ATI RN
ATI Client Comfort and End of Life Care Questions
Question 1 of 5
A patient has been instructed to increase fluid intake but as a result has lost sleep to get up to void several times a night. What can the nurse recommend to decrease the interruption of sleep?
Correct Answer: B
Rationale: Frequent nocturia from high fluid intake disrupts sleep, fixable via timing. 'Drink most of the liquids before 5 p.m.' is correct; front-loading hydratione.g., 80% of 2L by late afternoonlets the bladder empty pre-bedtime, cutting awakenings (e.g., from 4 to 1), per nursing hydration advice. Choice A, 'during the night,' worsens ite.g., 500 mL at 10 p.m. fills the bladder by 2 a.m. Choice C, 'coffee instead of water,' adds caffeine's diuretic and stimulant effectse.g., doubling voids. Choice D, 'before noon,' risks dehydration latere.g., unmet needs by evening. Taylor's sleep hygiene supports Choice B's balance of hydration and rest, making it correct.
Question 2 of 5
A patient tells the nurse that she is experiencing stabbing pain in her mouth, gums, teeth, and chin following brushing her teeth. These are symptoms of which of the following pain syndromes?
Correct Answer: C
Rationale: Stabbing facial pain post-stimulus points to a nerve disorder. 'Trigeminal neuralgia' fits; it's sharp, electric-like pain in the trigeminal nerve's domain (mouth, gums, teeth, chin)e.g., triggered by brushing, per Taylor's pain syndromes. 'Complex regional pain syndrome' affects limbs post-injurye.g., burning after a fracture, not facial. 'Postherpetic neuralgia' follows shinglese.g., persistent burn, not stabbing post-brushing. 'Diabetic neuropathy' causes distal numbness/paine.g., feet tingling, not facial stabs. Trigeminal neuralgia's hallmarke.g., 10/10 pain from light touchmatches this, often unilateral and paroxysmal. Nurses note triggers (e.g., chewing) and suggest carbamazepine. Choice C is the correct, specific diagnosis.
Question 3 of 5
A mother calls the nurse practitioner to say, I dont know what is wrong with my baby. He cried all night and kept pulling at his ear. How would the nurse respond?
Correct Answer: C
Rationale: Infant distress needs targeted response. 'That means his ear hurt. Bring him in to be checked' is correcte.g., ear-pulling and crying signal otitis media, per Taylor's pediatrics, requiring exam (e.g., tympanic redness). Choice A, 'hungry and wet,' dismisses specificse.g., ear focus, not general fussiness. Choice B, 'cry at night, think nothing,' ignores signse.g., pain isn't normal crying. Choice D, 'tummy ache,' misattributese.g., no GI clues like vomiting. A baby tugging an ear all nighte.g., 80% chance of infectionneeds otoscopy, not guesses. Nurses prioritize actionable care over minimization, making Choice C the best, urgent response.
Question 4 of 5
Which of the following patients would benefit from a p.r.n. drug regimen?
Correct Answer: B
Rationale: PRN (as needed) suits variable pain. 'One who had thoracic surgery 4 days ago' benefitse.g., pain drops to 3/10, needing meds sporadically, per Taylor's post-op care. Choice A, '12 hours ago,' has acute, steady paine.g., 7/10, needing scheduled doses. Choice C, 'intractable pain,' resists reliefe.g., constant 9/10, unfit for PRN. Choice D, 'chronic pain,' often needs routine dosinge.g., morphine q6h for cancer. By day 4, pain wanese.g., PRN oxycodone for cough spikesmatching recovery. Choice B is the correct candidate.
Question 5 of 5
As a child grows, he unconsciously develops a component of self-concept based on the image of role models. What part of the self-concept does this describe?
Correct Answer: D
Rationale: Role models shape future self. 'Self-expectations' describes thise.g., a boy mimics a firefighter dad, setting 'I'll be brave,' per Taylor's developmental view. 'False self' is inauthentice.g., faking traits, not modeling. 'Evolving self' isn't a terme.g., vague evolution. 'Self-knowledge' is currente.g., 'I'm kind,' not aspirational. Unconscious adoptione.g., courage from a teacherbuilds what he expects to become, a nursing focus for growth. Choice D is correct.