ATI RN
ATI Nurs 2000 Fundamentals Questions
Extract:
Question 1 of 5
A nurse enters a hospice patient’s room to perform an assessment after receiving the morning report.The outgoing nurse reports that the patient is showing loss of appetite, swelling of the limbs, increased sleep, CheyneStokes respirations, and hallucinations.Which of the following indicates the nurse understands the report?
Correct Answer: D
Rationale: The correct answer is D: The nurse understands that these are impending signs of death and are normal. The rationale for this is that the patient is displaying classic end-of-life signs such as loss of appetite, swelling, increased sleep, Cheyne-Stokes respirations, and hallucinations. These signs collectively indicate that the patient is in the final stages of life. Understanding these signs as impending signs of death allows the nurse to provide appropriate care and support for the patient and their family during this sensitive time.
Other choices are incorrect because:
A: Beginning life-saving measures is not appropriate as the patient is in the end-of-life stage.
B: Calling the provider is not necessary as these signs are expected at the end-of-life.
C: Rapid and deep respirations are not curative but rather indicate the body's natural response to the dying process.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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