ATI RN
ATI Fundamentals Exam Final Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse is caring for a client who has a new diagnosis of chronic renal failure. The nurse should recognize which of the following client statements as an indication of anticipatory grief?
Correct Answer: C
Rationale: I can now eat whatever I want. It will be dialyzed out of my system.': This statement reflects a lack of understanding about the dietary restrictions and lifestyle changes necessary with chronic renal failure. 'I know that renal failure runs in my family and I can prevent it.': This statement suggests a focus on prevention and may not indicate anticipatory grief. 'I just can't believe that my whole life is going to be ruined by dialysis.': This statement expresses a sense of disbelief and distress about the impact of dialysis on the client's life. 'I know that I will get a kidney transplant. I am a good candidate.': This statement reflects hope and optimism about the possibility of a kidney transplant.
Question 4 of 5
A nurse is caring for a client who has cancer and is receiving palliative care. Which of the following statements should the nurse identify as an indication that the client understands and accepts his prognosis?
Correct Answer: A
Rationale: I am hoping this will help relieve my discomfort': This statement reflects an understanding of the palliative nature of the care the client is receiving. The client acknowledges the goal of palliative care, which is focused on symptom management and improving quality of life rather than curative treatment. 'This is not working, and I plan to stop treatment': This statement suggests frustration with the current treatment but does not necessarily indicate acceptance of the prognosis. 'This is making me stronger every day': This statement implies a belief in the effectiveness of the treatment and a focus on improvement rather than acceptance of the prognosis. 'I am thinking of getting a second opinion': This statement indicates that the client is considering alternative perspectives on their diagnosis and treatment plan.
Question 5 of 5
A patient tells the nurse during an admission interview that his wife "went on to her reward." The nurse assesses that this statement is an indication that the patient:
Correct Answer: C
Rationale: Is no longer grieving the death of his wife: This option makes an assumption about the patient's grief based solely on the choice of words used to describe his wife's passing. Has a strong religious belief system: While the patient's statement may suggest a belief in an afterlife or reward, it doesn't necessarily indicate the strength of his religious beliefs. Is uncomfortable with the term 'death' and is using a euphemism: This is the correct response. The patient's choice of words, 'went on to her reward,' indicates a discomfort with directly stating 'death.' Has dysfunctional grieving and is unable to address his wife's death: There is no evidence in the scenario to suggest dysfunctional grieving.