ATI RN
ATI Nurs 100 Fundamental Final Exam Questions
Extract:
Question 1 of 5
A nurse caring for a client is receiving hydromorphone HCL via PCA pump and reports continuous pain of 6 on a scale from 0 to 10. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Check the display on the PCA pump. This is the first action to take because the nurse needs to ensure that the PCA pump is programmed correctly and delivering the appropriate dose of hydromorphone. By checking the display, the nurse can verify if the pump is functioning properly and if the prescribed dose is being administered as intended. This step is crucial to rule out any technical issues that may be causing inadequate pain relief.
Choice B is incorrect because obtaining an order for another pain medication should only be considered after confirming that the current medication delivery system is functioning correctly.
Choice C, administering a bolus of medication, should not be done without first assessing the pump settings.
Choice D, encouraging the client to administer a demand dose, is not appropriate until the nurse has verified the pump's functionality.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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