ATI RN
Client Comfort and End of Care ATI Questions
Question 1 of 5
A client diagnosed with Crohn's disease has a calcium level of 7 mg/dL (1.75 mmol/L). Which ECG patterns would the nurse monitor?
Correct Answer: B
Rationale: Prolonged QT interval is expected with hypocalcemia (7 mg/dL) in Crohn's, due to delayed repolarization. Peaked T waves and U waves indicate hyperkalemia/hypokalemia, not calcium. Widened T waves are nonspecific. Nurses, per NCLEX, monitor QT prolongation as a critical ECG change in hypocalcemia, making B correct.
Question 2 of 5
A nosocomial infection of Methicillin-resistant Staphylococcus aureus was detected in the client, who has been put on contact precautions as a result (MRSA). What protective equipment should a nurse prepare before providing colostomy care?
Correct Answer: D
Rationale: MRSA contact precautions require gloves, gown, goggles, and mask/face shield for colostomy care, per NCLEX infection control. Gloves/gown , goggles , or shoe protectors are incomplete. Full PPE prevents spread, making D correct.
Question 3 of 5
CUS is another communication tool. All of the following are correct except:
Correct Answer: B
Rationale: CUS (Concerned, Uncomfortable, Safety at risk) isn't for all situations , per the answer key; it's for urgent escalation when initial communication fails or safety is at stake. It's correctly defined and usable by assistants . Nurses, per AHRQ, apply CUS selectively in critical moments, not routinely, making B the exception and correct answer for its misuse.
Question 4 of 5
How does chronic pain differ from acute pain in terms of duration?
Correct Answer: B
Rationale: Chronic pain differs from acute pain primarily in its duration, persisting beyond six months, often without a clear end even after the initial cause has healed. Acute pain, by contrast, is short-lived, typically resolving within days to weeks as the body recovers from injury or surgery. Choice A is incorrect because pain lasting less than one month aligns with acute pain, not chronic. Choice C, suggesting chronic pain resolves with treatment, is misleadingwhile manageable, chronic pain often persists despite interventions, unlike acute pain, which usually subsides with healing. Choice D, claiming chronic pain is always less severe, is false; its intensity varies widely and can be debilitating, unlike acute pain's typically sharp but temporary nature. Choice B correctly highlights the key distinctionchronic pain's extended duration over six monthsmaking it a critical factor in nursing care, requiring long-term strategies like pain management and emotional support rather than just acute symptom relief.
Question 5 of 5
Which medication is commonly used for chronic pain management?
Correct Answer: B
Rationale: Morphine is commonly used for chronic pain management, especially in severe cases like cancer or post-surgical pain persisting beyond acute phases. As an opioid, it targets the central nervous system to dull pain perception, offering relief where milder drugs fail. Choice A, aspirin, is better suited for mild to moderate acute pain or inflammation, lacking the potency for chronic, intense pain. Choice C, antibiotics, treat infections, not pain, making them irrelevant here. Choice D, antidepressants, may adjunctively manage chronic pain (e.g., neuropathic pain) by altering neurotransmitters, but they're not primaryopioids like morphine take precedence for severe cases. Choice B is correct, reflecting its widespread use in chronic pain protocols, though nurses must monitor for tolerance, dependence, and side effects, balancing efficacy with safety in long-term care plans.