ATI RN
ATI Custom Fundamentals Chapter 31 ALL Questions
Question 1 of 5
A nurse is instructing a patient about relaxation techniques for pain management. The patient should:
Correct Answer: C
Rationale: The correct answer is C: Tense and relax individual muscle groups, starting with the toes and feet. This technique is known as progressive muscle relaxation, which helps reduce muscle tension and promote relaxation. By starting with the toes and feet and moving upwards, the patient can systematically release tension throughout the body. This method is effective in alleviating stress and pain.
Choice A is incorrect because bright lights can be stimulating and hinder the relaxation process.
Choice B is incorrect as relaxation techniques are typically used for calming and unwinding, not waking up.
Choice D is incorrect as tensing and relaxing all muscles simultaneously may not allow for focused relaxation.
Question 2 of 5
IM injections of pain medication may be contraindicated for patients who:
Correct Answer: A
Rationale: The correct answer is A because patients with small, poorly developed muscles may not have enough muscle mass to safely absorb the injected medication. The muscle tissue plays a crucial role in the absorption and distribution of the medication. Poorly developed muscles can lead to inadequate absorption, ineffective pain relief, and potential complications such as tissue damage. Patients with well-developed muscles are more likely to have better drug absorption and overall treatment outcomes.
Choices B, C, and D are incorrect because they do not directly relate to the physiological aspect of muscle development and its impact on IM injections.
Question 3 of 5
There are several different types of pain. Which type of pain occurs after the loss of a body part from an amputation?
Correct Answer: A
Rationale: The correct answer is A: Phantom pain. Phantom pain occurs after the loss of a body part due to amputation because the brain still receives signals from the nerves that were once connected to the missing limb, leading to the perception of pain in the absent limb. Nociceptive pain (choice
B) is caused by tissue damage or inflammation, Neuropathic pain (choice
C) results from damage to the nervous system, and Pain (choice
D) is a broad term that does not specify the type of pain experienced after amputation.
Question 4 of 5
A nurse is caring for a client who is postoperative. When helping to manage the client's pain,which of the following principles should the nurse apply? (Select all that apply.)
Correct Answer: A,B,C
Rationale: The correct principles to apply when managing a client's postoperative pain are A, B, and C. A is correct because using a pain scale helps assess the severity of pain objectively. B is correct because pain is subjective, and individual expressions should be considered. C is correct because clients may express pain in various ways, verbally or nonverbally. These principles enhance pain management by ensuring accurate assessment and personalized care.
Choices D and E are incorrect. D is incorrect because opioids are a vital part of pain management and can be used safely with appropriate monitoring, not necessarily leading to addiction. E is incorrect because while fast-acting pain relief is important, it should be balanced with the client's overall pain management plan and safety.
Question 5 of 5
A nurse is assessing the status of a patient who is sleeping. Which assessment data indicate that the patient is most likely in stage 3 of non-rapid eye movement (NREM) sleep?
Correct Answer: D
Rationale: The correct answer is D: Decreased respirations, slow heart rate. Stage 3 of NREM sleep is characterized by deep sleep with slow brain waves. During this stage, the body enters a state of deep relaxation, leading to decreased respiratory rate and a slow heart rate. This indicates that the patient is in a deep stage of sleep.
Choices A, B, and C all include rapid heart rates, which are not consistent with the characteristics of stage 3 NREM sleep.
Therefore, they are incorrect.