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ATI Nurs 2000 Fundamentals Questions

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Question 1 of 5

A client with trigeminal neuralgia has been given suggestions to minimize episodes of pain. Which statement if made by the client would indicate the need for further teaching?

Correct Answer: A

Rationale: Eating food that is either very warm or very cold can trigger pain in individuals with trigeminal neuralgia.
Therefore if a client made this statement it would indicate the need for further teaching. Chewing on the unaffected side can help minimize episodes of pain in trigeminal neuralgia. Rinsing the mouth if tooth brushing is too painful is a good strategy for managing trigeminal neuralgia. Washing the face with cotton pads can help minimize episodes of pain in trigeminal neuralgia.

Question 2 of 5

A nurse is ordering equipment for a medical-surgical unit. Which of the following equipment should the nurse identify as being ergonomic? (Select all that apply)

Correct Answer: A,D

Rationale: Wrist supports for computer keyboards are considered ergonomic because they help maintain a neutral wrist position reducing the risk of repetitive strain injuries. IV stands at a fixed height are not considered ergonomic. Adjustable height stands would be more ergonomic as they can be tailored to the user's height reducing the risk of strain or injury. Standard height toilets are not considered ergonomic.
Toilets that are height-adjustable or at a comfortable height for the user would be more ergonomic reducing the risk of falls or strain. Shower chairs are considered ergonomic as they can reduce the risk of falls in the shower by providing a stable seat for users. They can be particularly beneficial for individuals with mobility issues.

Question 3 of 5

A nurse is providing care for a patient who reports experiencing flashbacks of a traumatic event that occurred a year ago. Which of the following stress-related disorders should the nurse identify that the patient is experiencing?

Correct Answer: A

Rationale: Post-traumatic stress disorder (PTS
D) is a stress-related disorder that can occur after a person experiences a traumatic event. Symptoms can include flashbacks of the traumatic event which the patient reports experiencing. Episodic acute stress is a type of stress that occurs in response to specific situations or events. It does not typically involve flashbacks of a traumatic event. Irritable bowel syndrome (IBS) is a common disorder that affects the large intestine. While stress can exacerbate symptoms of IBS it is not a stress-related disorder in the sense of being a psychological response to stress. Acute stress disorder (AS
D) is a stress-related disorder that can occur in response to a traumatic event. However ASD symptoms occur immediately after the traumatic event and typically resolve within a month. Since the patient reports experiencing flashbacks of a traumatic event that occurred a year ago ASD is not the correct answer.

Question 4 of 5

A client with trigeminal neuralgia has been given suggestions to minimize episodes of pain. Which statement if made by the client would indicate the need for further teaching?

Correct Answer: A

Rationale: Eating food that is either very warm or very cold can trigger pain in individuals with trigeminal neuralgia.
Therefore if a client made this statement it would indicate the need for further teaching. Chewing on the unaffected side can help minimize episodes of pain in trigeminal neuralgia. Rinsing the mouth if tooth brushing is too painful is a good strategy for managing trigeminal neuralgia. Washing the face with cotton pads can help minimize episodes of pain in trigeminal neuralgia.

Question 5 of 5

A nurse is teaching a class about physical manifestations associated with the fight-or-flight response to stress. Which of the following manifestations should the nurse include?

Correct Answer: B

Rationale: Hypoglycemia or low blood sugar is not typically a manifestation of the fight-or-flight response. In fact the opposite is true. During the fight-or-flight response the body's glucose levels often increase to provide extra energy for the perceived threat. Dilated pupils are a common physical manifestation of the fight-or-flight response. This physiological change allows more light to enter the eyes enhancing vision and awareness of the environment during a stressful event. Bronchial airway constriction is not typically associated with the fight-or-flight response. In fact the bronchial airways often dilate during this response to allow for increased oxygen flow which is necessary for physical exertion. Decreased blood pressure is not a typical response to stress. During the fight-or-flight response blood pressure usually increases to enhance blood flow to the muscles and brain.

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