ATI: Custom NUR 211 Final Assessment Summer 1 2026

Question 1

ATI: Custom NUR 211 Final Assessment Summer 1 2026 A nurse in the post-anesthesia care unit is caring for a client who is postoperative following a thoracotomy and lobectomy. Which of the following postoperative assessments should the nurse give highest priority to?

• Pain level
• Urinary output
• Arterial blood gases
• Chest tube drainage

Question 2

A nurse is admitting a child who has leukemia and a critically low platelet count. Which of the following precautions should the nurse initiate?

• Bleeding
• Droplet
• Neutropenic
• Contact

Question 3

A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to promote thinning of respiratory secretions?

• Encourage the client to increase fluid intake.
• Encourage coughing and deep breathing.
• Encourage the client to ambulate frequently.
• Encourage regular use of the incentive spirometer.

Question 4

A nurse is caring for a client who has developed pulmonary embolism (PE). Which of the following diagnostic tests should the nurse anticipate the provider to prescribe to confirm the client’s condition? (Select All That Apply)

• D-dimer blood test
• Complete blood count (CBC)
• CT scan
• Chest x-ray
• Lung ventilation and perfusion scan (VQ scan)

Question 5

A nurse is caring for a client who has brain cancer and is undergoing radiation therapy. Which of the following manifestations should the nurse report immediately?

• Chest pain and dyspnea
• Seizures
• Swelling of the extremities
• Hematuria

Question 6

A nurse manager is providing an in-service for a group of nurses about thromboembolism. Which of the following conditions should the nurse manager include as life-threatening? (Select All that Apply.)

• Deep vein thrombosis
• Myocardial infarction
• Ischemic stroke
• Hematoma
• Pulmonary embolism

Question 7 of 50

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?

• antipyretic
• antiplatelet aggregate
• anti-inflammatory
• analgesic

Question 8 of 50

A nurse is providing care for a postoperative client. Which of the following manifestations should the nurse identify as indicating the development of postoperative shock?

• The client develops bradycardia and bradypnea
• The client has metabolic alkalosis and warm extremities
• The client has hypotension and is confused
• The client has hypertension and anuria

Question 9 of 50

A nurse is caring for a client who just had a flexible bronchoscopy. Which of the following nursing actions is appropriate?

• Have the client refrain from talking for 24 hr.
• Withhold food and liquids until the client’s gag reflex returns.
• Suction the client’s oropharynx frequently.
• Irrigate the client’s throat every 4 hr.

Question 10 of 50

A nurse is assessing a client who has a pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider?

• Eyelets are not visible
• Movement of the trachea toward the unaffected side
• Crepitus in the area above and surrounding the insertion site
• Bubbling of the water in the water seal chamber with exhalation

Question 11 of 50

A nurse is caring for a client who reports pain in their lower extremities following surgery. Which of the following should the nurse address first?

• Last bowel movement 2 days ago
• Been on bedrest for 3 days
• Consumed 35% of meals for 12 hr
• Reports pain as 5 on a scale of 0 to 10

Question 12 of 50

A nurse is caring for a client who has thrombophlebitis and is receiving a continuous heparin infusion. Which of the following medications should the nurse have available to reverse heparin’s effects?

• Acetylcysteine
• Vitamin K
• Protamine sulfate
• Deferasirox

Question 13 of 50

A nurse is planning care for a client who has acute respiratory distress syndrome (ARDS). Which of the following changes should the nurse expect? (Select All that Apply.) ATI: Custom NUR 211 Final Assessment Summer 1 2026

• Muscle wasting
• Fat accumulation
• Cognitive loss
• Functional impairment
• Weight gain

Question 14 of 50

A nurse is planning care for a client who has suspected cardiac tamponade. Which of the following diagnostic tests should the nurse anticipate the provider to order first?

• Computed tomography (CT) scan
• Electrocardiogram (ECG)
• Chest x-ray
• Echocardiogram

Question 15 of 50

A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis (TB) about the use of antitubercular medications. Which of the following information should the nurse include in the teaching?

• Medications will need to be taken until the Mantoux test is negative.
• The client’s family will also need to take medications to prevent infection.
• Medications will need to be taken for the rest of the client’s life, even if the client feels better.
• A typical course of treatment involves 6 to 9 months of consistent medication use.

Question 16 of 50

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?

• Pneumonia
• Sepsis
• Motor vehicle accident trauma
• Aspiration

Question 17 of 50

A nurse is teaching a client who has septic shock about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?

• “DIC is characterized by an elevated platelet count.”
• “DIC is caused by abnormal coagulation involving fibrinogen.”
• “DIC is controllable with lifelong heparin usage.”
• “DIC is a genetic disorder involving a vitamin K deficiency.”

Question 18 of 50

A nurse is admitting a toddler who has respiratory syncytial virus (RSV). Which of the following actions should the nurse take?

• Place the toddler in a room that has negative air pressure.
• Initiate airborne precautions.
• Allow the toddler to play in the common room.
• Keep thermometer in the toddler’s room.

Question 19 of 50

A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). The client tells the nurse, “I can feel the congestion in my lungs, and I certainly cough a lot, but I can’t seem to bring anything up.” Which of the following actions should the nurse take to help this client with tenacious bronchial secretions?

• Encouraging the client to drink 2 to 3 L of water daily
• Administering oxygen via nasal cannula at 2 L/min
• Helping the client select a low-salt diet
• Maintaining a semi-Fowler’s position as often as possible

Question 20 of 50

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?

• Hemoglobin 12 g/dL
• WBC 2300/mm³
• RBC 5 million/mm³
• Platelets 155,000/mm³

Question 21

A nurse is assessing a client who has disseminated intravascular coagulation (DIC). Which of the following findings should the nurse expect?

• Increased clotting factors
• Progressive increase in platelet production
• ✅ Excessive thrombosis and bleeding
• Immediate sodium and fluid retention

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Question 22

A nurse is providing discharge teaching for a client who has a new prescription for warfarin. Which of the following instructions should the nurse include in the teaching?

• If a dose of the medication is missed, double the dose at the next scheduled time.
• ✅ Use an electric razor while on this medication.
• Increase fiber intake to reduce the adverse effect of constipation.
• Mild nosebleeds are common during initial treatment.

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Question 23

A nurse is caring for a client.

Nurses’ Notes

Day 1

Client is admitted with a 2-day history of headache, muscle aches, fever, sore throat, and fatigue.

Diagnostic Results

• Hct 38% (37% to 47%)
• Hgb 13 g/dL (12 g/dL to 16 g/dL)
• WBC 4,900/mm³ (5,000 to 10,000/mm³)
• Potassium 3.6 mEq/L (3.5 to 5 mEq/L)
• Throat culture positive for influenza B

Based on the information in the EHR, which of the following actions should the nurse take? (Select all that apply.)

• ☐ Place the client on airborne precautions.
• ✅ Encourage the client to increase fluid intake.
• ☐ Place the client in prone position.
• ✅ Wear a mask when caring for the client.
• ☐ Prepare to administer an antibiotic to the client.

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Question 24

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?

Test	Result
WBC	1,400/mm³
RBC	4.3 × 10⁶/µL
Hgb	12.1 g/dL
Hct	36.5%
Platelets	170,000/mm³
Albumin	4.5 g/dL

• The client should receive a diet with increased protein.
• The client should receive an erythropoiesis stimulating agent.
• The client has an increased risk for bleeding.
• ✅ The client has an increased risk of infection.

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Question 25

A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as possible risk factors for iron deficiency anemia? (Select all that apply.)

• The client eats red meat daily.
• ✅ The client has had gastric bypass surgery.
• ✅ The client has had treatment for gastrointestinal cancer.
• The client eats mostly prepackaged, processed foods.
• ✅ The client has ulcerative colitis.

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Question 26

A nurse is caring for a client who is 1-day postoperative following a left lower lobectomy and has a chest tube in place. When assessing the client’s three-chamber drainage system, the nurse notes that there is no bubbling in the suction control chamber. Which of the following actions should the nurse take?

• Milk the chest tube and dislodge any clots in the tubing that are occluding it. ATI: Custom NUR 211 Final Assessment Summer 1 2026
• Continue to monitor the client as this is an expected finding.
• ✅ Verify that the suction regulator is on and check the tubing for leaks.
• Add more water to the suction control chamber of the drainage system.

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Question 27

A nurse is caring for a client who is 12 hr postoperative and has a chest tube to a disposable water-seal drainage system with suction. The nurse should intervene for which of the following observations?

• Fluid-level fluctuations in the water-seal chamber
• Bloody drainage in the collection chamber
• ✅ Constant bubbling in the suction-control chamber
• Continuous bubbling in the water-seal chamber

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Question 28

A nurse is caring for a client who has deep vein thrombosis (DVT) of the right lower leg. Which of the following manifestations should the nurse expect? (Select all that apply.)

• ✅ Warmth
• ✅ Erythema
• ✅ Swelling
• ☐ Numbness
• ☐ Bleeding

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Question 29

A nurse is providing teaching to a client who has atrial fibrillation and reports dizziness and palpitations. Which of the following should the nurse understand is the cause of these manifestations?

• The SA node sends an electrical signal greater than 100/min.
• ✅ The heart’s electrical signals are rapid, chaotic, and irregular.
• The heart’s electrical transmission through the atrioventricular (AV) node is unusually slow.
• An early electrical signal occurs before the expected sinoatrial (SA) node signal.

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Question 30

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?

• Discomfort at the puncture site
• Decreased temperature
• ✅ Increased heart rate
• Serosanguineous drainage from the puncture site

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Question 31

A nurse is caring for an adolescent who has hemophilia A and is scheduled for wisdom teeth extractions. Prior to the procedure, the nurse should anticipate that the client will receive which of the following products?

• ✅ Recombinant factor VIII
• Packed RBCs
• Prophylactic antibiotics
• Fresh frozen plasma

Question 32

A nurse is creating a plan of care for prostate screening in high-risk populations. Which of the following is an important consideration?

• ✅ Prostate cancer mortality is more than double for Black American males than for men in every other group.
• The best way to determine prostate cancer risk is to have a computed tomography (CT) scan.
• Occupational toxin exposure among factory workers increases rates of prostate cancer by 30%.
• Dietary factors can increase the risk of prostate cancer mortality by as much as 50%.

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Question 33

A nurse is caring for a 75-year-old male client who is experiencing difficulty breathing and shortness of breath.

Medical History

• 75-year-old male who reports increased dyspnea × 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.

The nurse is caring for the client following a thoracentesis. Select the 3 findings that require immediate follow-up.

• ☐ Heart rate 110/min and regular
• ☐ Puncture site dry
• ✅ Subcutaneous emphysema
• ✅ Oxygen saturation of 95%
• ✅ Decreased lung sounds
• ☐ Trachea midline

Question 34 of 50

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? ATI: Custom NUR 211 Final Assessment Summer 1 2026

• Limit visitors to healthy adults. ✅ (Correct Answer)
• Take the client’s rectal temperature each day.
• Instruct the client to floss his teeth daily.
• Increase raw produce in the client’s diet.

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Question 35 of 50

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?

• Continue to monitor the client’s respiratory status. ✅ (Correct Answer)
• Check the suction control outlet on the wall.
• Clamp the chest tube.
• Check the tubing connections for leaks.

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Question 36 of 50

A nurse is analyzing a client’s electrocardiogram (ECG) strip and identifies the following information:

• Heart rate: 92/min
• Rhythm: Irregular
• P wave: Unable to identify
• PR interval: Unable to measure
• QRS duration: 0.10 seconds

Based upon this information, the nurse should interpret the client’s rhythm as indicating which of the following?

• Sinus bradycardia
• Atrial fibrillation ✅ (Correct Answer)
• Supraventricular tachycardia
• First-degree heart block

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Question 37 of 50

A nurse is caring for a client on the medical-surgical unit. The client has been taking warfarin at home and her laboratory values reveal her INR is 3.5. The client states she is checking herself out of the hospital and refuses to wait until her provider can discuss the situation with her. Which of the following actions should the nurse take?

• Tell the client if she leaves without a written prescription for discharge, her insurance will not pay for the facility stay.
• Tell the client she will not be permitted to leave the facility until she has signed the against medical advice (AMA) form.
• Ask the security department to guard the room to the client’s door.
• Explain the risk the client faces if she leaves the facility. ✅ (Correct Answer)

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Question 38 of 50

A nurse is caring for a client who has pericarditis and reports feeling a new onset of palpitations and shortness of breath. Which of the following assessments should indicate to the nurse that the client may have developed atrial fibrillation?

• Different blood pressures in the upper limbs.
• Differences in upper and lower lung sounds.
• Differences between oral and axillary temperatures.
• Different apical and radial pulses. ✅ (Correct Answer) ATI: Custom NUR 211 Final Assessment Summer 1 2026

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Question 39 of 50

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?

• Performing the procedure independently ✅ (Correct Answer)
• Verbalizing all steps in the procedure
• Attending a class given about tracheostomy care
• Asking appropriate questions about suctioning

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Question 40 of 50

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?

• Fever
• Elevated WBC
• Fatigue
• Ecchymosis ✅ (Correct Answer)

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Question 41 of 50

A nurse is providing teaching to a client who has coronary artery disease. Which of the following statements should the nurse include in the teaching to explain the correlation between changes in the coronary arteries and manifestations that occur?

• “Coronary arteries become more elastic causing the arteries to stretch as individuals age causing the heart not to receive enough oxygen.”
• “Coronary arteries decrease in diameter leading to insufficient blood, oxygen, and nutrients reaching the heart muscle.” ✅ (Correct Answer)
• “The heart and the coronary arteries weaken, leading to poor perfusion and resulting in angina.”
• “Manifestations occur due to dilation of coronary arteries with increased blood flow causing increased pressure.”

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Question 42 of 50

A nurse is caring for a child who has a tracheostomy. After suctioning the tracheostomy, the nurse should use which of the following findings to determine that the procedure was effective?

• Brisk capillary refill
• Clear breath sounds ✅ (Correct Answer)
• Increased respiratory rate
• Stable oxygen saturation

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Question 43 of 50

A nurse is educating clients about breast cancer at a community health event. Which of the following statements should the nurse include in the teaching?

• “Breast cancer can occur in any part of the breast, but ductal breast cancer is most common.” ✅ (Correct Answer)
• “Breastfeeding increases the risk of breast cancer in women over 40 years of age.”
• “Clients should begin screening mammography annually by the age of 30 years old.”
• “Clients who have BRCA1 or BRCA2 gene changes have a decreased risk of breast cancer.”

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Question 44 of 50

A nurse is caring for a client who has sickle cell anemia. The client asks, “Why do I feel so tired and fatigued all of the time?” Which of the following information should the nurse provide?

• “You have had a gastrointestinal bleed.”
• “You have fewer red blood cells.” ✅ (Correct Answer)
• “You have a low ferritin level.”
• “You have an autoimmune disease.”

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Question 45 of 50

A nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to be transported to the x-ray department. Which of the following actions should the nurse take?

• Keep the drainage system below the level of the client’s chest at all times. ✅ (Correct Answer)
• Disconnect the chest tube from the drainage system during transport.
• Clamp the chest tube prior to transferring the client to a wheelchair.
• Empty the collection chamber prior to transport.

Question 46 of 50

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?

• 8 oz black tea
• 1 cup canned black beans ✅ (Correct Answer)
• 1.5 oz raisins
• 8 oz whole milk

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Question 47 of 50

A nurse is caring for a client who has a history of exposure to TB and symptoms of night sweats and hemoptysis. Which of the following tests should the nurse realize is the most reliable to confirm the diagnosis of active pulmonary TB?

• Sputum culture for acid-fast bacillus ✅ (Correct Answer)
• Sputum smear
• Chest x-ray
• Mantoux test

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Question 48 of 50

A nurse is caring for a client who has active pulmonary tuberculosis (TB). The client requires airborne precautions and is receiving multidrug therapy. Which of the following precautions should the nurse take to transport the client safely to the radiology department for a chest x-ray?

• Have the client wear a mask. ✅ (Correct Answer)
• Wear a filtration mask and gloves during transport. ATI: Custom NUR 211 Final Assessment Summer 1 2026
• Ask the x-ray technician to come to the client’s room to obtain a portable x-ray.
• Notify the x-ray department that the client requires airborne precautions.

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Question 49 of 50

A nurse is providing teaching to a client who has neutropenia. Which of the following information should the nurse include in the teaching?

• Perform mild exercise, such as gardening.
• Eat plenty of fresh fruits and vegetables.
• Take temperature weekly.
• Avoid crowds. ✅ (Correct Answer)

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Question 50 of 50

A nurse is caring for a client who is receiving radiation therapy to treat lung cancer. Which of the following actions should the nurse take?

• Examine the skin for generalized urticaria.
• Observe for signs of infection.
• Review laboratory test results for low hemoglobin.
• Monitor the mouth for signs of xerostomia. ✅ (Correct Answer)