Diagnostic Results
Medical History
Day 1:
Purified protein derivative 0.1 mL intradermal to right forearm
Isoniazid 300 mg PO daily
Rifampin 600 mg PO daily
Acetaminophen 500 mg 12 tablets PO every 4 to 6 hr PRN fever, pain


Question 2 of 5

Which of the following findings should the nurse report to the provider?

Correct Answer: A,B,E

Rationale: Yellow sclera and increasing AST/ALT levels suggest hepatotoxicity from TB medications, requiring immediate reporting.

Extract:


Question 3 of 5

A nurse is monitoring a client following a thoracentesis. The nurse should identify which of the following manifestations as a complication and contact the provider immediately?

Correct Answer: A

Rationale: Tachycardia may indicate serious complications like pneumothorax or hemorrhage, requiring immediate provider notification.

Question 4 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 5 of 5

A nurse is caring for a client who has acute respiratory distress syndrome (ARDS). The nurse should identify that which of the following conditions is the most common cause of ARDS?

Correct Answer: A

Rationale: Sepsis is the leading cause of ARDS due to its systemic inflammatory response, causing alveolar damage and pulmonary edema.

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