ATI RN
ATI Fundamentals Exam Final Questions
Extract:
Question 1 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 2 of 5
After a patient death,the nurse is preparing to perform postmortem care. The body is placed supine with the head raised so that:
Correct Answer: C
Rationale: Feces and urine will drain onto the bed pads: Placing the body supine with the head raised does not facilitate drainage of feces and urine. Movement of the deceased will be more convenient: Placing the body supine with the head raised does not necessarily make movement of the deceased more convenient. Blood will not pool in the face and cause discoloration: Placing the body supine with the head raised helps prevent blood from pooling in the dependent areas of the face. The deceased will appear to be sleeping: While placing the body supine with the head raised may create a more natural appearance, the primary purpose is to prevent blood pooling.
Question 3 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.
Question 4 of 5
The nurse is aware that in order to provide effective support to grieving patients and families,the nurse must?
Correct Answer: D
Rationale: Staying positive and optimistic at all times may not be realistic or helpful when supporting grieving patients. While understanding theories of grief can be beneficial, it is not the most crucial aspect of providing effective support. Keeping a professional distance from the situation may hinder the nurse's ability to provide empathetic care. Coming to terms with his or her own view of death is essential for providing effective support to grieving patients.
Question 5 of 5
An oncologist has recommended that a hospice patient receives palliative radiation to reduce the pain of bony metastases. The patient reacts with anger, saying, "l don't want any more treatments that don't cure my cancer!" The hospice nurse tells the patient that the use of radiation:
Correct Answer: A
Rationale: Of this type is not curative and may help reduce the pain he is experiencing: This response provides accurate information about the purpose of palliative radiation therapy. Will be used as a single treatment measure. Previous medications will be discontinued: This statement is inaccurate and may cause confusion. May disqualify him from receiving hospice care: This statement is incorrect. Receiving palliative radiation therapy does not automatically disqualify a patient from hospice care. May halt the metastatic process: Palliative radiation therapy is not typically used with the intention of halting the metastatic process.