ATI RN
ATI Custom Fundamentals Chapter 31 ALL Questions
Extract:
Question 1 of 5
A nurse is assisting in the care of a patient who is receiving pain medication by the epidural route. It is most important to monitor this patient for which adverse drug effects?
Correct Answer: B
Rationale: Hypoventilation is the most critical adverse effect to monitor in epidural pain medication as opioids can depress the respiratory center risking respiratory compromise. Constipation (
A) nausea (
C) and headache (
D) are less urgent.
Question 2 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 3 of 5
A sleeping patient has periodic pauses in breathing,then starts to breathe again. The nurse recognizes this sleep pattern is consistent with:
Correct Answer: D
Rationale: Sleep apnea is characterized by periodic pauses in breathing during sleep. Excessive NREM sleep (
A) does not cause pauses insomnia (
B) involves difficulty sleeping and narcolepsy (
C) causes daytime sleepiness not breathing pauses.
Question 4 of 5
A natural supplement that can enhance sleep for many people is:
Correct Answer: D
Rationale: Melatonin,a hormone,enhances sleep by regulating the sleep-wake cycle. Magnesium (
A) and calcium (
B) are not primary sleep aids and lavender (
C) is less effective.
Question 5 of 5
A nurse is reinforcing teaching about pain control with a client who has acute pain following a subtotal gastric resection. Which of the following client statements indicates an understanding of pain control?
Correct Answer: D
Rationale: This statement indicates an understanding of proactive pain management. By requesting medication before the previous dose wears off the client helps maintain consistent pain control which is crucial for recovery and preventing pain escalation. Avoiding medication to prevent addiction (
A) can lead to uncontrolled pain waiting until pain is intolerable (
B) results in severe discomfort and relying on the nurse to evaluate pain (
C) delays relief.