ATI RN
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ATI Fundamentals Exam Final Questions
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Question
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1 of 5
The nurse can assess Cheyne-Stokes respiration by its characteristics of respirations that are:
Correct Answer: C
Rationale: Harsh and rattling: Harsh and rattling respirations are indicative of other respiratory conditions. Long periods of fast deep breaths: This describes hyperventilation, not characteristic of Cheyne-Stokes respiration. Shallow followed by periods of apnea: Cheyne-Stokes respiration is characterized by a pattern of gradually increasing and then decreasing depth of respirations, followed by periods of apnea. Wheezing and labored: Wheezing and labored respirations are associated with conditions such as asthma or COPD.
Question 2 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 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 hospice patient is unable to tolerate food or fluids and has advance directives that indicate that he does not want IV fluids or tube feedings if he is unable to take oral feedings. His family is concerned that he will be very uncomfortable without food or fluids. The nurse should tell them that:
Correct Answer: A
Rationale: This response aligns with best practices in hospice care, which prioritize comfort and quality of life. While the healthcare proxy may have the authority to make decisions, the focus should be on honoring the patient's wishes. Encouraging the family to try to talk the patient into accepting IV fluids or tube feedings goes against the principles of patient autonomy. While dehydration can be uncomfortable in some circumstances, providing adequate symptom management is essential in hospice care.
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.