ATI RN
ATI Nur 109 Med Surg Final Assessment 2025 Questions
Extract:
Medical History
An 82-year-old woman with a history of chronic illnesses, including severe dementia and heart disease, is admitted to a long-term care facility. The client is on multiple medications including aspirin. During a routine assessment, the nurse observes several bruises in various stages of healing, as well as signs of malnutrition and poor hygiene. The client appears fearful and hesitant to make eye contact. The client's daughter, who is her primary caregiver, is frequently present and seems agitated when questioned about the client's condition.
Question 1 of 5
The most likely cause of the client's condition based on the nurse's observation is [cause].
Correct Answer: A
Rationale: The presence of bruises, malnutrition, poor hygiene, and fearful behavior suggests potential elder abuse and neglect, warranting further investigation.
Extract:
Question 2 of 5
A nurse is conducting a pain assessment for a client who reports discomfort. Which of the following actions is the most appropriate for the nurse to take to obtain a comprehensive understanding of the client's pain?
Correct Answer: C
Rationale: A comprehensive pain assessment involves gathering subjective information directly from the patient. Using a pain scale and asking about the pain's location, duration, and intensity ensures a clear understanding, which helps guide appropriate pain management interventions.
Question 3 of 5
A community health nurse is planning an educational program for a local community on the prevention of chronic diseases. Which of the following actions best reflects the nurse's role in promoting community health?
Correct Answer: A
Rationale: Educating the community about risk factors, lifestyle modifications, and disease prevention empowers individuals to take proactive steps toward reducing the incidence of chronic diseases.
Question 4 of 5
A nurse is educating a client about their responsibilities in managing their chronic condition. Which of the following statements by the client demonstrates an understanding of their healthcare responsibilities?
Correct Answer: C
Rationale: Adhering to the prescribed treatment plan is essential for effectively managing chronic conditions. Stopping medications or treatments prematurely can lead to relapse, worsening symptoms, or incomplete recovery.
Question 5 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.