ATI RN
ATI Custom Fundamentals Chapter 31 ALL Questions
Extract:
Question 1 of 5
A nurse is preparing a patient for home care following cancer treatment. He is discussing the use of the fentanyl patch. Which of the following would be the most important instruction regarding safety?
Correct Answer: C
Rationale: Applying fentanyl patches as directed by the provider ensures safe use preventing overdose. Storing in a locked cabinet (
A) is secondary antiseptic scrub (
B) is unnecessary and using as needed (
D) risks misuse.
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
A nurse is assisting with teaching a newly licensed nurse about pain. Which of the following is an example of nociceptive pain?
Correct Answer: D
Rationale: Strained muscle pain is nociceptive arising from tissue damage activating pain receptors. Post-herpetic neuralgia (
A) diabetic neuropathy (
B) and phantom limb pain (
C) are neuropathic not nociceptive.
Question 4 of 5
A nurse caring for a patient who suffered a severe sprain and has an order for a cold pack application to the injured area would prevent patient injury by:
Correct Answer: D
Rationale: Placing a towel between the cold pack and skin prevents frostbite or injury. Heavy pressure (
A) risks tissue damage prolonged application (
B) causes frostbite and switching to heat (
C) contradicts the order.
Question 5 of 5
Signs of fentanyl patch overdose are:
Correct Answer: C
Rationale: Confusion and inability to walk normally indicate fentanyl overdose due to central nervous system depression. Increased pain (
A) suggests underdosing rash (
B) is a skin reaction and headache/nausea (
D) are less specific.