ATI RN
ATI Fundamentals Exam Final Questions
Extract:
Question 1 of 5
A patient admitted to the nursing home for terminal care is determined that he should not receive extraordinary measures such as resuscitation or the use of a ventilator if he stops breathing, or intravenous (IV) fluids or a feeding tube if he is unable to eat or drink. The nurse explains that these desires can best be honored by:
Correct Answer: B
Rationale: Informing his primary care provider of his desires: While it's important for the primary care provider to be aware of the patient's wishes, simply informing the provider may not ensure that these desires are respected. Filing an advance directive with the health care facility: This is the correct response. Advance directives allow individuals to specify their healthcare preferences in advance. Including these desires in his will: While a will can address matters related to the distribution of assets, it typically does not cover healthcare decisions. Signing a do-not-resuscitate/do-not-intubate (DNR/DNI) request: While a DNR/DNI request specifies the patient's wishes regarding resuscitation and intubation, it may not cover other aspects.
Question 2 of 5
Breathing called the death rattle is characterized by
Correct Answer: A
Rationale: Pooling of secretions: The term 'death rattle' refers to the sound produced by the pooling of secretions in the throat or airway of a dying person. Shallow breathing: Shallow breathing refers to breathing that is not deep or full. Tachypnea: Tachypnea refers to rapid or fast breathing. Apnea: Apnea refers to the cessation or absence of breathing.
Question 3 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 4 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 5 of 5
A patient admitted to the nursing home for terminal care is determined that he should not receive extraordinary measures such as resuscitation or the use of a ventilator if he stops breathing, or intravenous (IV) fluids or a feeding tube if he is unable to eat or drink. The nurse explains that these desires can best be honored by:
Correct Answer: B
Rationale: Informing his primary care provider of his desires: While it's important for the primary care provider to be aware of the patient's wishes, simply informing the provider may not ensure that these desires are respected. Filing an advance directive with the health care facility: This is the correct response. Advance directives allow individuals to specify their healthcare preferences in advance. Including these desires in his will: While a will can address matters related to the distribution of assets, it typically does not cover healthcare decisions. Signing a do-not-resuscitate/do-not-intubate (DNR/DNI) request: While a DNR/DNI request specifies the patient's wishes regarding resuscitation and intubation, it may not cover other aspects.