ATI RN
Client Comfort Questions
Question 1 of 5
A nurse is talking to a patient who has been told he has a terminal illness and is responding in an angry manner. What statement by the nurse would best facilitate better patient outcomes?
Correct Answer: D
Rationale: Anger needs space and clarity. 'How much do you know and what do you want to know?' facilitatese.g., 'I know it's cancer, tell me options,' per Taylor's communication, opening dialogue. Choice A, 'why angry,' accusese.g., shuts down. Choice B, 'sorry, but talk,' pushese.g., ignores rage. Choice C, 'when ready,' delayse.g., misses now. A nurse asking De.g., gets 'Everything'meets anger with info (e.g., 60% calm), aiding coping. Choice D is the correct, outcome-driven response.
Question 2 of 5
During the client's medical records review, what condition can put the client at risk for developing hypokalemia?
Correct Answer: B
Rationale: Nasogastric suction risks hypokalemia by removing potassium-rich gastric fluids. Addison's disease causes hyperkalemia due to low aldosterone. Burns may lead to hyperkalemia from cell damage. High uric acid relates to gout, not potassium. Nurses, per NCLEX, recognize NG suction as a common cause of potassium loss via GI fluid, making B correct.
Question 3 of 5
After the nurse reviewed the client's lab results, the client's serum phosphorus (phosphate) level was found to be at 1.8 mg/dL (0.58 mmol/L) level. What condition is most likely to cause the serum phosphorus level?
Correct Answer: C
Rationale: Malnutrition causes hypophosphatemia (1.8 mg/dL) due to inadequate intake. Hypoparathyroidism lowers calcium, not phosphorus. Kidney failure and tumor lysis raise phosphorus. Nurses, per NCLEX, recognize dietary deficiency as a key cause, making C correct.
Question 4 of 5
After undergoing abdominal perineal excision for a colon tumor, a 55-year-old male patient is admitted for colostomy placement. The nurse will evaluate the newly inserted colostomy. Which of the following assessments indicates a functional colostomy?
Correct Answer: C
Rationale: Presence of flatus indicates a functional colostomy, showing bowel activity. Absent sounds suggest ileus, bloody drainage early post-op, food tolerance later. Nurses, per NCLEX, expect flatus as a sign of function, making C correct.
Question 5 of 5
The best way to communicate information about your resident to other members of the care team is:
Correct Answer: A
Rationale: Talking directly to the next shift staff is the best communication method, per the answer key, ensuring clear, immediate, and reliable transfer of resident information. Writing on loose paper risks loss, white boards lack privacy and detail, and relying on the resident (part of D) is unreliable. Choice D (originally E: 'All of the above') combines all but overcomplicates and dilutes effectiveness. Direct verbal handoff, per AHRQ guidelines, aligns with nursing standards for shift reports, minimizing miscommunication in long-term care settings where continuity is critical.