ATI RN
ATI Custom Fundamentals Chapter 31 ALL Questions
Extract:
Question 1 of 5
A nurse is collecting data on a client who reports acute pain at a level of 7 on a scale of 0 to 10. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Hypertension is expected in acute pain due to sympathetic nervous system activation causing vasoconstriction and increased blood pressure. Bradycardia (
A) decreased respiratory rate (
B) and hypoglycemia (
C) are not typical responses to acute pain.
Question 2 of 5
A natural supplement that can enhance sleep for many people is:
Correct Answer: D
Rationale: Melatonin,a hormone,enhances sleep by regulating the sleep-wake cycle. Magnesium (
A) and calcium (
B) are not primary sleep aids and lavender (
C) is less effective.
Question 3 of 5
The nurse takes into consideration the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards for pain assessment and treatment. Include:
Correct Answer: C
Rationale: All patients have the right to appropriate pain assessment per JCAHO standards ensuring routine evaluation. Pain is not assessed only on complaint (
A) treatment may continue post-discharge (
B) and treatment considers subjective reports not just objective data (
D).
Question 4 of 5
A nurse is reinforcing teaching about pain control with a client who has acute pain following a subtotal gastric resection. Which of the following client statements indicates an understanding of pain control?
Correct Answer: D
Rationale: This statement indicates an understanding of proactive pain management. By requesting medication before the previous dose wears off the client helps maintain consistent pain control which is crucial for recovery and preventing pain escalation. Avoiding medication to prevent addiction (
A) can lead to uncontrolled pain waiting until pain is intolerable (
B) results in severe discomfort and relying on the nurse to evaluate pain (
C) delays relief.
Question 5 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.