ATI RN
ATI Client Comfort and End of Life Care Questions
Question 1 of 5
What is a typical feature of fibromyalgia?
Correct Answer: B
Rationale: Chronic widespread pain is a typical feature of fibromyalgia, affecting multiple body regions bilaterally, persisting for months, and often accompanied by tenderness and fatigue. This distinguishes it from localized or transient pain conditions. Choice A, localized pain only, is incorrectfibromyalgia's hallmark is its diffuse nature, not confined to one area like arthritis might be. Choice C, brief episodes of discomfort, doesn't fit; fibromyalgia pain is chronic, not episodic or short-lived. Choice D, complete relief with rest, is misleadingrest may help, but fibromyalgia pain persists, worsened by stress or poor sleep. Choice B is accurate, reflecting the condition's core diagnostic criterion, guiding nurses to focus on widespread pain management, stress reduction, and patient education to mitigate its pervasive impact.
Question 2 of 5
A client with chronic back pain tells the nurse that the pain is worse today than usual. What would the nurse do first?
Correct Answer: C
Rationale: The nurse would first assess the client further when chronic back pain worsens, as a change could signal new injury, inflammation, or disease progression needing specific intervention. Assessment (e.g., pain scale, triggers) informs targeted action. Choice A, administering an analgesic, risks masking symptoms without understanding the causechronic pain regimens adjust based on data, not reflex. Choice B, massaging the back, might help but could worsen undiagnosed issues (e.g., herniation); assessment precedes nonpharmacological attempts. Choice D, telling the client to relax, dismisses the escalationrelaxation doesn't address why pain intensified. Choice C is correct, embodying nursing's systematic approachdetailing pain's quality, onset, or radiation ensures accurate diagnosis and management, like adjusting medication or consulting a provider, preventing harm and optimizing relief for chronic pain flare-ups.
Question 3 of 5
The nurse is caring for a client who reports relief of pain after taking a placebo during a research study. The nurse would chart this response as being caused by which of the following?
Correct Answer: B
Rationale: The nurse would chart relief from a placebo as caused by psychological factors, as placeboslacking active ingredientsrelieve pain via the client's belief or expectation, triggering endorphin release in the brain. This placebo effect highlights pain's subjective, mind-influenced nature. Choice A, lack of real pain, dismisses the client's experiencepain existed, but perception shifted psychologically, not because it was fake. Choice C, poor study design, is irrelevant; relief reflects a known phenomenon, not a flaw, unless the study's ethics are questioned, which isn't implied. Choice D, ineffective medication, contradicts placebo definitionno medication is involved, just an inert substance. Choice B is correct, aligning with clinical understandingnurses document this accurately to inform care, noting psychological relief can complement treatment, though placebos aren't routine practice due to ethical concerns, emphasizing pain's complex interplay of body and mind.
Question 4 of 5
The nurse is assessing a client who reports pain in the left leg. Which finding would suggest the pain is neuropathic rather than somatic?
Correct Answer: B
Rationale: A burning sensation suggests neuropathic pain, as it reflects nerve damage or dysfunction (e.g., from diabetes), producing sensations like burning, tingling, or shooting pain, distinct from somatic pain's mechanical origin. Somatic pain (e.g., fractures) is musculoskeletal, not neural. Choice A, dull ache, aligns with somatic pain (e.g., arthritis), not neuropathy's sharp or electric quality. Choice C, localized swelling, indicates somatic injury or inflammation, not nerve-based pain, which lacks physical signs. Choice D, muscle stiffness, ties to somatic issues (e.g., tension), not neuropathic hallmarks. Choice B is correct, guiding nurses to differentiate pain typeneuropathic burning prompts adjuvants (e.g., gabapentin) versus somatic's analgesics, ensuring precise treatment based on the leg pain's neural etiology.
Question 5 of 5
The nurse is assessing a client who reports pain relief after taking an opioid analgesic. What would the nurse assess next?
Correct Answer: A
Rationale: The nurse would assess the level of sedation next, as opioids commonly cause drowsiness by depressing the central nervous systema key side effect impacting safety (e.g., falls) and dosing adjustments. Post-relief monitoring prioritizes this. Choice B, blood pressure, may drop with opioids, but sedation's immediacy and frequency make it more urgent to check. Choice C, appetite, isn't a primary concernnausea, not hunger, is more typical. Choice D, range of motion, improves with pain relief but isn't a side effect to assess; it's secondary. Choice A is correct, reflecting nursing vigilanceassessing sedation (e.g., drowsiness scale) ensures the opioid's benefit (pain relief) doesn't compromise safety, guiding interventions like timing or dose tweaks.