ATI RN
ATI nur 211 Med Surg Final Assessment 2025 Questions
Extract:
Nurses' Notes
Vital Signs
Diagnostic Results
0900:
Child is awake and alert, but not talkative. Child was brought in for an ongoing upper respiratory infection for the last 2 months that will not go away. Parents report the child's leukemia has been in remission for more than a year. Bruising noted on the child's shoulder, thighs, and back. Parents are not sure where it came from.
1000:
Child's breath sounds clear with subcostal retractions. Oxygen saturation is 92% on room air. Child's skin is pale and petechiae noted on trunk and thighs. Child states, "I feel like I can't breathe." Bed raised to high Fowler's, oxygen applied, and provider notified.
Question 1 of 5
Which of the following assessment findings should the nurse report to the provider? Select the 6 findings that should be reported to the provider.
| Hemoglobin |
| Upper respiratory infection |
| Breath sounds |
| Skin assessment |
| Retractions |
| Oxygen saturation |
| Respiratory rate |
Correct Answer: B,C,D,E,F,G
Rationale: Persistent infection, retractions, petechiae, decreased oxygen saturation, and increased respiratory rate suggest leukemia relapse or complications, requiring immediate reporting.
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 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 4 of 5
A nurse is assessing a client who has disseminated intravascular coagulation (DIC). Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: DIC causes excessive thrombosis followed by bleeding due to consumption of clotting factors and platelets.
Question 5 of 5
A nurse is caring for a client who is receiving cisplatin for treatment of ovarian cancer. The client's most recent complete blood count (CBC) is shown in the table below. It is important for the nurse to consider which of the following for the client?
Correct Answer: C
Rationale: A WBC of 1,400/mm3 indicates severe neutropenia, increasing infection risk, a common effect of cisplatin.