ATI RN
ATI Fundamentals Exam Final Questions
Extract:
Question 1 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 2 of 5
The emotional feeling of pain and loss is known as
Correct Answer: C
Rationale: Bereavement: Bereavement refers to the period of mourning and adjustment that follows the loss of a loved one. Depression: Depression is a mood disorder characterized by persistent feelings of sadness. Grief: Grief is the emotional response to loss, encompassing a range of feelings such as sadness, anger, guilt, and despair. Sadness: Sadness is a transient emotional state.
Question 3 of 5
When the nurse notes an increase in the level of daily function in the terminal patient,the nurse assesses that this patient has reached Kübler Ross's level of:
Correct Answer: B
Rationale: Bargaining: Bargaining is a stage where the patient may attempt to negotiate with a higher power or medical professionals to change their fate. Acceptance: In Kübler-Ross's model, acceptance is the final stage, characterized by the patient coming to terms with their diagnosis and prognosis. Depression: Depression is another stage where the patient experiences feelings of sadness, hopelessness, and despair. Yearning: Yearning, also known as the stage of 'pain and guilt' in Kübler-Ross's model, involves feelings of longing for what was lost or what cannot be.
Question 4 of 5
A terminally ill patient is experiencing a great deal of dyspnea and noisy,rattling rapid respirations. The nurse administers morphine in a very small liquid or intramuscular dose. The purpose of this is to:
Correct Answer: C
Rationale: Administering morphine can help decrease pain associated with dyspnea, but the primary goal in this scenario is to address the dyspnea itself. While morphine can help dry up secretions to some extent, its primary action in this context is to alleviate dyspnea. Morphine is commonly used in palliative care to relieve dyspnea by depressing the respiratory center in the brain. Administering morphine in small doses for dyspnea relief is not intended to hasten death but rather to provide comfort.
Question 5 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.