ATI RN
ATI Fundamentals Exam Final Questions
Extract:
Question 1 of 5
A nurse is providing postmortem care for a client. Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right
Correct Answer: A,D,E,B,C
Rationale: Sequence of
Steps: 1. A. Make sure the provider has certified the client's death 2. D. Verify client's organ and tissue donation status 3. E. Remove medical equipment from the client 4. B. Cleanse the body while adhering to body fluid precautions 5. C. Attach identification tags to the body
Question 2 of 5
A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following statements by the client indicates that the client is in the denial phase of the grief process?
Correct Answer: C
Rationale: I can't believe that doctor graduated from medical school! He doesn't know a thing about treating cancer.' This statement expresses frustration or disbelief towards the doctor's competence. 'The doctor has been so good to me. know he has tried everything he can. It is just my time.' This statement acknowledges the terminal nature of the illness and indicates acceptance. 'The doctor says I only have a few months to live, but know he is exaggerating to get me to take my medication.' This statement suggests denial by questioning the doctor's prognosis. 'Even though I am not hurting right now, I don't feel like I have the energy to get Out Of bed.' This statement reflects physical symptoms and lack of energy rather than denial.
Question 3 of 5
Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "Go away,I don't want company. "
Correct Answer: A
Rationale: Anger: The behavior of pushing others away and expressing hostility or frustration is indicative of the anger stage. Acceptance: Acceptance involves coming to terms with one's own mortality and the reality of impending death. Bargaining: Bargaining involves attempting to negotiate or make deals to change the outcome. Denial: Denial is characterized by refusing to accept the reality of one's impending death. Depression: Depression involves feelings of sadness, hopelessness, and despair.
Question 4 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.
Question 5 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.