ATI Comprehensive Exit Exam (Detail
Solutions)
Smartprep Examinations
1. A patient’s father died a week ago. Both the patient and
the patient’s spouse talk about the death. The patient’s
spouse is experiencing headaches and fatigue. The patient
is having trouble sleeping, has no appetite, and gets
choked up most of the time. How should the nurse
interpret these findings as the basis for a follow-up
assessment?
a. The patient is dying and the spouse is angry.
b. The patient is ill and the spouse is malingering.
c. Both the patient and the spouse are likely in denial.
d. Both the patient and the spouse are likely grieving.
ANS: D
Both are likely grieving from the loss of the patient’s father.
Symptoms of normal grief include headache, fatigue,
1
, insomnia, appetite disturbance, and choking sensation.
Different people manifest different symptoms. There is no
data to support the spouse is angry or malingering. There is
no data to support the patient is dying or ill. Denial is
assessed when the person cannot accept the loss; both
talked about the loss.
MULTIPLE RESPONSE
1.A nurse is documenting end-of-life care. Which information
will the
nurse include in the patient’s electronic medical record?
(Select all that apply.)
a. Reason for the death
b. Time and date of death
c. How ethically the family grieved
d. Location of body identification tags
e. Time of body transfer and destination
ANS: B, D, E
Documentation of end-of-life care includes the following:
time and date of death, location of body identification tags,
time of body transfer and destination and personal articles
left on and secured to the body. Reason for the death is not
appropriate; this is a medical judgment and not a nursing
judgment. How ethically the family grieved is judgmental
2
Solutions)
Smartprep Examinations
1. A patient’s father died a week ago. Both the patient and
the patient’s spouse talk about the death. The patient’s
spouse is experiencing headaches and fatigue. The patient
is having trouble sleeping, has no appetite, and gets
choked up most of the time. How should the nurse
interpret these findings as the basis for a follow-up
assessment?
a. The patient is dying and the spouse is angry.
b. The patient is ill and the spouse is malingering.
c. Both the patient and the spouse are likely in denial.
d. Both the patient and the spouse are likely grieving.
ANS: D
Both are likely grieving from the loss of the patient’s father.
Symptoms of normal grief include headache, fatigue,
1
, insomnia, appetite disturbance, and choking sensation.
Different people manifest different symptoms. There is no
data to support the spouse is angry or malingering. There is
no data to support the patient is dying or ill. Denial is
assessed when the person cannot accept the loss; both
talked about the loss.
MULTIPLE RESPONSE
1.A nurse is documenting end-of-life care. Which information
will the
nurse include in the patient’s electronic medical record?
(Select all that apply.)
a. Reason for the death
b. Time and date of death
c. How ethically the family grieved
d. Location of body identification tags
e. Time of body transfer and destination
ANS: B, D, E
Documentation of end-of-life care includes the following:
time and date of death, location of body identification tags,
time of body transfer and destination and personal articles
left on and secured to the body. Reason for the death is not
appropriate; this is a medical judgment and not a nursing
judgment. How ethically the family grieved is judgmental
2
