ATI RN
ATI Fundamentals 2023 Retake Questions
Extract:
Question 1 of 5
A nurse is caring for a postoperative client who has an IV PCA delivering opioids. The client rates their pain as 2 on a scale of 0 to 10 and has not pressed the button to deliver a bolus dose in over 2 hr. Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct Answer: B - Ask the provider for a prescription to decrease the continuous rate.
Rationale: A pain rating of 2 indicates mild pain, so decreasing the continuous rate of opioids can help prevent overmedication and potential adverse effects. Asking the provider for a prescription change ensures a safe adjustment to the pain management plan.
Summary of Incorrect
Choices:
A: Informing the provider that the PCA is not providing adequate pain relief may lead to unnecessary intervention since a pain rating of 2 is considered mild.
C: Instructing the client to push the button more frequently could result in overmedication and potential adverse effects due to unnecessary bolus doses.
D: Instructing the client's caregiver to push the PCA button when the client is resting is not appropriate as the client should be the one managing their pain relief.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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