ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 36 : Comfort and Pain Management Questions
Question 1 of 5
A pregnant woman has received an epidural analgesic prior to delivery. Assessment for which outcome to the medication will the nurse prioritize?
Correct Answer: D
Rationale: Respiratory depression (
D) is the priority outcome to monitor with epidural opioids, as it is life-threatening. Pruritus, urinary retention, and vomiting (A, B,
C) are less critical side effects.
Question 2 of 5
A nurse is assessing a patient receiving a continuous opioid infusion. For which outcome of treatment would the nurse immediately notify the primary care provider?
Correct Answer: B
Rationale: A sedation level of 4 (somnolent, minimal/no response) indicates risk of respiratory depression, requiring immediate provider notification and possible naloxone (
B). A respiratory rate of 11/min (
A) is not alarming, and forgetfulness or constipation (C,
D) are less urgent.
Question 3 of 5
A patient is receiving a multimodal medication regimen as part of the treatment plan for neuropathic phantom limb pain. When the patient reports a bloody bowel movement, which medication prescription requires notification of the provider?
Correct Answer: B
Rationale: NSAIDs (
B) can interfere with platelet function and increase bleeding risk, necessitating provider notification for a bloody bowel movement. Acetaminophen (
A), opioids (
C), and antianxiety medications (
D) are less likely to cause gastrointestinal bleeding.
Question 4 of 5
A nurse on an adult surgical floor enters a patient room and observes a family member pressing the button to administer a dose of PCA via the infusion pump. What response by the nurse is most appropriate?
Correct Answer: B
Rationale: PCA by proxy (family administering doses) risks overdose, oversedation, and respiratory depression (
B). Only the patient should press the PCA button, regardless of safeguards (
D) or patient requests (
C), and option A ignores the safety issue.
Question 5 of 5
Students in a leadership class are discussing how social determinants of health affect pain management. Which statement is correct and should be included in the discussion?
Correct Answer: C
Rationale: Social determinants impact pain management; minority patients often delay seeking treatment due to access barriers, cultural factors, or mistrust (
C). Outcomes vary by income (
A), minority patients often receive less medication (
B), and social determinants are related to pain management (
D).