ATI RN
ATI Nur 109 Med Surg Final Assessment 2025 Questions
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 1 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 2 of 5
A nurse is preparing to administer morphine IV to a client. Which of the following medications should the nurse plan to have available?
Correct Answer: A
Rationale: Naloxone is an opioid antagonist used to reverse respiratory depression and other effects of opioid overdose, such as from morphine, and should be readily available.
Question 3 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.
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 4 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 5 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.