ATI RN
ATI Fundamentals Exam Final Questions
Extract:
Question 1 of 5
A 33-year-old patient has been told that her disease is terminal. The patient is crying and states,I will just be a dependent drain on my family. I hate being a burden to them. The nurse can best respond:
Correct Answer: C
Rationale: I know. I would feel terrible if I had been told I was dying.' This response does not effectively address the patient's concerns or provide therapeutic communication. 'Is there any reason to tell your family about this now? You still have some time in which you can enjoy life.' This response minimizes the patient's emotions and fails to acknowledge her distress. 'You have heard some very bad news today. Can you describe what you mean by burden?' This response acknowledges the patient's feelings and invites further discussion. 'I doubt that your loving family will view your terminal care as a burden.' While this response attempts to provide reassurance, it may come across as dismissive.
Question 2 of 5
A hospice nurse is caring for a client who is approaching death and has fecal incontinence. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Request a prescription for lactulose from the provider: Lactulose is a laxative commonly used to treat constipation, but it is not appropriate for managing fecal incontinence. Place an occlusive dressing over the client's buttocks every $8 \mathrm{hr}$ : Occlusive dressings are not typically used for managing fecal incontinence. Insert a lubricated rectal tube gently: Inserting a rectal tube is invasive and may cause discomfort. Keep disposable undergarments clean and dry: This is the most appropriate action for managing fecal incontinence.
Question 3 of 5
A death that occurs under suspicious circumstances should be reported to the
Correct Answer: C
Rationale: Sheriff: The sheriff is responsible for enforcing law and order within a specific jurisdiction. Board of death: There is no standard entity known as the 'Board of death' in the context of death investigations. Coroner: The coroner is a public official responsible for investigating and determining the cause of deaths that occur under suspicious circumstances. Pathologist: A pathologist is a medical professional specializing in the study of disease processes.
Question 4 of 5
The examination of body organs and tissues after death is known as a/an:
Correct Answer: C
Rationale: Obituary: An obituary is a notice of a person's death, typically including a brief biography. Postmortem care: Postmortem care refers to the care provided to the body of a deceased person, including cleaning and preparing. Autopsy: An autopsy is the examination of a body after death to determine the cause of death or to study the extent and nature of disease processes. Transplant: Transplantation involves the surgical removal of an organ or tissue from one person and its transfer to another.
Question 5 of 5
A nurse provides a back massage as palliative care to an unconscious client who is grimacing and restless. Which of the following indicates a therapeutic response? (Select all that apply.)
Correct Answer: B,C,E
Rationale: A. The respiratory rate increasing may indicate discomfort or agitation. B. The shoulders drooping may indicate relaxation, a release of tension and potentially improved comfort. C. The relaxation of facial muscles indicates a therapeutic response to the back massage. D. Drawing the legs up into a fetal position may indicate discomfort or agitation. E. The pulse remaining within the expected range suggests that the client is not experiencing undue stress.