ATI RN
ATI Nur 109 Med Surg Final Assessment 2025 Questions
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 1 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 2 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.
Question 3 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 4 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.
Question 5 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.