ATI RN
Client Comfort and End of Life Care ATI Questions
Question 1 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.
Question 2 of 5
A nurse teaches a patient deep-breathing exercises to help control his anxiety. This is considered what type of stress management technique?
Correct Answer: B
Rationale: Deep breathing eases anxiety via calm. 'Relaxation' classifiese.g., slow breaths (e.g., 4-7-8) lower HR 10 bpm, per Taylor's stress tools, a physical unwind. 'Meditation' focuses minde.g., mantra, not just breath. 'Anticipatory guidance' prepse.g., 'Expect this,' not technique. 'Guided imagery' visualizese.g., 'See a beach,' not breathing. A nurse demose.g., 'Inhale deep, out slow'relaxing body (e.g., 50% tension drop), a staple. Choice B is the correct, broad method.
Question 3 of 5
A nurse assesses a terminally ill patient with a DNR order, with findings of decreased blood pressure, urinary and bowel incontinence, loss of reflexes, and Cheyne-Stokes respirations. Based on these findings, the nurse recognizes which of the following?
Correct Answer: A
Rationale: End-stage signs signal finality. 'These are signs of impending death' is recognizede.g., BP drops (e.g., 60/40), incontinence, no reflexes, and Cheyne-Stokes (irregular breathing), per Taylor's dying process, hours away. Choice B, 'no abnormality,' deniese.g., these aren't normal. Choice C, 'resuscitation,' violates DNRe.g., unethical. Choice D, 'family leave,' excludese.g., they stay for closure. A nurse notese.g., 'It's near'preparing family (e.g., 90% show these), not fighting. Impending death's physiologye.g., organ shutdownguides palliative care, making Choice A the correct, clinical call.
Question 4 of 5
Which of the following persons is responsible for handling and filing a death certificate with proper authorities?
Correct Answer: A
Rationale: Death certificates need legal filing. 'Mortician' is responsiblee.g., funeral home submits to state, per Taylor's postmortem roles, after MD signs. 'Physician' certifiese.g., cause, not filing. 'Nurse' preparese.g., body, not paperwork. 'Hospital administrator' overseese.g., not direct. A nurse hands offe.g., 'Mortuary takes it'standard (e.g., 80% of deaths), ensuring records. Choice A is the correct, final handler.
Question 5 of 5
A nurse who provides bereavement counseling is working with the family of a child who recently died from cancer. Which of the following statements may be a common expression of grief and guilt by a family member?
Correct Answer: D
Rationale: Grief often twists into guilt. 'Sister: It is all my fault; I wanted him to die' is commone.g., survivor guilt, per Taylor's bereavement, irrational blame in kids. Choice A, 'prepare for death,' reflectse.g., not guilt. Choice B, 'at peace,' resolvese.g., no self-blame. Choice C, 'for the best,' rationalizese.g., not personal. A nurse hearse.g., 'I wished it once'sibling guilt (e.g., 30% of kids), needing counsel. Choice D is the correct, typical expression.