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 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.
Question 3 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.
Question 4 of 5
A nurse is caring for a terminally ill client on hospice who passed away during the shift. Select the '3' postmortem care actions the nurse should take?
Correct Answer: B,C,D
Rationale: Respecting cultural and religious practices, creating a peaceful environment, and verifying the provider's certification of death are essential postmortem care actions. These steps ensure compassionate, respectful, and legally compliant care.
Question 5 of 5
A community health nurse is researching social determinants of health in the differing populations they serve. The nurse should identify that which of the following factors place populations at the highest risk for negative health outcomes?
Correct Answer: C
Rationale: Poverty is one of the most significant social determinants of health, as it limits access to essential resources such as healthcare, nutritious food, safe housing, and education, leading to higher risks for chronic diseases and reduced life expectancy.