ATI RN
ATI Nur 109 Med Surg Final Assessment 2025 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who received an opioid narcotic for incisional pain. Which of the following findings is the priority?
Correct Answer: B
Rationale: Monitoring oxygen saturation with pulse oximetry is the priority to detect early signs of respiratory depression, a serious complication of opioid use, and intervene promptly.
Question 2 of 5
A correctional nurse is caring for a client who was recently injured in the facility. The client is complaining of pain but is not due to receive any more pain medication for a while. Which of the following interventions could the nurse include to achieve the goal of pain relief?
Correct Answer: D
Rationale: Distraction techniques, such as watching TV, are effective non-pharmacological pain management strategies. These methods help shift the client's focus away from the pain and can provide temporary relief until the next dose of medication is due.
Question 3 of 5
A home health nurse is conducting a safety assessment for a client with decreased vision due to glaucoma. Which of the following interventions should the nurse prioritize to ensure a safe home environment for the client?
Correct Answer: B
Rationale: Securing electrical cords and wires reduces tripping hazards, promoting safer movement for a client with decreased vision due to glaucoma.
Extract:
Medical History
Mrs. Thompson is an 82-year-old woman who has been diagnosed with advanced metastatic cancer. She has been receiving palliative care to manage her symptoms and maintain comfort. Mrs. Thompson's condition has deteriorated over the past week, and she is now in the end- of-life stage. She has expressed her wishes for a peaceful, pain-free death and has designated her family members to make decisions on her behalf if she becomes unable to communicate.
Question 4 of 5
The nurse is reviewing provider orders for Mrs. Thompson who is in the end-of-life stage. Match each provider order with its appropriate category: anticipated, nonessential, or contraindicated.
| Options | Unrelated to diagnosis | Indication of potential improvement | Indication of potential worsening condition |
|---|---|---|---|
| Administer prescribed pain medication to manage discomfort. | |||
| Facilitate family meetings to discuss care goals and provide emotional support. | |||
| Initiate aggressive chemotherapy to attempt disease reversal. | |||
| Provide regular oral care for comfort. |
Correct Answer: A,B,D
Rationale: Pain medication, family meetings, and oral care are anticipated orders that align with palliative care goals, while aggressive chemotherapy is contraindicated at the end-of-life stage.
Extract:
Question 5 of 5
A nurse is developing a care plan for Mrs. Thompson who is in the end-of-life stage. After assessing the client, the nurse has identified several potential problems. Which of the following hypotheses should the nurse prioritize when planning care for this client?
Correct Answer: B
Rationale: Pain management is the highest priority for a client in the end-of-life stage to ensure comfort, aligning with Mrs. Thompson's desire for a peaceful, pain-free death.