ATI End-of-Life Assessment Exam/22 complete Q’s and A’s
A nurse is setting goals for a client who has AIDS and is at the end of life.
Which of the following are realistic goals?
a. The client will verbalize an understanding of the mode of disease
transmission.
b. The client will experience a weight gain of one to two pounds per week.
c. The client will increase attendance at community social activities
d. The client will receive medication to minimize episodes of breakthrough
pain. - - d
- A nurse is preparing to administer furosemide 40 mg IV. Available is
furosemide 10 mg/1 mL. How many mL should the nurse administer per
dose? - - 4 mL
- A nurse is caring for a client who has metastatic bone cancer. The client
states, "I want to go home to die." The family is concerned about meeting
the client's care needs at home. Which of the following actions should the
nurse take?
a. Discuss initiating hospice care with the client and family.
b. Write a referral to place the client in a nursing home
c. Talk with the provider about extending the client's hospital stay.
d. Inform the client's family that they are responsible for providing palliative
care. - - a
- A nurse in a dialysis center is caring for a client who has a new diagnosis of
end-stage kidney disease. When he arrives for his first dialvsis treatment, he
tells the nurse, "I decided to come today, but I am not sure if I will need to
come back again this week. I am feeling much better since my discharge
from the hospital and I think my kidneys are working again." The nurse
should identify that this client is demonstrating which of the following Kübler-
Ross stages of grieving?
a. Bargaining
b. Denial
c. Depression
d. Anger - - b
- A nurse is providing postmortem care for an adult client. Which of the
following actions should the nurse take? (Select all that apply).
a. Place the client lying flat on the bed.
b. Determine whether the client will have an autopsy.
c. Cover the body with a clean sheet and place the arms outside of the
sheet.
d. If the client had significant trauma, discourage family and friends from
viewing the body.
e. Give the client's personal belongings to the family. - - b, c, e
, - A nurse provides a back massage as a palliative care measure to a client
who is unconscious, grimacing, and restless. Which of the following findings
should the nurse identify as indicating a therapeutic response? (Select all
that apply).
a. The shoulders droop.
b. The facial muscles relax.
c. The respiratory rate increases.
d. The pulse is within the expected range.
e. The client draws his legs up into a fetal position. - - a, b, d
- A nurse is caring for a client who is in denial over losing a limb in a motor-
vehicle crash two weeks ago. Which of the following actions should the nurse
take?
a. Allow the client to continue to deny the loss of his limb as part of his
recovery.
b. Provide the client with written information about the phases of loss.
c. Slowly intervene to help the client develop awareness of the loss of his
limb.
d. Tell the client it is time he come to terms with the loss of his limb - - c
- A nurse is caring for a client who has heart failure and a prescription for
digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many
tablets should the nurse administer per dose? (Round the answer to the
nearest tenth. Use a leading zero if it applies. Do not use a trailing zero). - -
0.5 tablet
- A nurse is caring for a client who has cancer and is receiving palliative
care. Which of the following statements by the client indicates they
understand this type of treatment?
a. "I am thinking of getting a second opinion."
b. "I am hoping this will limit my discomfort."
c. "This treatment should help me live a little longer."
d. "This is not working and I plan to stop treatment." - - b
- A nurse is preparing to administer amoxicillin 500 mg PO every 12 hr. The
amount available is amoxicillin 250 mg/5 mL suspension. How many mL
should the nurse administer? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing zero). - - 10 mL
- A nurse is caring for a client who has advanced lung cancer. The client's
provider has recommended hospice services for the client. Which of the
following statements by the client indicates a correct understanding of
hospice care?
a. "I will have to be admitted to a long-term care facility in order to receive
hospice care."
A nurse is setting goals for a client who has AIDS and is at the end of life.
Which of the following are realistic goals?
a. The client will verbalize an understanding of the mode of disease
transmission.
b. The client will experience a weight gain of one to two pounds per week.
c. The client will increase attendance at community social activities
d. The client will receive medication to minimize episodes of breakthrough
pain. - - d
- A nurse is preparing to administer furosemide 40 mg IV. Available is
furosemide 10 mg/1 mL. How many mL should the nurse administer per
dose? - - 4 mL
- A nurse is caring for a client who has metastatic bone cancer. The client
states, "I want to go home to die." The family is concerned about meeting
the client's care needs at home. Which of the following actions should the
nurse take?
a. Discuss initiating hospice care with the client and family.
b. Write a referral to place the client in a nursing home
c. Talk with the provider about extending the client's hospital stay.
d. Inform the client's family that they are responsible for providing palliative
care. - - a
- A nurse in a dialysis center is caring for a client who has a new diagnosis of
end-stage kidney disease. When he arrives for his first dialvsis treatment, he
tells the nurse, "I decided to come today, but I am not sure if I will need to
come back again this week. I am feeling much better since my discharge
from the hospital and I think my kidneys are working again." The nurse
should identify that this client is demonstrating which of the following Kübler-
Ross stages of grieving?
a. Bargaining
b. Denial
c. Depression
d. Anger - - b
- A nurse is providing postmortem care for an adult client. Which of the
following actions should the nurse take? (Select all that apply).
a. Place the client lying flat on the bed.
b. Determine whether the client will have an autopsy.
c. Cover the body with a clean sheet and place the arms outside of the
sheet.
d. If the client had significant trauma, discourage family and friends from
viewing the body.
e. Give the client's personal belongings to the family. - - b, c, e
, - A nurse provides a back massage as a palliative care measure to a client
who is unconscious, grimacing, and restless. Which of the following findings
should the nurse identify as indicating a therapeutic response? (Select all
that apply).
a. The shoulders droop.
b. The facial muscles relax.
c. The respiratory rate increases.
d. The pulse is within the expected range.
e. The client draws his legs up into a fetal position. - - a, b, d
- A nurse is caring for a client who is in denial over losing a limb in a motor-
vehicle crash two weeks ago. Which of the following actions should the nurse
take?
a. Allow the client to continue to deny the loss of his limb as part of his
recovery.
b. Provide the client with written information about the phases of loss.
c. Slowly intervene to help the client develop awareness of the loss of his
limb.
d. Tell the client it is time he come to terms with the loss of his limb - - c
- A nurse is caring for a client who has heart failure and a prescription for
digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many
tablets should the nurse administer per dose? (Round the answer to the
nearest tenth. Use a leading zero if it applies. Do not use a trailing zero). - -
0.5 tablet
- A nurse is caring for a client who has cancer and is receiving palliative
care. Which of the following statements by the client indicates they
understand this type of treatment?
a. "I am thinking of getting a second opinion."
b. "I am hoping this will limit my discomfort."
c. "This treatment should help me live a little longer."
d. "This is not working and I plan to stop treatment." - - b
- A nurse is preparing to administer amoxicillin 500 mg PO every 12 hr. The
amount available is amoxicillin 250 mg/5 mL suspension. How many mL
should the nurse administer? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing zero). - - 10 mL
- A nurse is caring for a client who has advanced lung cancer. The client's
provider has recommended hospice services for the client. Which of the
following statements by the client indicates a correct understanding of
hospice care?
a. "I will have to be admitted to a long-term care facility in order to receive
hospice care."
