ATI RN
ATI Client Comfort and End of Life Care Questions
Question 1 of 5
Which of the following individuals is likely to require more hours of sleep?
Correct Answer: D
Rationale: Sleep needs vary by age due to growth and repair demands. 'A 15-year-old' requires more sleep8-10 hours nightly, per NSFdriven by puberty's brain development (e.g., synaptic pruning in REM) and physical growth. 'A 75-year-old' needs 7-8 hours; aging reduces deep sleepe.g., NREM stage 3 drops 10%but not total need drastically. 'A 43-year-old' and '25-year-old' both need 7-9 hours; adulthood stabilizes sleep, though stress or lifestyle might cut ite.g., a 25-year-old averaging 6 hours risks deficit. Adolescents' melatonin shifts (e.g., delayed to 11 p.m.) and school demands amplify their need, per Taylor's developmental norms. Choice D correctly reflects this highest requirement.
Question 2 of 5
A patient who has breast cancer is said to be in remission. What does this term signify?
Correct Answer: D
Rationale: Remission' in cancer means disease control. 'The disease is present but the patient is not experiencing symptoms' is correcte.g., breast cancer cells remain but no fatigue or lumps, per oncology norms in Taylor. Choice A, 'experiencing symptoms,' contradicts remissione.g., active disease has pain. Choice B, 'end-stage cancer,' is terminal, not remissione.g., metastasis dominates. Choice C, 'unremitting pain,' fits active cancer, not remission's reliefe.g., post-chemo calm. Remission (partial or complete) signals treatment successe.g., scans show tumors but no growthmaking Choice D the precise answer.
Question 3 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 4 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 5 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.