ATI RN
ATI Client Comfort and End of Life Care Questions
Question 1 of 5
Although all of the following are factors that affect grief, which one is most likely to influence a persons expression of grief?
Correct Answer: B
Rationale: Grief expression varies most by culture. 'Cultural influences' leade.g., wailing in some vs. silence in others, per Taylor's anthropology, shaping outward grief. 'Socioeconomic factors' limite.g., funeral cost, not style. 'Religious influences' guidee.g., afterlife calms, but secondary. 'Cause of death' impacts feelinge.g., sudden vs. expected, not show. A nurse seese.g., 'We don't cry' (Asian) vs. 'We mourn loud' (Latino)cultural norm (e.g., 70% variance), not just faith or cash. Choice B is the correct, dominant driver.
Question 2 of 5
The nurse is attending to a client who was diagnosed with heart failure. During the examination, the nurse observes that the client is dyspneic with crackles upon auscultation. Which symptoms would manifest for a client with excess fluid volume?
Correct Answer: C
Rationale: Hypertension is a symptom of excess fluid volume in heart failure, as fluid overload increases blood pressure. Dyspnea and crackles indicate pulmonary edema, consistent with fluid excess. Decreased CVP and flat veins suggest fluid deficit, opposite to this scenario. Weight loss occurs with fluid loss, not gain. Per nursing fundamentals (e.g., Potter & Perry), fluid volume excess raises BP due to increased preload, making C the correct choice for NCLEX-style assessment.
Question 3 of 5
The client was diagnosed with heart failure and is currently taking high doses of diuretics. During the assessment, the nurse noted generalized weakness, flat neck veins, and diminished deep tendon reflexes. Which of the following symptoms would indicate that the client has hyponatremia?
Correct Answer: B
Rationale: Hyperactive bowel sounds indicate hyponatremia with diuretics in heart failure, due to GI irritability from low sodium. Decreased output and high specific gravity suggest dehydration, not hyponatremia. Tremors are nonspecific. Nurses, per NCLEX, link this to sodium imbalance, making B correct.
Question 4 of 5
The client's blood has a platelet count of 300,000 mm3 (300 x 109/L). What should the nurse do when she receives this laboratory result?
Correct Answer: B
Rationale: Platelet count of 300,000 mm3 is normal (150,000-450,000), requiring documentation only. Increased or decreased notifications, or meds , are unnecessary. Nurses, per NCLEX, document normal labs accurately, making B correct.
Question 5 of 5
The client is getting ready for a thoracentesis. Which position should the client be placed in for the procedure?
Correct Answer: B
Rationale: Unaffected side is correct for thoracentesis, allowing access to the affected lung's pleural space. Affected side , prone , or Sims' hinder procedure safety. Nurses, per NCLEX, position for optimal drainage.