ATI RN
Client Comfort and End of Care Questions
Question 1 of 5
A dying patient and family have requested that no attempts be made to resuscitate the patient in the event of death. A doctor has written a DNR order. What is the nurses responsibility if the patient dies?
Correct Answer: B
Rationale: DNR dictates nurse action. 'Make no attempt to resuscitate the patient' is responsibilitye.g., honor 'No CPR,' per Taylor's ethics, per written order. Choice A, 'own conscience,' violatese.g., personal belief can't override. Choice C, 'slow code,' defiese.g., unethical delay. Choice D, 'call 911 and CPR,' ignorese.g., DNR applies home/hospital. A nurse stands bye.g., 'It's her wish'legal duty (e.g., 100% compliance), ensuring dignity. Choice B is the correct, mandated response.
Question 2 of 5
A client with hypoparathyroidism is suspected of having hypocalcemia. Upon assessment, the nurse notes which clinical symptom would indicate hypocalcemia.
Correct Answer: D
Rationale: Twitching indicates hypocalcemia in hypoparathyroidism, due to neuromuscular irritability from low calcium. Diminished reflexes and hypoactive bowels suggest hypercalcemia. Negative Trousseau's contradicts hypocalcemia's positive sign. Nurses, per NCLEX, recognize twitching as a key sign, making D correct.
Question 3 of 5
A client diagnosed with heart failure has been receiving intravenous (IV) diuretics. Which finding would the nurse expect to assess from this client suspected of experiencing fluid volume deficit?
Correct Answer: D
Rationale: Poor skin turgor indicates fluid volume deficit from IV diuretics in heart failure, showing dehydration. Decreased hematocrit suggests hemodilution, increased BP and lung congestion fluid excess. Nurses, per NCLEX, expect turgor loss, making D correct.
Question 4 of 5
Which of the following findings must be immediately reported to the primary healthcare provider?
Correct Answer: D
Rationale: A purple stoma suggests ischemia or necrosis, requiring immediate reporting. Red stoma , excoriation , and stool are manageable. Nurses, per NCLEX, prioritize critical changes, making D correct.
Question 5 of 5
In giving information about a resident, it is often helpful to use the SBAR. In SBAR, there are four parts of the message you want to give; each one goes with one of the letters in SBAR. SBAR stands for:
Correct Answer: A
Rationale: SBAR Situation, Background, Assessment, Recommendationstructures resident info effectively, per the answer key. It outlines the issue, context, evaluation, and action needed. Choices B, C, and D are nonsensical or irrelevant. Nurses, per AHRQ and nursing practice, use SBAR for concise, standardized communication, especially in long-term care where clarity prevents errors and enhances team response.