ATI RN
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ATI Fundamentals Exam Final Questions
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Question
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1 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.
Question 2 of 5
Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "Go away,I don't want company. "
Correct Answer: A
Rationale: Anger: The behavior of pushing others away and expressing hostility or frustration is indicative of the anger stage. Acceptance: Acceptance involves coming to terms with one's own mortality and the reality of impending death. Bargaining: Bargaining involves attempting to negotiate or make deals to change the outcome. Denial: Denial is characterized by refusing to accept the reality of one's impending death. Depression: Depression involves feelings of sadness, hopelessness, and despair.
Question 3 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 4 of 5
Nurses may have a difficult time dealing with patient deaths if they
Correct Answer: B
Rationale: Have no friends among the unit staff: While having friends among the unit staff can provide emotional support, it is not directly related to a nurse's ability to cope with patient deaths. Have not come to terms with their own mortality: This option addresses a significant factor in how nurses cope with patient deaths. Did not foresee that the illness was terminal: While it can be emotionally challenging when a patient's illness unexpectedly becomes terminal, nurses are trained to provide care regardless. Cared for the patient for several days: The duration of care provided to a patient may influence the depth of the nurse's emotional connection but does not necessarily determine their ability to cope.
Question 5 of 5
A nurse in an acute care facility is caring for a preschool-age child who is terminally ill and receiving palliative care. The parents tell the nurse that they have decided to take their child home. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Tell me why you want to take your child home.' This response could be perceived as questioning or challenging the parents' decision. 'I will help you get ready to leave.' This response shows support and understanding for the parents' decision. 'You have not given the medication a chance to work.' This response may come across as dismissive of the parents' wishes. 'The pediatrician is the only one who can discharge your child.' While it is true that discharge typically requires a physician's order, this response does not offer the supportive tone needed.