ATI RN
ATI Custom Fundamentals Chapter 31 ALL Questions
Extract:
Question 1 of 5
A nurse caring for a patient with a Fentanyl patch assesses that the patient is abnormally sleepy,is slurring words,and is unsteady when ambulating. The nurse should:
Correct Answer: A
Rationale: If a patient with a Fentanyl patch shows signs of overdose (abnormal sleepiness slurred speech unsteadiness) the nurse should remove the patch and wipe off the skin to stop further drug absorption. Applying ice (
B) does not counteract overdose elevating the bed and offering stimulants (
C) is ineffective and side rails (
D) do not address the overdose.
Question 2 of 5
There are several different types of pain. Which type of pain occurs after the loss of a body part from an amputation?
Correct Answer: A
Rationale: "Cultural training not to complain is a common reason older adults underreport pain as stoicism is valued in some cultures. Fear of medication (
A) reluctance to bother staff (
B) and unawareness (
C) are less primary reasons." perceived in the missing limb due to brain adjustments. Nociceptive pain (
B) arises from tissue damage neuropathic pain (
C) involves nerve damage and "pain" (
D) is too vague.
Question 3 of 5
A nurse is collecting data on a client following administration of an opioid narcotic. Which of the following findings indicates a decrease in the client's pain?
Correct Answer: B
Rationale: The client being asleep may indicate decreased pain as pain often disrupts sleep and opioids promote sedation. Elevated blood pressure (
A) increased respiratory rate (
C) and diaphoresis (
D) suggest ongoing pain or other issues not relief.
Question 4 of 5
A nurse explains that endorphins are capable of reducing pain:
Correct Answer: C
Rationale: Endorphins reduce pain by attaching to opioid receptors acting as natural painkillers. They work in both physiological and psychological conditions (A
D) and are neuropeptides not enzymes (
B).
Question 5 of 5
The nurse appreciates the principal advantage in using patient-controlled analgesia (PCA) is that it:
Correct Answer: D
Rationale: The principal advantage of PCA is that it reduces patient anxiety about pain by giving the patient more control in its management. PCA empowers the patient to self-administer medication within safe limits enhancing pain control and reducing anxiety. It does not reduce nurse workload (
A) eliminate all pain (
B) or eliminate adverse effects (
C) as monitoring and risks remain.