ATI RN
Client Comfort and End of Care ATI Questions
Question 1 of 5
The nurse would expect a client receiving a nonopioid analgesic to report which of the following side effects?
Correct Answer: B
Rationale: The nurse expects gastrointestinal upset from a nonopioid analgesic (e.g., ibuprofen), as NSAIDs inhibit gastric prostaglandins, irritating the stomach lining, causing nausea or paina common side effect. Choice A, constipation, is opioid-related, not nonopioidNSAIDs don't slow gut motility. Choice C, sedation, suits narcotics or adjuvants (e.g., amitriptyline), not nonopioids, which lack CNS depression. Choice D, respiratory depression, is an opioid risk, not nonopioidNSAIDs don't affect breathing. Choice B is correct, prompting nurses to monitor GI symptoms, advising food intake or antacids to mitigate upset, ensuring nonopioid benefits (pain relief) outweigh this manageable drawback in acute or chronic use.
Question 2 of 5
A nurse assigned to care for a postoperative male client who has diabetes mellitus. During the assessment interview, the client reports that he's impotent and says that he's concerned about its effect on his marriage. In planning this client's care, the most appropriate intervention would be to:
Correct Answer: D
Rationale: For a postoperative diabetic client reporting impotence and marital concerns, the most appropriate intervention is suggesting referral to a sex counselor or professional (Choice D). Diabetes and surgery can cause erectile dysfunction (ED) via neuropathy, vascular damage, or psychological stress, requiring specialized expertise beyond general nursing. Encouraging questions (Choice A) fosters discussion but doesn't address the issue's complexity. Providing privacy (Choice B) supports dignity but doesn't resolve ED or marital strain. Supporting the spouse (Choice C) is secondary without addressing the client's primary concern. A sex counselor can assess physical and emotional factors, offer tailored therapies (e.g., medication, counseling), and involve the spouse, aligning with holistic care. Nurses facilitate referrals when issues exceed their scope, ensuring comprehensive management. Choice D directly tackles the client's stated worry, making it the correct and most effective intervention.
Question 3 of 5
A male client is admitted to the hospital with blunt chest trauma after a motor vehicle accident. The first nursing priority for this client would be to:
Correct Answer: A
Rationale: Blunt chest trauma from a motor vehicle accident can compromise airway, breathing, or circulation (ABCs), the nurse's top priorities. Assessing the client's airway (Choice A) is first because obstruction (e.g., from blood, swelling, or foreign objects) or injury (e.g., pneumothorax) threatens life within minutes. Signs like stridor, cyanosis, or absent breath sounds demand immediate actione.g., suctioning or intubation. Pain relief (Choice B) is vital but secondary, as unrelieved pain won't kill instantly, unlike airway loss. Encouraging deep breathing and coughing (Choice C) risks worsening injuries like rib fractures or flail chest if airway isn't secured. Splinting the chest (Choice D) aids breathing but assumes airway patency. For example, a tracheal deviation from tension pneumothorax detected during airway assessment takes precedence over pain. ABC prioritization ensures survival, making Choice A the correct first step.
Question 4 of 5
An individual awakens from a sound sleep in the middle of the night because of abdominal pain. Why does this happen?
Correct Answer: A
Rationale: Waking from sleep due to abdominal pain involves the body's arousal system responding to internal signals. 'Stimuli from peripheral organs to the RAS' explains this: the reticular activating system (RAS) in the brainstem regulates sleep-wake transitions, and visceral pain (e.g., from gastric distension) sends afferent signals via the vagus nerve to the RAS, triggering arousal. Choice B, 'stimuli to the wake center in the cerebral cortex,' is vague; no specific 'wake center' exists, and cortical activation follows RAS stimulation, not direct peripheral input. Choice C, 'messages from chemoreceptors to the brain,' applies to respiratory stressors (e.g., low oxygen), not abdominal pain, which lacks a chemical trigger like hypoxia. Choice D, 'messages from baroreceptors to the spinal cord,' relates to blood pressure regulation (e.g., carotid sinus), not visceral pain perception. For instance, appendicitis pain activates nociceptors, relaying signals through spinal pathways to the RAS, overriding sleep's inhibition. This aligns with sleep physiology, where the RAS filters stimuli, awakening the individual only for significant threats, making Choice A correct.
Question 5 of 5
A nurse is discussing sleep problems with a patient. What type of foods would she recommend to promote sleep?
Correct Answer: D
Rationale: Diet influences sleep via neurotransmitter and blood sugar effects. 'A carbohydrate snack' promotes sleep by raising tryptophan levels, a serotonin and melatonin precursore.g., a banana or crackers 1-2 hours before bed stabilizes glucose, easing sleep onset. 'One cup of hot chocolate' has caffeine (e.g., 5-20 mg), a stimulant delaying sleep, despite warmth's relaxation. 'Three glasses of red wine' sedates initially but disrupts REM sleep latere.g., alcohol metabolism at 3 a.m. causes awakeningsper sleep studies. 'A high-protein snack' , like turkey, has tryptophan but digestion (e.g., tyrosine release) can stimulate, not sedate. Nursing, per Taylor, favors carbs for their insulin-mediated tryptophan boost, avoiding stimulants or heavy meals. Choice D is the correct, evidence-based recommendation.