ATI RN
ATI Fundamentals Exam Final Questions
Extract:
Question 1 of 5
A nurse is providing palliative care to a client who is receiving hospice care and is approaching death. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: A. Do not force the client to stay awake: Palliative care focuses on providing comfort and dignity to the patient. B. Administer pain medication by rectal or transdermal when client can no longer swallow: Ensures that the client continues to receive adequate pain relief. C. Position the client on her side: Positioning the client on her side helps prevent aspiration and promotes comfort. D. Offer to turn and reposition client every 2 hours: Turning and repositioning can help prevent pressure ulcers and maintain skin integrity.
Question 2 of 5
A terminally ill patient is experiencing a great deal of dyspnea and noisy,rattling rapid respirations. The nurse administers morphine in a very small liquid or intramuscular dose. The purpose of this is to:
Correct Answer: C
Rationale: Administering morphine can help decrease pain associated with dyspnea, but the primary goal in this scenario is to address the dyspnea itself. While morphine can help dry up secretions to some extent, its primary action in this context is to alleviate dyspnea. Morphine is commonly used in palliative care to relieve dyspnea by depressing the respiratory center in the brain. Administering morphine in small doses for dyspnea relief is not intended to hasten death but rather to provide comfort.
Question 3 of 5
A neighbor who was widowed 2 months ago gives the nurse his wife Helen's gardening books "because the two of you loved flowers." He tries to hold back tears, but begins to cry. To decrease his discomfort, the nurse should say:
Correct Answer: C
Rationale: This statement may minimize the neighbor's grief by suggesting that time will automatically make things easier. This statement may unintentionally invalidate the neighbor's grief by implying that he should be happy. This statement acknowledges the neighbor's gesture and his shared love of gardening with his wife, Helen. This statement may pressure the neighbor to suppress his emotions and put on a façade of happiness.
Question 4 of 5
A patient who is terminally ill has been unable to maintain good nutrition because of nausea and anorexia and has lost a great deal of weight. He is now unable to change his position in bed and needs frequent perineal care because of urinary incontinence. The nurse planning his care would include in the plan of care to:
Correct Answer: B
Rationale: Provide laxatives and stool softeners to prevent constipation: While constipation may be a concern for immobile patients, there is no indication in the scenario that the patient is currently experiencing constipation. Provide him with an air pressure mattress: This option is appropriate because the patient is immobile and at risk of developing pressure ulcers. Coax him to eat high-calorie, high-fat food: Although the patient is experiencing weight loss, coaxing him to eat may not be appropriate if he is experiencing nausea. Contact the primary care provider for an order for tube feeding: While tube feeding may be considered, it should not be the first intervention.
Question 5 of 5
A nurse in an acute care facility is caring for a preschool-age child who is terminally ill and receiving palliative care. The parents tell the nurse that they have decided to take their child home. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Tell me why you want to take your child home.' This response could be perceived as questioning or challenging the parents' decision. 'I will help you get ready to leave.' This response shows support and understanding for the parents' decision. 'You have not given the medication a chance to work.' This response may come across as dismissive of the parents' wishes. 'The pediatrician is the only one who can discharge your child.' While it is true that discharge typically requires a physician's order, this response does not offer the supportive tone needed.