ATI RN
ATI Nurs 112 Fundamentals of Nursing Exam Questions
Extract:
Question 1 of 5
A patient has a morphine sulfate patient-controlled analgesia (PCA) to control postoperative pain. When the nurse enters the room, the patient complains of pain. The nurse's first response is which of the following?
Correct Answer: A
Rationale: Assess pain severity using a 0-10 scale first to guide PCA adjustments. Other actions follow assessment.
Question 2 of 5
After noting that a client has a pulse deficit, what action should the nurse take next?
Correct Answer: C
Rationale: A pulse deficit suggests arrhythmia, requiring prompt physician notification for further evaluation, before documentation or teaching.
Question 3 of 5
The nurse delegates vital signs for a patient to the nurse assistant. What is the nurse's responsibility regarding delegation of this task?
Correct Answer: A
Rationale: The nurse must review delegated vital signs promptly to interpret and act on findings, retaining accountability for the task.
Question 4 of 5
Which assessment requires the nurse to assess the patient further?
Correct Answer: D
Rationale: A respiratory rate of 10/min is below normal (12-20/min) and may indicate respiratory depression, requiring further evaluation.
Question 5 of 5
Which instruction will the nurse give to the patient about proper use of patient-controlled analgesia (PCA)?
Correct Answer: D
Rationale: Only the patient or designated family member should use PCA to ensure safe dosing. PCA has lockouts, isn’t for severe pain only, and doesn’t eliminate pain.