ATI RN
ATI Fundamentals Exam Final Questions
Extract:
Question 1 of 5
A terminally ill patient is angry and belligerent. He yells at the nurses and his family for not coming quickly enough when he calls,and he states that he isn't receiving the care he needs. The nurse's most informative response would be:
Correct Answer: D
Rationale: Don't let him get away with this abuse. He doesn't need to yell at you': This response is dismissive of the patient's emotions and fails to address the underlying issues causing the anger. 'I'm afraid he is having a bad day and feels neglected': While this response acknowledges the patient's feelings, it does not provide a broader context for understanding the patient's behavior. 'This may be how he feels best in dealing with this illness. You'll just have to ignore it': This response dismisses the patient's behavior as acceptable without exploring its underlying causes. 'Anger is a reaction that dying people experience. You may be feeling some anger yourselves': This response acknowledges the patient's emotions as a common reaction to terminal illness, normalizing his experience.
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 type of grief that happens before the actual loss is known as:
Correct Answer: B
Rationale: Brain death: Brain death refers to the irreversible cessation of all brain activity, indicating the end of life. Anticipatory: Anticipatory grief refers to the grief and mourning that occur before an anticipated loss. Bereavement: Bereavement refers to the period of mourning and adjustment after the loss of a loved one. Dysfunction: Dysfunction typically refers to impaired or abnormal functioning.
Question 4 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 5 of 5
Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. Tells God: "If I quit smoking I can just live until after my daughter's wedding."
Correct Answer: B
Rationale: Anger: Anger typically involves feelings of frustration, resentment, or hostility. Bargaining: Bargaining is a stage where individuals attempt to negotiate or make deals to change the outcome of a situation. Depression: Depression involves feelings of sadness, hopelessness, and despair. Acceptance: Acceptance involves coming to terms with the reality of a situation. Denial: Denial is characterized by refusing to accept the reality of the situation.