ATI RN
ATI Custom Fundamentals Chapter 31 ALL Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative. When helping to manage the client's pain,which of the following principles should the nurse apply? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Using a pain scale (
A) considering individual expression (
B) and expecting verbal/nonverbal cues (
C) are key principles. Opioid addiction (
D) is not inevitable and fast-acting analgesics (E) are not always appropriate.
Question 2 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 3 of 5
The nurse takes into consideration that when the patient has an order for patient-controlled analgesia (PCA),the pump will be programmed by the:
Correct Answer: C
Rationale: The registered nurse programs the PCA pump ensuring correct settings per the provider’s order. The provider (
A) prescribes pharmaceutical companies (
B) do not program and LPNs/LVNs (
D) typically do not program PCA pumps.
Question 4 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 5 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).