ATI RN
ATI Nurse 142 Final Questions
Question 1 of 5
A 70-year-old male complains of ringing in the ears. The nurse describes this as:
Correct Answer: A
Rationale: Tinnitus is the perception of sound, such as ringing, in the ears when no external sound is present. It can be caused by age-related hearing loss, loud noise exposure, ear infections, or other medical conditions. Xerostomia is dry mouth, myopia is nearsightedness, and anosmia is loss of smell.
Question 2 of 5
The nurse is teaching the patient about different stages of sleep. The nurse knows that REM sleep includes which one of the following?
Correct Answer: C
Rationale: REM (Rapid Eye Movement) sleep is a stage of sleep that is part of the sleep cycle, which also includes non-REM (NREM) sleep. Dreaming occurs during REM sleep, and it usually composes about 20-25% of total sleep time in adults. NREM sleep, on the other hand, makes up the largest amount of total sleep time, typically about 75-80%. Both REM and NREM sleep are important for restorative sleep, but each plays a different role in physiological and cognitive functioning.
Question 3 of 5
The patient complains of chest pains that move down her left arm. The nurse will document this as:
Correct Answer: B
Rationale: Radiating pain starts at a specific point and spreads to other areas, such as chest pain moving down the left arm, a common symptom of cardiac issues. Phantom pain occurs in absent limbs, referred pain is felt in a different area from the source, and somatic pain arises from skin, muscles, or bones.
Question 4 of 5
The nurse is caring for two clients who both are in pain due to sickle cell anemia. One of the clients rates the pain as a 7 out of 10 (0 is no pain and 10 is the worst pain possible). This client is moving around easily and is eating well, but has asked for pain medication. Which action by the nurse is most appropriate?
Correct Answer: B
Rationale: Pain is a subjective experience, and the client's report of pain should be respected and addressed promptly. If the pain medication is ordered and it has been longer than the ordered interval, the nurse should administer the medication as prescribed. In general, withholding pain medication for a client in pain is not an appropriate action. Administering half the ordered dose of pain medication without a healthcare provider's order is also not appropriate. The nurse should follow the healthcare provider's orders for pain medication administration and titration. It's also not appropriate to assume that the client is faking pain without adequate assessment and evidence to support such a claim.
Question 5 of 5
When child, elder, or vulnerable adult abuse or neglect is disclosed, nurses:
Correct Answer: D
Rationale: Nurses are mandated reporters, legally required to report suspected or confirmed cases of child, elder, or vulnerable adult abuse or neglect to the appropriate authorities. This obligation supersedes other actions like involving family or referring to social services, which do not replace reporting.