ATI RN
ATI Custom Fundamentals Chapter 31 ALL Questions
Extract:
Question 1 of 5
A nurse is assisting with teaching a client who has obstructive sleep apnea (OSA) about continuous positive airway pressure (CPAP). Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The CPAP device should be placed over the nose (or nose and mouth) to deliver pressure. It fits snugly (
A) delivers consistent pressure (
B) and is non-invasive (
C).
Question 2 of 5
A nurse is instructing a patient about relaxation techniques for pain management. The patient should:
Correct Answer: C
Rationale: Tensing and relaxing individual muscle groups (progressive muscle relaxation) starting with the toes promotes relaxation and pain relief. Bright lights (
A) are stimulating using relaxation to wake up (
B) is incorrect and tensing all muscles at once (
D) is ineffective.
Question 3 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.
Question 4 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 5 of 5
One thing the nurse would ask the patient to do to try to locate the reason for her insomnia is to:
Correct Answer: C
Rationale: Keeping a sleep diary helps identify patterns and triggers of insomnia such as diet or stressors. A warm bath (
A) is a coping strategy reviewing past sleep (
B) is impractical and discussing with friends (
D) lacks structure for identifying causes.