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ATI Custom Fundamentals Chapter 31 ALL Questions

Extract:


Question 1 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 2 of 5

A relative complains that an older adult patient takes frequent naps late in the day and awakens frequently during the night and wants to know if this is normal. The nurse explains that an older adult:

Correct Answer: A

Rationale: Frequent nighttime awakenings and daytime napping are common in older adults due to changes in sleep patterns. Hypnotics (
B) risk adverse effects 10 hours of sleep (
C) is not universal and reducing naps (
D) may not improve sleep.

Question 3 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 4 of 5

A nurse is preparing a patient for home care following cancer treatment. He is discussing the use of the fentanyl patch. Which of the following would be the most important instruction regarding safety?

Correct Answer: C

Rationale: Applying fentanyl patches as directed by the provider ensures safe use preventing overdose. Storing in a locked cabinet (
A) is secondary antiseptic scrub (
B) is unnecessary and using as needed (
D) risks misuse.

Question 5 of 5

The patient having difficulty sleeping lives right off the freeway in an apartment complex where many young people live. To try to alleviate the problem,the nurse counsels her to try:

Correct Answer: D

Rationale: The correct choice is to wear soft earplugs for sleep which reduces noise from the freeway and apartment complex creating a quieter sleep environment. Opening the window (
A) may increase noise exercising at bedtime (
B) can increase alertness and alcohol (
C) disrupts sleep quality.

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