ATI RN
ATI Nur 109 Med Surg Final Assessment 2025 Questions
Extract:
Question 1 of 5
A nursing student is preparing a presentation on cultural competence for a group of fellow nursing students. Which of the following statements should the student include in their explanation to best describe cultural competence in nursing?
Correct Answer: B
Rationale: Cultural competence involves recognizing and respecting cultural differences, avoiding biases, and adapting care to meet the unique needs of each client to improve outcomes and satisfaction.
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.
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
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.
Extract:
Nurses Notes
Initial visit (June 1):
Client states they have lost 10 lb since partner's death. Experiencing insomnia, unable to sleep more than 2 to 3 hr at a time.
Client expresses feelings of extreme anger. States, "I'm angry at the universe that the love of my life was taken from me because of a stupid virus! I know it is not healthy for me to feel this way, but I just cannot let go of this anger. All of my hopes and dreams and plans for the future are all gone."
Client reports feelings of guilt that their partner had to die alone. States, "There must have been more I could have done to keep them well. I didn't get sick!"
Client has been unable to return to work as a high school teacher, still on medical leave.
Client reports they spend most of their time alone. "My friends are kind of over me. They don't know what else to say. My adult kids call every few days to make sure I'm still alive."
Second visit (July 1):
Client reports they have lost a total of 20 lb since partner's death, States, "It's no fun cooking alone. I just have no appetite." Reports sleeping longer, but having bad dreams. States, "I wake up feeling exhausted, like haven't slept at all."
Client reports that they decided to resign from their full-time teaching position. States, "I just couldn't get it together enough to take on the responsibility." Reports they are thinking about seeking grief counseling or joining a support group.
Question 5 of 5
Click to highlight the topics in the most recent nurses' notes that indicate the client is making progress in moving through their grief.
| Weight |
| Sleep |
| Future plans |
| Anger |
| Guilt |
| Isolation |
Correct Answer: B,C
Rationale: Sleeping longer and making decisions about future plans, such as considering grief counseling, indicate progress in processing grief.