ATI RN
ATI Custom Fundamentals Chapter 31 ALL Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is using a patient-controlled analgesia (PCA) pump for postoperative pain management. The nurse enters the room to find the client asleep and his partner pressing the button to dispense a dose of analgesia. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Asking why the partner thinks the client needs medication when asleep prompts discussion and educates that only the client should control the PCA to prevent overdosing. Options A C and D either endorse unsafe behavior or undermine PCA protocols.
Question 2 of 5
The nurse assesses a patient's sleep for NREM (non-rapid eye movement) sleep because this sleep has the characteristics of:
Correct Answer: A
Rationale: NREM sleep is characterized by offering the most rest as it includes deep restorative stages (3 and 4) where the body repairs tissues. Irregular respirations (
B) are associated with sleep disorders heart rate decreases (
C) during NREM and daytime activity (
D) is unrelated to sleep.
Question 3 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 4 of 5
Medication such as sedatives and hypnotics are sometimes prescribed to promote sleep. These can be used for long-term relief.
Correct Answer: B
Rationale: Sedatives and hypnotics are typically prescribed for short-term use due to risks of dependence and side effects making the statement false.
Question 5 of 5
A nurse is reinforcing teaching with a client about the use of transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. Which of the following statements by the client indicates the need for further teaching?
Correct Answer: A
Rationale: Stating that TENS requires hospitalization indicates a misunderstanding as it is typically used at home. Attaching electrodes (
B) is necessary shaving hair (
C) is correct and hoping to reduce pills (
D) shows understanding.