ATI RN
ATI Custom Fundamentals Chapter 31 ALL Questions
Extract:
Question 1 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).
Question 2 of 5
A patient has fallen and injured her knee. It is not fractured,but there is considerable swelling and pain. She asks which over-the-counter analgesic would be best to take for her discomfort. The nurse tells her that one with NSAID properties would be best. Which would it be best to take?
Correct Answer: B
Rationale: Ibuprofen an NSAID reduces inflammation and pain ideal for a swollen knee. Oxymorphone (
A) is an opioid acetaminophen (
C) lacks strong anti-inflammatory effects and aspirin (
D) has more side effects.
Question 3 of 5
A relative complains that an older adult patient takes frequent naps late in the day and awakens frequently during the night and wants to know if this is normal. The nurse explains that an older adult:
Correct Answer: A
Rationale: Frequent nighttime awakenings and daytime napping are common in older adults due to changes in sleep patterns. Hypnotics (
B) risk adverse effects 10 hours of sleep (
C) is not universal and reducing naps (
D) may not improve sleep.
Question 4 of 5
One thing the nurse would ask the patient to do to try to locate the reason for her insomnia is to:
Correct Answer: C
Rationale: Keeping a sleep diary helps identify patterns and triggers of insomnia such as diet or stressors. A warm bath (
A) is a coping strategy reviewing past sleep (
B) is impractical and discussing with friends (
D) lacks structure for identifying causes.
Question 5 of 5
A nurse is assessing the status of a patient who is sleeping. Which assessment data indicate that the patient is most likely in stage 3 of non-rapid eye movement (NREM) sleep?
Correct Answer: D
Rationale: Stage 3 NREM sleep (slow-wave sleep) is characterized by decreased respirations and slow heart rate reflecting deep rest. Options A B and C indicate more active physiological states not typical of stage 3.