ATI RN
ATI Fundamentals Exam Final Questions
Question 1 of 5
A nurse is caring for a client who has cancer and is receiving palliative care. Which of the following statements should the nurse identify as an indication that the client understands and accepts his prognosis?
Correct Answer: A
Rationale: The correct answer is A because the statement indicates the client understands the goal of palliative care is to provide comfort rather than cure. By expressing hope for relief from discomfort, the client is accepting the reality of their prognosis.
Choice B suggests the client is not accepting the prognosis by wanting to stop treatment.
Choice C implies a misunderstanding of the situation by believing treatment is curative.
Choice D indicates the client may be in denial or seeking other treatment options rather than accepting the prognosis.
Question 2 of 5
A terminally ill patient is angry and belligerent. He yells at the nurses and his family for not coming quickly enough when he calls,and he states that he isn't receiving the care he needs. The nurse's most informative response would be:
Correct Answer: D
Rationale: The correct answer is D because it acknowledges the patient's anger as a common reaction among terminally ill individuals, showing empathy and understanding. By recognizing the patient's emotions as valid, the nurse can provide appropriate support and care.
Choice A is incorrect because it dismisses the patient's feelings and is not therapeutic.
Choice B is incorrect as it only addresses the patient's current state without acknowledging the underlying emotions.
Choice C is incorrect as it suggests ignoring the patient's feelings, which can be detrimental to the therapeutic relationship.
Question 3 of 5
A patient tells the nurse during an admission interview that his wife "went on to her reward." The nurse assesses that this statement is an indication that the patient:
Correct Answer: C
Rationale: The correct answer is C: The patient using the term "went on to her reward" indicates discomfort with the term "death" and is using a euphemism. This choice is correct because the patient is avoiding directly acknowledging the death of his wife by using a more positive and less harsh term. This suggests a coping mechanism to soften the reality of the situation.
Incorrect choices:
A: Is no longer grieving the death of his wife - This is incorrect because the patient's use of euphemism does not necessarily indicate that he is not grieving.
B: Has a strong religious belief system - While this could be a possibility, the specific language used by the patient points more towards discomfort with the term "death" rather than a strong religious belief system.
D: Has dysfunctional grieving and is unable to address his wife's death - There is no indication in the statement that the patient is unable to address his wife's death; he is simply using a euphemism.
Question 4 of 5
A patient admitted to the nursing home for terminal care is determined that he should not receive extraordinary measures such as resuscitation or the use of a ventilator if he stops breathing, or intravenous (IV) fluids or a feeding tube if he is unable to eat or drink. The nurse explains that these desires can best be honored by:
Correct Answer: B
Rationale: The correct answer is B: filing an advance directive with the health care facility. This is because an advance directive is a legal document that allows individuals to specify their wishes regarding medical treatment in the event they become unable to communicate them. By filing an advance directive, the patient ensures that his desires regarding extraordinary measures are known and followed by the healthcare providers. Informing his primary care provider (choice
A) may not be sufficient or legally binding. Including these desires in his will (choice
C) is not appropriate for medical care decisions. Signing a do-not-resuscitate/do-not-intubate (DNR/DNII) request (choice
D) is specific to resuscitation and intubation, but an advance directive covers a wider range of medical treatments.
Question 5 of 5
An oncologist has recommended that a hospice patient receives palliative radiation to reduce the pain of bony metastases. The patient reacts with anger, saying, "l don't want any more treatments that don't cure my cancer!" The hospice nurse tells the patient that the use of radiation:
Correct Answer: A
Rationale: The correct answer is A because palliative radiation is aimed at improving quality of life by reducing pain, not at curing cancer. It can help alleviate symptoms caused by bony metastases, such as pain, without seeking to cure the underlying cancer. The other options are incorrect because B is untrue as radiation can be used alongside other treatments, C is incorrect as palliative radiation does not disqualify a patient from receiving hospice care, and D is inaccurate as radiation does not stop the spread of cancer.