ATI RN
ATI Fundamentals Exam Final Questions
Extract:
Question 1 of 5
Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "She's not that sick!"
Correct Answer: E
Rationale: Depression: Depression is characterized by feelings of sadness, hopelessness, and despair. Acceptance: Acceptance is the final stage, characterized by coming to terms with one's impending death or loss. Bargaining: Bargaining involves attempts to negotiate or make deals to change the outcome of a situation. Anger: Anger involves feelings of frustration, resentment, or hostility towards the situation or others. Denial: Denial is the initial stage where individuals refuse to accept the reality of their situation or the severity of their illness.
Question 2 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 3 of 5
A 33-year-old patient has been told that her disease is terminal. The patient is crying and states,I will just be a dependent drain on my family. I hate being a burden to them. The nurse can best respond:
Correct Answer: C
Rationale: I know. I would feel terrible if I had been told I was dying.' This response does not effectively address the patient's concerns or provide therapeutic communication. 'Is there any reason to tell your family about this now? You still have some time in which you can enjoy life.' This response minimizes the patient's emotions and fails to acknowledge her distress. 'You have heard some very bad news today. Can you describe what you mean by burden?' This response acknowledges the patient's feelings and invites further discussion. 'I doubt that your loving family will view your terminal care as a burden.' While this response attempts to provide reassurance, it may come across as dismissive.
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 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.