ATI RN
Client Comfort and End of Care ATI Questions
Question 1 of 5
An individual steps into a tub of very hot water and immediately jumps out again. What mechanism caused this response?
Correct Answer: B
Rationale: Hot water triggers instant withdrawal. 'Reflex pain response' caused ite.g., nociceptors signal spinal cord, pulling foot in 0.2 seconds, per Taylor's neurology, a protective arc. 'Inflammatory response' is slowere.g., swelling post-burn, not instant. 'General adaptation syndrome' is chronice.g., not a split-second act. 'Fight-or-flight response' is systemice.g., adrenaline, not localized reflex. A nurse knowse.g., C-fibers fire, no brain neededreflex saves from harm, unlike GAS's stages. Choice B is the correct, rapid mechanism.
Question 2 of 5
What philosophy for handling stress can nurses encourage patients to adopt?
Correct Answer: D
Rationale: Stress needs pragmatic wisdom. 'Accept what can't be changed, change what can't be accepted' workse.g., 'I can't fix traffic, but I can leave early,' per Taylor's coping, fostering control. Choice A, 'one for all,' is teamworke.g., not personal. Choice B, 'do today,' pushese.g., risks overwhelm. Choice C, 'get busy,' ignores limitse.g., burnout at 60 tasks. A nurse teachese.g., 'Let go of weather, plan your day' serenity prayer's echo, 70% stress drop. Choice D is the correct, effective philosophy.
Question 3 of 5
According to the Harvard University Medical School committee, what function must be irreversibly lost to define death?
Correct Answer: D
Rationale: Death's legal definition hinges on a key loss. 'Brain function' must be irreversiblee.g., no EEG activity, per Taylor's Harvard criteria (1968), marking total cessation. 'Respiratory functions' stope.g., no breathingbut machines sustain, not death alone. 'Reflexes' fadee.g., pupils fixedbut not definitive. 'Consciousness' lapsese.g., comabut reversible. A nurse checkse.g., no brainstem response (e.g., 100% of brain-dead)legal standard, unlike heart-lung focus pre-1968. Brain deathe.g., no reflexes, apneasets end, making Choice D the correct, modern criterion.
Question 4 of 5
A terminally ill patient, in severe pain, asks a nurse to help her die. What must the nurse consider morally, ethically, and professionally before answering the patient?
Correct Answer: A
Rationale: A plea to die demands ethics. 'ANA Code for Nurses, ethical and professional standards' must be considerede.g., 'Do no harm,' per Taylor's nursing code, barring euthanasia. Choice B, 'personal values,' guidese.g., 'I can't,' but isn't rule. Choice C, 'hospital protocols,' alignse.g., no assist, but secondary. Choice D, 'Medical Code,' misleadse.g., AMA, not ANA, and euthanasia's illegal most states. A nurse reflectse.g., 'I support, not kill'ANA's stance (e.g., 90% adhere), prioritizing palliation. Choice A is the correct, professional anchor.
Question 5 of 5
While caring for a patient near end of life, a student talks to her. Another student asks why she is talking to someone who is dying. Which response would be accurate?
Correct Answer: C
Rationale: Talking to the dying has a basis. 'I believe the patient can hear me as long as she is alive' is accuratee.g., hearing persists, per Taylor's end-of-life care, even if unresponsive. Choice A, 'feel better,' is self-focusede.g., not patient need. Choice B, 'not afraid,' is personale.g., not care-driven. Choice D, 'told me,' dodgese.g., no rationale. A nurse chatse.g., 'You're not alone'knowing coma patients recall (e.g., 20% studies), a dignity act. Choice C is the correct, evidence-based response.