ATI RN
ATI Nur 109 Med Surg Final Assessment 2025 Questions
Extract:
Question 1 of 5
A nurse is providing preoperative teaching to a client about pain management using a patient-controlled analgesia (PCA) system. Which of the following three statements should the nurse include in the teaching?
Correct Answer: A,B,C
Rationale: The correct statements educate the client on self-administration, safety features, and the programmed dose of the PCA system, ensuring safe and effective pain management.
Question 2 of 5
A nurse is applying a cold compress for a client who has pain and minor swelling in a sutured laceration on the forearm. Which of the following assessments should the nurse use to determine whether the treatment is effective?
Correct Answer: B
Rationale: Assessing the client's pain level before and after the intervention provides a direct measure of the effectiveness of the cold compress in relieving discomfort.
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 3 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 4 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 5 of 5
A nurse is caring for a child who has been physically abused by a family member. Which of the following statements should the nurse say to the child?
Correct Answer: D
Rationale: Reassuring the child that they are not responsible for the abuse helps alleviate feelings of guilt and fosters emotional healing while building trust in the nurse.