ATI RN
Client Comfort and End of Life Care ATI Questions
Question 1 of 5
A nurse assesses a patient who is being given an opioid analgesic and finds the patient unresponsive to shaking or other stimuli. What drug might be ordered to reverse this state?
Correct Answer: D
Rationale: Opioid overdose causes unresponsiveness. 'Naloxone' reverses ite.g., 0.4 mg IV displaces opioids from mu-receptors, restoring breathing in 2 minutes, per Taylor's emergency care. 'Cortisone' treats inflammatione.g., arthritis, not overdose. 'Aspirin' thins bloode.g., no opioid effect. 'Penicillin' kills bacteriae.g., irrelevant here. A patient with morphine ODe.g., respiratory rate 4/minneeds naloxone, a nurse's rapid response. Choice D is the correct, life-saving drug.
Question 2 of 5
An adolescent rapidly develops secondary sex characteristics and body changes. What should the nurse assess to determine how these changes might affect the adolescents self-concept?
Correct Answer: D
Rationale: Adolescent body changes challenge self-concept. 'Understanding of changes' is keye.g., a teen grasping puberty's normalcy (e.g., breast growth) adjusts body image, per Taylor's developmental focus, not shame. 'Expectations of the parents' influencee.g., 'Be mature,'but don't gauge self-impact. 'Developmental environment' sets contexte.g., supportive homebut not personal perception. 'Meaningful use of time' is vaguee.g., hobbies help coping, not assessment. A nurse asking, 'What do you think about your body now?'e.g., 'It's weird' vs. 'It's cool'reveals self-concept shifts, critical during Erikson's identity stage. Misunderstanding (e.g., 'I'm deformed') breeds distress, a care target. Choice D is the correct, patient-centered assessment.
Question 3 of 5
Which of the following nursing diagnoses reflects disturbance in self-concept as the etiology?
Correct Answer: D
Rationale: Self-concept as etiology means it causes the issue. 'Impaired Adjustment' reflects thise.g., 'due to disturbed self-concept' after job loss, per Taylor's NANDA, struggles adapting. 'Disturbed Personal Identity' is the disturbancee.g., 'Who am I?' not a cause. 'Ineffective Role Performance' is outcomee.g., 'Can't parent,' not etiology. 'Chronic Low Self-Esteem' is symptome.g., 'I'm worthless,' not driver. Adjustment falterse.g., 'I can't move on'when self-view (e.g., 'provider') crumbles, a nursing link. Choice D is correct.
Question 4 of 5
What is the term for the change that takes place in response to a stressor?
Correct Answer: B
Rationale: Stress prompts adjustment. 'Adaptation' is the terme.g., sweating cools heat stress, per Taylor's Selye model, restoring balance. 'Rehabilitation' is recoverye.g., post-injury, not stress response. 'Positive movement' and 'negative movement' are vaguee.g., not scientific terms, unlike adaptation's fight-or-flight or coping. A patient facing deadlines works fastere.g., adrenaline up 30%adapting, not just moving. Nurses track thise.g., 'She's managing'as GAS unfolds. Choice B is the precise, correct term.
Question 5 of 5
If a nurse assessed the vital signs of a person who was in the initial alarm reaction stage (shock phase) of the GAS, what would be the expected findings?
Correct Answer: D
Rationale: Alarm reaction kicks GAS off with arousal. 'Hypertension' is expectede.g., BP jumps (e.g., 120/80 to 140/90) from adrenaline, per Taylor's Selye model, prepping fight-or-flight. 'Slow, deep breathing' is calme.g., not alarm's tachypnea (e.g., 20/min). 'Fatigue and lethargy' fits exhaustione.g., not initial surge. 'Hypotension' is shock's ende.g., not early vigor. A nurse seese.g., pulse 100 bpmstress hitting, a care cue. Choice D is the correct, acute finding.