ATI RN
ATI Fundamentals Exam Final Questions
Extract:
Question 1 of 5
A dying patient who verbalizes that he "is ready" is indicating that he is in the following stage.
Correct Answer: B
Rationale: Final: This option does not correspond to any stage of the grieving process or Kubler-Ross's stages of dying. Acceptance: In Kubler-Ross's stages of dying, acceptance is the final stage. Bargaining: Bargaining is a stage where individuals attempt to negotiate or make deals to change the outcome. Denial: Denial is one of the initial stages where individuals refuse to accept the reality of their situation.
Question 2 of 5
The loved ones of a young man,who is in the intensive care unit on life support after suffering irreversible brain damage resulting from a motorcycle accident,have been approached by the organ transplant team to consider organ donation. When they ask the nurse about this process the nurse's best response would be:
Correct Answer: A
Rationale: This response acknowledges the potential comfort that can come from knowing that the tragedy may lead to saving other lives through organ donation. This response focuses on the logistical aspects of organ donation and may unnecessarily add stress. This response provides inaccurate information about organ donation. This response mentions a small cost associated with organ donation, which may not be accurate.
Question 3 of 5
The type of grief that happens before the actual loss is known as:
Correct Answer: B
Rationale: Brain death: Brain death refers to the irreversible cessation of all brain activity, indicating the end of life. Anticipatory: Anticipatory grief refers to the grief and mourning that occur before an anticipated loss. Bereavement: Bereavement refers to the period of mourning and adjustment after the loss of a loved one. Dysfunction: Dysfunction typically refers to impaired or abnormal functioning.
Question 4 of 5
A nurse is caring for a client who has a new diagnosis of chronic renal failure. The nurse should recognize which of the following client statements as an indication of anticipatory grief?
Correct Answer: C
Rationale: I can now eat whatever I want. It will be dialyzed out of my system.': This statement reflects a lack of understanding about the dietary restrictions and lifestyle changes necessary with chronic renal failure. 'I know that renal failure runs in my family and I can prevent it.': This statement suggests a focus on prevention and may not indicate anticipatory grief. 'I just can't believe that my whole life is going to be ruined by dialysis.': This statement expresses a sense of disbelief and distress about the impact of dialysis on the client's life. 'I know that I will get a kidney transplant. I am a good candidate.': This statement reflects hope and optimism about the possibility of a kidney transplant.
Question 5 of 5
A terminal patient in a skilled nursing home has stated that he does not want to get out of bed, because he is too tired and weak to sit in a chair. He sleeps on and off all day and night, his position is changed every 2 hours, and he is comfortable on his pain regimen. The next day the nurse will:
Correct Answer: C
Rationale: Involves getting the patient out of bed for specified periods during the day to prevent excessive sleep during the day and wakefulness at night. This option respects the patient's autonomy and acknowledges his preference to remain in bed due to feeling tired and weak. Leaving the patient in bed while encouraging active exercises may be physically demanding for the patient and may not be appropriate, especially considering the patient's terminal condition.