ATI RN
ATI Fundamentals Exam Final Questions
Extract:
Question 1 of 5
A terminal patient asks the nurse if he could be given a deliberate overdose of medication that would "end this." According to the Code for Nurses,the nurse's most ethical response would be:
Correct Answer: C
Rationale: Bringing on your death in this manner would be a subject you should discuss with your family and primary care provider' : While discussing end-of-life wishes is important, this response does not directly address the ethical issue. 'Let me have a while to consider your request' : Delaying a response could potentially lead to confusion and distress. 'I cannot ethically give you a deliberate overdose' : This response aligns with the ethical principle of nonmaleficence. 'I can contact the primary care provider and request an order for a drug that could be used as you request' : This response suggests a willingness to facilitate the patient's request, which is not ethically permissible.
Question 2 of 5
Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "She'll soon be at peace"
Correct Answer: E
Rationale: Anger: Anger is typically characterized by feelings of frustration, resentment, and hostility. Depression: Depression involves feelings of sadness, hopelessness, and despair. Denial: Denial is a defense mechanism characterized by a refusal to accept reality. Bargaining: Bargaining involves attempting to negotiate or make deals to postpone or mitigate the inevitable outcome. Acceptance is the final stage in Kübler-Ross's model, characterized by a sense of peace, tranquility, and readiness to confront death.
Question 3 of 5
A hospice nurse is caring for a client who is approaching death and has fecal incontinence. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Request a prescription for lactulose from the provider: Lactulose is a laxative commonly used to treat constipation, but it is not appropriate for managing fecal incontinence. Place an occlusive dressing over the client's buttocks every $8 \mathrm{hr}$ : Occlusive dressings are not typically used for managing fecal incontinence. Insert a lubricated rectal tube gently: Inserting a rectal tube is invasive and may cause discomfort. Keep disposable undergarments clean and dry: This is the most appropriate action for managing fecal incontinence.
Question 4 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 5 of 5
A terminally ill patient and his family have requested hospice care. The nurse clarifies hospice care philosophy as:
Correct Answer: D
Rationale: Hospice care does not exclude hospital care entirely. Hospice care does aim to provide comfort and support to patients at the end of life, but it does not focus on hastening death. Hospice does not support assisted suicide or euthanasia. Hospice philosophy emphasizes symptom management and comfort care as its primary focus.