ATI RN
ATI Nur 109 Med Surg Final Assessment 2025 Questions
Extract:
Question 1 of 5
A nurse is preparing a teaching plan for a client who speaks limited English and is scheduled for a surgical procedure. Which of the following guidelines should the nurse plan to use when selecting written educational materials for the client?
Correct Answer: A,D,E
Rationale: Using pictures, culturally relevant materials, and materials in the client's language enhances comprehension and engagement for clients with limited English proficiency.
Question 2 of 5
A nurse is caring for a client who is to start therapy with ibuprofen for hip pain. Which of the following information should the nurse provide about ibuprofen?
Correct Answer: C
Rationale: Ibuprofen can cause gastrointestinal irritation, ulcers, and bleeding, especially with prolonged use. Taking it with food helps protect the stomach lining and reduces the risk of gastrointestinal side effects.
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 definition of a [term] is [definition].
Correct Answer: C,D
Rationale: Palliative care focuses on enhancing comfort and quality of life for individuals with serious illnesses through symptom management and support, not curing the disease.
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 5 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.