ATI RN
ATI Nur 109 Med Surg Final Assessment 2025 Questions
Extract:
Question 1 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.
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 2 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.
Extract:
Question 3 of 5
A home health nurse is conducting a safety assessment for a client with decreased vision due to glaucoma. Which of the following interventions should the nurse prioritize to ensure a safe home environment for the client?
Correct Answer: B
Rationale: Securing electrical cords and wires reduces tripping hazards, promoting safer movement for a client with decreased vision due to glaucoma.
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 4 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 5 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.