ATI RN
Client Comfort and End of Life Care ATI Questions
Question 1 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 2 of 5
A client diagnosed with Cushing's disease has a potassium level of 2.3 mEq/L (2.3 mmol/L). Based on the result, which pattern would the nurse be monitoring for on the cardiac monitor?
Correct Answer: B
Rationale: Prominent U wave is a hallmark of hypokalemia (2.3 mEq/L) in Cushing's, reflecting repolarization delay. Prolonged ST and ST elevation are unrelated. Tall T waves indicate hyperkalemia. Nurses, per NCLEX, monitor U waves in hypokalemia for arrhythmia risk, making B correct.
Question 3 of 5
Which client is most likely to develop a potassium level of 6.2 mEq/L (6.2 mmol/L)?
Correct Answer: B
Rationale: A traumatic burn causes hyperkalemia (6.2 mEq/L) from cell destruction releasing potassium. Laxatives , colitis , and Cushing's risk hypokalemia. Nurses, per NCLEX, monitor burns for potassium shifts, making B correct.
Question 4 of 5
The responsibility of taking a 47-year-old female client's vital signs who was diagnosed with right breast cancer post-mastectomy has been assigned to the newly graduated nurse. Which of the following vital sign procedures should be considered?
Correct Answer: A
Rationale: Pulse oximeter on the left finger avoids the right mastectomy side, preventing lymphedema risk. Right finger and right arm BP are contraindicated. Left BP is okay but less specific here. Nurses, per NCLEX, protect surgical sides, making A correct.
Question 5 of 5
What is comfort according to Kolcaba's theory?
Correct Answer: B
Rationale: Kolcaba's theory of comfort defines it as a holistic state that goes beyond just physical ease or the absence of pain. It encompasses a sense of calm, satisfaction, and well-being across physical, psychospiritual, environmental, and sociocultural dimensions. Comfort is not merely a fleeting moment of relief or limited to the physical body; it's an overarching experience that nurses aim to enhance for patients. Choice A focuses only on physical ease, which is too narrow, while Choice C limits it to pain absence, ignoring other aspects like emotional or spiritual comfort. Choice D suggests temporariness, but Kolcaba views comfort as a sustainable state that can be intentionally supported. Choice B captures the full scope of her theory, emphasizing a holistic calm and satisfaction that aligns with her framework of nursing care.