ATI RN
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ATI Custom Fundamentals Chapter 31 ALL Questions
Extract:
Question
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1 of 5
A nurse is assessing the status of a patient who is sleeping. Which assessment data indicate that the patient is most likely in stage 3 of non-rapid eye movement (NREM) sleep?
Correct Answer: D
Rationale: Stage 3 NREM sleep (slow-wave sleep) is characterized by decreased respirations and slow heart rate reflecting deep rest. Options A B and C indicate more active physiological states not typical of stage 3.
Question 2 of 5
A patient is beginning treatment for pain with a transcutaneous electrical nerve stimulator (TENS) unit. The nurse will initially:
Correct Answer: B
Rationale: This is the correct initial step when starting TENS treatment. The nurse should adjust the settings to a level below the threshold at which the patient feels a tingling sensation to ensure comfort and safety. Placing electrodes on all extremities (
A) is unnecessary turning the unit on before attachment (
C) risks accidental stimulation and applying conductive jelly (
D) occurs after electrode placement.
Question 3 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 4 of 5
A nurse is reinforcing teaching with a client about using a PCA for postoperative pain management. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: This statement is correct. The essence of PCA is that the patient has control over administering their pain medication within set limits or time intervals ensuring effective pain management. Large doses (
A) are not administered; PCA delivers predetermined doses. Allowing a partner to push the button (
C) risks overdosing and PCA medication is typically delivered intravenously or subcutaneously not into muscle (
D).
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.