ATI RN
ATI Client Comfort and End of Life Care Quizlet Questions
Question 1 of 5
Which of the following statements is typical of the first stage of grieving described by Engel?
Correct Answer: A
Rationale: Engel's first grief stage is disbelief. 'No, not me' typifiese.g., shock at diagnosis denies reality, per Taylor's Engel model, a protective buffer. Choice B, 'Why me?,' fits angere.g., stage two, questioning fate. Choice C, 'best man,' is idealizatione.g., later reflection, not initial. Choice D, 'funeral helped,' is resolutione.g., stage three, not start. A nurse hearse.g., 'It can't be'first reaction (e.g., 90% of sudden loss), stalling pain. Engel's sequencedisbelief, developing awareness, restitutionstarts with rejection, not rage or closure. Unlike Kübler-Ross's denial, Engel's is raw refusal, making Choice A the correct, initial statement.
Question 2 of 5
A nurse is developing a plan of care for a dying patient. Which of the following physiologic basic human needs should be addressed?
Correct Answer: A
Rationale: Dying patients need basic care. 'Personal hygiene' should be addressede.g., clean skin prevents sores, per Taylor's Maslow base, maintaining dignity. 'Risk for infection' lessense.g., not key in hours left. 'Family support' is psychosociale.g., not physiologic. 'Spirituality' is highere.g., peace, not body need. A nurse bathese.g., 'He's comfortable'meeting essentials (e.g., 90% of plans), not just spirit. Choice A is the correct, physical priority.
Question 3 of 5
An intravenous dose of potassium chloride is prescribed for a client with hypokalemia. Which action of the nurse indicates a need for further teaching in the preparation and administration of potassium?
Correct Answer: A
Rationale: Administering potassium via IV bolus is dangerous, risking cardiac arrest, and indicates a need for teaching. Checking labels , using an infusion pump , and monitoring urine are safe practices. Per NCLEX safety standards, potassium must be diluted and infused slowly, making A the correct answer for correction.
Question 4 of 5
The nurse reviewed the medical records of the four clients assigned to her. Which client has the highest risk for a fluid volume deficit?
Correct Answer: A
Rationale: An ileostomy poses the highest risk for fluid volume deficit due to high fluid loss from stool. Heart failure risks excess, corticosteroids minimal impact, SIADH causes retention. Nurses, per NCLEX, prioritize ileostomy for dehydration risk, making A correct.
Question 5 of 5
The client started passing foul-smelling flatus from the colostomy stoma after two days of the insertion. What is the correct interpretation for the nurse?
Correct Answer: C
Rationale: Foul-smelling flatus is expected 2 days post-colostomy, indicating bowel function. Ischemia , NG tube , or prep don't apply. Nurses, per NCLEX, interpret this as normal recovery, making C correct.