ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 36 Questions
Question 1 of 5
When assessing pain in a child, the nurse needs to be aware of what considerations?
Correct Answer: B
Rationale: Inadequate or inconsistent pain relief in children is a widespread issue (
B). Children feel pain, reliable assessment tools exist, and opioids can be used safely with careful monitoring, making A, C, and D incorrect.
Question 2 of 5
Based on this opening description of pain, what other information would be helpful in determining the plan of care? Select all that apply.
Correct Answer: B,C,D,E
Rationale:
To develop an effective plan of care, the nurse needs Carla's wife's perspective on pain progression (
B), triggers for the pain (
C), past interventions and their effectiveness (
D), and associated symptoms (E). Assessing the endocrinologist's care quality (
A) is irrelevant to the immediate pain management plan.
Question 3 of 5
Which question by the nurse will be most helpful in determining whether a patient who is experiencing a myocardial infarction has referred pain?
Correct Answer: D
Rationale: Referred pain is perceived in an area distant from its origin, such as arm or shoulder pain during a myocardial infarction (
D). Questions about duration (
A), surface location (
B), or phantom limb pain (
C) are less relevant to identifying referred pain in this context.
Question 4 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 5 of 5
A nurse in a rehabilitation facility is evaluating patients with chronic pain to develop an interprofessional plan of care. Which patients would the nurse identify who could benefit from a multimodal approach to pain management? Select all that apply.
Correct Answer: A,D,E
Rationale: Chronic pain, lasting beyond the normal healing period, benefits from a multimodal approach. Patients with cancer pain (
A), fibromyalgia (
D), and chronic back pain (E) fit this criterion. Appendectomy (
B) and burns (F) typically involve acute pain, and a ruptured aneurysm (
C) is an emergency requiring immediate intervention.