ATI RN
Client Comfort and End of Life Care ATI Questions
Question 1 of 5
A child with a leg cast tells the nurse that he has pain inside his cast. What type of pain is this most likely to be?
Correct Answer: D
Rationale: Pain inside a cast stems from physical forces. 'Mechanical' is correct; pressure or frictione.g., a tight cast compressing tissue or rubbing skincauses this, per Taylor's pain classification. Thermal pain requires heat/colde.g., a burn, not cast-related. Chemical pain involves irritantse.g., acid exposure, not typical here. Electrical pain needs currente.g., a shock, irrelevant to casts. A cast too snug might pinch nerves or musclese.g., swelling post-fracture increases pressureproducing sharp or aching mechanical pain. Nurses assess for compartment syndrome or fit issues, adjusting or bivalving the cast. This contrasts with chemical pain from inflammation (e.g., prostaglandins) or thermal from external sources. The physical interaction of cast and limb drives this scenario, making Choice D the most likely type.
Question 2 of 5
A nurse assesses a patient who is being given an opioid analgesic and finds the patient unresponsive to shaking or other stimuli. What drug might be ordered to reverse this state?
Correct Answer: D
Rationale: Opioid overdose causes unresponsiveness. 'Naloxone' reverses ite.g., 0.4 mg IV displaces opioids from mu-receptors, restoring breathing in 2 minutes, per Taylor's emergency care. 'Cortisone' treats inflammatione.g., arthritis, not overdose. 'Aspirin' thins bloode.g., no opioid effect. 'Penicillin' kills bacteriae.g., irrelevant here. A patient with morphine ODe.g., respiratory rate 4/minneeds naloxone, a nurse's rapid response. Choice D is the correct, life-saving drug.
Question 3 of 5
The wife of an elderly man has recently died. The couple was married for 32 years. What part of the mans self-concept may be influenced by this loss?
Correct Answer: B
Rationale: Loss reshapes self-concept holistically. 'Global self' is influencede.g., 32 years as 'husband' defines his entire self, per Taylor's theory, now widowed. 'Ideal self' is aspirationale.g., 'perfect me,' less tied to roles. 'Body image' is physicale.g., unchanged by wife's death. 'False self' is pretensee.g., not his core. Losing a spousee.g., 'Who am I without her?'shifts identity, esteem, roles, the whole self. Nurses note grief's broad impact, making Choice B correct.
Question 4 of 5
An adolescent rapidly develops secondary sex characteristics and body changes. What should the nurse assess to determine how these changes might affect the adolescents self-concept?
Correct Answer: D
Rationale: Adolescent body changes challenge self-concept. 'Understanding of changes' is keye.g., a teen grasping puberty's normalcy (e.g., breast growth) adjusts body image, per Taylor's developmental focus, not shame. 'Expectations of the parents' influencee.g., 'Be mature,'but don't gauge self-impact. 'Developmental environment' sets contexte.g., supportive homebut not personal perception. 'Meaningful use of time' is vaguee.g., hobbies help coping, not assessment. A nurse asking, 'What do you think about your body now?'e.g., 'It's weird' vs. 'It's cool'reveals self-concept shifts, critical during Erikson's identity stage. Misunderstanding (e.g., 'I'm deformed') breeds distress, a care target. Choice D is the correct, patient-centered assessment.
Question 5 of 5
Which of the following nursing diagnoses reflects disturbance in self-concept as the etiology?
Correct Answer: D
Rationale: Self-concept as etiology means it causes the issue. 'Impaired Adjustment' reflects thise.g., 'due to disturbed self-concept' after job loss, per Taylor's NANDA, struggles adapting. 'Disturbed Personal Identity' is the disturbancee.g., 'Who am I?' not a cause. 'Ineffective Role Performance' is outcomee.g., 'Can't parent,' not etiology. 'Chronic Low Self-Esteem' is symptome.g., 'I'm worthless,' not driver. Adjustment falterse.g., 'I can't move on'when self-view (e.g., 'provider') crumbles, a nursing link. Choice D is correct.