ATI RN
ATI Ns 117 Fundamentals Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has urinary incontinence. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A pH-balanced cleanser maintains skin integrity, unlike hot water, cornstarch, or air-drying, which risk irritation or infection.
Question 2 of 5
A nurse is caring for a client who is postoperative. The nurse should recognize that which of the following methods is the most reliable source when determining the intensity of the client's pain?
Correct Answer: D
Rationale: Client self-report is the most reliable pain intensity indicator, as vital signs, procedure invasiveness, or nonverbal cues may not accurately reflect pain.
Question 3 of 5
A nurse is caring for a client who has phantom limb pain. The nurse should identify the client is experiencing which type of pain?
Correct Answer: D
Rationale: Phantom limb pain is neuropathic, arising from nerve damage, unlike acute, cancer, or chronic pain classifications.
Question 4 of 5
A nurse is completing a SOAP note in a client's chart. In which of the following sections should the client's vital signs be documented?
Correct Answer: A
Rationale: Vital signs are objective, measurable data, unlike subjective reports, plans, or assessments.
Question 5 of 5
A nurse is assisting with teaching a newly licensed nurse about pain. Which of the following is an example of acute pain?
Correct Answer: C
Rationale: A surgical incision causes acute pain, unlike peripheral neuropathy, rheumatoid arthritis, or fibromyalgia, which are chronic.