ATI RN
ATI Nur 109 Med Surg Final Assessment 2025 Questions
Extract:
Question 1 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.
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 2 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 3 of 5
What is the most important action for the nurse to take when communicating with the client and family members at end of life?
Correct Answer: A
Rationale: Active listening fosters trust, emotional comfort, and dignity, addressing the emotional needs of the client and family at the end-of-life stage.
Question 4 of 5
The nurse is evaluating the effectiveness of pain interventions for Mrs. Thompson who is unconscious and at the end of life. Which of the following methods is the most appropriate for assessing pain management effectiveness in this client?
Correct Answer: D
Rationale: In unconscious clients, pain is best assessed through behavioral cues like grimacing, restlessness, or changes in breathing patterns, which indicate whether pain interventions are effective.
Question 5 of 5
A nurse is educating a client about the wellness-illness continuum. Which of the following statements by the client indicates an understanding of the concept?
Correct Answer: D
Rationale: The wellness-illness continuum accounts for multiple aspects of health, emphasizing that well-being is influenced by physical health, mental state, social interactions, and overall quality of life.