ATI RN
ATI Nur 109 Med Surg Final Assessment 2025 Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who has a mental illness. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?
Correct Answer: A
Rationale: Supporting a competent client's decision to refuse medication respects their autonomy, the right to make personal healthcare choices.
Question 3 of 5
A 49-year-old patient who reports pain in the foot that moves up along the calf says, 'My left foot feels like it is on fire.' The patient reports that the pain started yesterday, and they have no prior history of injury or falls. Which components of pain assessment has the patient reported?
Correct Answer: D
Rationale: The patient describes location ('left foot' and 'moves up along the calf'), quality ('feels like it is on fire'), and duration ('started yesterday'), which are key components of a pain assessment.
Question 4 of 5
A nurse educator is discussing National Patient Safety Goals (NPSG) at orientation for new nurse graduates. For each potential intervention aimed at addressing various National Patient Safety Goals (NPSG), click to specify which intervention is appropriate for each goal.
| Options | NPSG #2 Improve Staff Communication | NPSG #3 Use Medications Safely | NPSG #16 Improve Health Care Equity |
|---|---|---|---|
| Use SBAR to report off shift to the oncoming nurse. | |||
| Upon admission, ask the client if they are taking over-the-counter supplements. | |||
| Ask your client if they are having any difficulty finding transportation to their medical appointments. | |||
| Sociodemographic characteristics such as. |
Correct Answer: A,B,C
Rationale: SBAR improves communication, asking about supplements ensures medication reconciliation, and addressing transportation barriers promotes health equity, all aligning with NPSG.
Question 5 of 5
A nurse is preparing to communicate with a hearing-impaired client during a routine assessment. Which of the following strategies is most appropriate for ensuring effective communication with this client?
Correct Answer: C
Rationale: Written instructions help reinforce spoken communication, ensuring the client fully understands important details, especially for those with significant hearing loss.