ATI RN
ATI Custom Fundamentals Chapter 31 ALL Questions
Question 1 of 5
A nurse is reinforcing teaching about pain control with a client who has acute pain following a subtotal gastric resection. Which of the following client statements indicates an understanding of pain control?
Correct Answer: D
Rationale:
Correct
Answer: D. "I will call for pain medication before the previous dose wears off."
Rationale: This statement shows understanding of proactive pain management to maintain pain control consistently. By requesting medication before the previous dose wears off, the client can prevent pain from becoming severe and optimize pain relief. This approach aligns with the principles of pain management to stay ahead of the pain rather than waiting for it to become intolerable.
Summary of Incorrect
Choices:
A: Incorrect because self-adjusting medication without healthcare provider guidance can lead to inadequate pain control.
B: Incorrect as waiting for pain to become intolerable can result in unnecessary suffering and difficulty achieving optimal pain relief.
C: Incorrect because waiting for the healthcare provider to evaluate pain may delay effective pain management, leading to inadequate relief.
Question 2 of 5
A nurse is reinforcing teaching with a client about using a PCA for postoperative pain management. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: You will have control of administering your own pain medication. This statement is correct because PCA (Patient-Controlled Analgesia) allows the patient to self-administer a predetermined dose of pain medication by pressing a button. This approach empowers the patient to manage their pain effectively and provides them with a sense of control over their pain relief.
Explanation of why other choices are incorrect:
A: A large dose of pain medication is not administered with each injection in PCA. The patient receives a controlled, predetermined dose.
C: Allowing someone else to push the PCA button for the patient defeats the purpose of PCA, which is to give the patient control over their pain management.
D: Pain medication in PCA is typically delivered intravenously, not into the muscle.
Question 3 of 5
A patient is beginning treatment for pain with a transcutaneous electrical nerve stimulator (TENS) unit. The nurse will initially:
Correct Answer: B
Rationale: The correct answer is B: adjust the settings below the level at which a tingling sensation is felt. This is the initial step because it ensures the patient's comfort and safety. Starting at a low intensity prevents discomfort or skin irritation. Placing electrodes on all four extremities (
A) is unnecessary and may not be indicated for all types of pain. Turning the unit on before attaching it to the patient (
C) can cause discomfort or surprise the patient. Applying conductive jelly to uncoated electrodes (
D) is not typically needed for TENS units as they come with pre-gelled electrodes.
Question 4 of 5
The nurse appreciates the principal advantage in using patient-controlled analgesia (PCA) is that it:
Correct Answer: D
Rationale: The correct answer is D because patient-controlled analgesia (PC
A) allows the patient to self-administer pain medication within preset limits, giving them a sense of control over their pain management, which can reduce anxiety.
Choice A is incorrect because the nurse still needs to monitor the PCA settings and patient response.
Choice B is incorrect because PCA aims to manage pain, not necessarily eliminate it completely.
Choice C is incorrect as all medications carry some risk of adverse effects.
Question 5 of 5
A nurse caring for a patient with a Fentanyl patch assesses that the patient is abnormally sleepy,is slurring words,and is unsteady when ambulating. The nurse should:
Correct Answer: A
Rationale: The correct answer is A: remove the patch and wipe off the skin. The patient's symptoms indicate an overdose of Fentanyl, a potent opioid. Removing the patch is crucial to stop further absorption of the drug, while wiping the skin helps eliminate any residual Fentanyl. This step is vital in preventing further complications and ensuring the patient's safety.
Choices B, C, and D do not address the overdose situation directly and may delay appropriate intervention.
Choice C may worsen the patient's condition by offering stimulating drinks.