ATI RN
Communication Skills in Nursing Questions Questions
Question 1 of 5
The nurse cares for a patient who complains of back pain. Which question should the nurse ask to obtain specific information about the back pain?
Correct Answer: D
Rationale: The correct answer is D: "What do you think caused the back pain?" This question helps to gather specific information about the patient's perception and understanding of the back pain, which can provide valuable insights into the potential cause and severity. By understanding the patient's perspective, the nurse can tailor further assessments and interventions accordingly. Choice A is incorrect because it focuses on offering medication without addressing the underlying cause of the pain. Choice B is incorrect as it is too broad and may not directly elicit information related to the back pain. Choice C is incorrect as it pertains to family history of osteoporosis, which may not be directly relevant to the current back pain complaint.
Question 2 of 5
Mr. N (non-Hodgkin lymphoma) reports noticing some transient numbness and tingling in his lower legs with occasional mild burning type pain. What is the nurse most likely to do first?
Correct Answer: D
Rationale: The correct answer is D: Assess for possible chemotherapy-induced peripheral neuropathy. This is the most appropriate action as Mr. N's symptoms of numbness, tingling, and burning pain in his lower legs are common signs of peripheral neuropathy, a side effect of chemotherapy. By assessing for this potential complication first, the nurse can determine if Mr. N's symptoms are related to his cancer treatment and initiate appropriate interventions. Choice A is incorrect as venous thromboembolism typically presents with different symptoms such as swelling, redness, and warmth in the affected limb. Choice B is also incorrect as peripheral arterial insufficiency would present with symptoms like coolness, pallor, and weak pulses in the affected limb. Choice C is not the most appropriate action at this time as it does not address the potential underlying cause of Mr. N's symptoms.
Question 3 of 5
Mr. L (tracheostomy and partial laryngectomy) has been receiving 10 mg of IV morphine for pain. The HCP tells the nurse that Mr. L will be switched to oral (liquid) hydromorphone 5 mg. When the nurse checks an equianalgesic dose table, she sees that 10 mg of morphine equals 5 mg of hydromorphone. What should the nurse do?
Correct Answer: B
Rationale: Step 1: Understand that equianalgesic doses are based on average conversion ratios. Step 2: Recognize that individual patient variations can affect opioid conversion accuracy. Step 3: Understand that cross-tolerance can impact the efficacy of equianalgesic conversions. Step 4: Acknowledge that upward titration may be necessary to ensure adequate pain control. Step 5: Realize that starting with a lower dose of hydromorphone may not provide adequate pain relief due to potential cross-tolerance. Therefore, the correct answer is B, as it emphasizes the importance of considering individual patient factors and the potential need for upward titration to ensure safety and efficacy in pain management. Summary: - Option A is incorrect because it focuses on verifying the equianalgesic dose rather than considering individual patient factors. - Option C is irrelevant as it does not address the need for potential dose adjustment. - Option D is incomplete and does not provide any guidance on managing the opioid
Question 4 of 5
In helping a client such a Ms. C, who had a colostomy with a bowel resection, which tasks can be delegated to the UAP? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Assist Ms. C with perineal care. This task can be safely delegated to an Unlicensed Assistive Personnel (UAP) as it involves basic hygiene and does not require specialized medical training. Perineal care includes cleaning the area around the stoma, which is important for maintaining skin integrity and preventing infection. UAPs can be trained to provide this type of care under the supervision of a registered nurse. Choices B, C, and D involve more specialized skills such as proper positioning of the adhesive wafer, measuring colostomy contents, and reapplying a new colostomy bag, which should be performed by a licensed healthcare professional such as a nurse. Delegating these tasks to a UAP could pose a risk to the client's health and safety.
Question 5 of 5
The team leader is working through the preoperative checklist and Ms. G, who has a breast lump, begins to cry. "What do you think about this breast surgery? My friend's arm got really swollen after she had the surgery. Can't I just take medication?" What is the priority nursing concept to consider in responding to Ms. G?
Correct Answer: A
Rationale: The correct answer is A: Anxiety. The priority nursing concept to consider in responding to Ms. G is anxiety because her emotional distress is evident through crying and expressing concerns about surgery. Addressing her anxiety is crucial to provide emotional support and ensure her well-being throughout the surgical process. By acknowledging her feelings, the nurse can help alleviate her fears, provide education about the surgery, and offer coping strategies. Choices B, C, and D are incorrect because they do not address the immediate emotional needs of the patient in this situation. Cellular regulation focuses on physiological processes, functional ability pertains to physical capabilities, and adherence relates to following treatment plans, which are not the primary concerns when a patient is experiencing anxiety and emotional distress.