ATI RN
ATI Nur 109 Med Surg Final Assessment 2025 Questions
Extract:
Question 1 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.
Question 2 of 5
A community health nurse is conducting a home visit to assess an adult client with a chronic illness. Which of the following actions should the nurse prioritize to effectively evaluate the client's management of their chronic condition?
Correct Answer: B
Rationale: Evaluating ADLs is a priority because it provides a comprehensive view of how the chronic illness affects the client's independence and quality of life. If the client struggles with ADLs, interventions may be needed to enhance their self-care, safety, and overall well-being.
Question 3 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 4 of 5
A nurse is speaking to a group of newly licensed nurses about how the QSEN competencies were integrated into their nursing school curriculum. Which of the following competencies should the nurse expect the newly licensed nurses to identify as the competency they were most prepared to address as students?
Correct Answer: A
Rationale: Nursing education emphasizes patient-centered care through clinical rotations and coursework focused on individualized care and effective communication with patients.
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.