ATI RN
ATI Custom Fundamentals Chapter 31 ALL Questions
Extract:
Question 1 of 5
A nurse evaluating the effectiveness of an Aquathermia K pad for the leg is aware that the patient who has the least risk for burn injury from this device would be the patient with:
Correct Answer: C
Rationale: A patient with a severely sprained ankle has the least risk for burn injury from an Aquathermia K pad as they likely have intact sensation and circulation to detect and respond to excessive heat. Decreased consciousness (
A) impairs feedback neuritis (
B) reduces sensation and impaired circulation (
D) increases burn risk due to poor heat dissipation.
Question 2 of 5
A nurse is assessing a client who has obstructive sleep apnea (OSA). Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Decreased energy is a hallmark of OSA due to disrupted sleep from airway obstruction causing fatigue. Hypertension not hypotension (
A) is typical; pneumonia (
B) is not a direct result; and thyroid disease (
D) may contribute but is not a finding.
Question 3 of 5
The most helpful intervention by the nurse for a hospitalized child who is having difficulty falling asleep would be to:
Correct Answer: C
Rationale: Keeping a night light on creates a comforting environment reducing fear of the dark. Sugary snacks (
A) increase alertness a blanket/pillow (
B) is secondary and complete darkness (
D) may frighten the child.
Question 4 of 5
The nurse attempts to help an 86-year-old patient describe his pain because the nurse is aware the older adult may not express pain because they:
Correct Answer: D
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.
Question 5 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.