ATI RN
Client Comfort and End of Life Care ATI Quizlet Questions
Question 1 of 5
Which of the following medications is least likely to affect sleep quality?
Correct Answer: D
Rationale: Medications impact sleep via physiological or neurological effects. 'Ambien' , or zolpidem, is least likely to harm sleep quality; it's a sedative-hypnotic designed to induce and maintain sleepe.g., shortening sleep latency to 15 minuteswithout altering architecture long-term, per prescribing data. 'Diuretic' disrupts sleep via nocturiae.g., waking 3 times to void after furosemide. 'Steroid' , like prednisone, causes insomniae.g., 20% of users report wakefulness from CNS stimulation. 'Antidepressant' , like SSRIs, alters REMe.g., fluoxetine delays REM onset by 30 minutesdisrupting quality. Ambien's targeted action (GABA enhancement) contrasts with others' side effects, aligning with Taylor's pharmacology. Choice D is correct as it enhances, not impairs, sleep.
Question 2 of 5
Of the following individuals, who can best determine the experience of pain?
Correct Answer: A
Rationale: Pain is subjective, per IASP's definition. 'The person who has the pain' best determines ite.g., only they feel 'stabbing' vs. 'dull,' guiding care, per Taylor's patient-centered ethos. 'The person's immediate family' guessese.g., 'He looks bad'but lacks internal insight. 'The nurse caring for the patient' assesses signs (e.g., grimacing) but can't feel ite.g., rating 8 might seem 4 outwardly. 'The physician diagnosing the cause' identifies etiologye.g., fracturebut not sensation. A patient's self-reporte.g., 'It's 10/10'trumps all, making Choice A correct.
Question 3 of 5
A patient who has had a recent below-knee amputation tells the nurse that he feels as though his toes are cramping. What would the nurse say in return?
Correct Answer: B
Rationale: Post-amputation sensations need validation. 'That is called phantom pain, and it is not unusual' is correct; phantom limb paine.g., cramping in absent toesarises from neural reorganization, per Taylor's neurology, affecting 60-80% of amputees. Choice A, 'all in your mind,' dismisses ite.g., it's real, not imaginary, via spinal/brain misfiring. Choice C, 'really strange,' undermines normalcye.g., it's common, not odd, needing no urgent MD call. Choice D, 'refer to a psychiatrist,' mislabels; it's neuropathic, not psychiatrice.g., managed with meds (gabapentin), not therapy alone. For instance, a patient feels 'toes' because nerves still signal the brain, a known phenomenon. Nurses educate and reassuree.g., 'It'll lessen over time'fostering coping. Choice B is the empathetic, accurate response.
Question 4 of 5
A nurse asks a patient to rate his pain on a scale of 0 to 10, with 0 being no pain and 10 being worst pain. What characteristic of pain is the nurse assessing?
Correct Answer: D
Rationale: Pain assessment uses specific dimensions. 'Intensity' is assessed with a 0-10 scalee.g., '6' quantifies severity, guiding treatment, per Taylor's standards. 'Duration' is time-basede.g., '2 hours,' not scaled. 'Location' pinpointse.g., 'left leg,' not rated 0-10. 'Chronology' tracks onset/progressione.g., 'since yesterday,' not numeric intensity. A patient saying '8'e.g., post-optells the nurse pain's strength, not where or how long. Joint Commission mandates this for tailoring reliefe.g., 8/10 might mean morphine. Choice D is the correct characteristic.
Question 5 of 5
Which of the following is the drug of choice to treat chronic pain in the home?
Correct Answer: A
Rationale: Chronic pain at home needs accessible relief. 'Oral morphine' is the choicee.g., 15 mg q4h manages cancer pain, per Taylor's home care, balancing efficacy and ease. 'Intravenous morphine' is hospital-basede.g., not home-feasible. 'NSAIDs' suit mild paine.g., ibuprofen caps at arthritis, not severe chronicity. 'Antidepressants' aid neuropathic paine.g., duloxetine, adjunctive only. Morphine's potencye.g., WHO ladder step 3fits unremitting pain (e.g., 8/10), with oral forms (tablets, liquid) practical. Nurses teach safe usee.g., lockbox storagemaking Choice A correct.