ATI RN
ATI Custom Fundamentals Chapter 31 ALL Questions
Extract:
Question 1 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.
Question 2 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 3 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 4 of 5
IM injections of pain medication may be contraindicated for patients who:
Correct Answer: A
Rationale: IM injections require adequate muscle mass for absorption so small poorly developed muscles contraindicate their use. Cognitive abilities (
B) short-term needs (
C) and allergies (
D) are not primary contraindications.
Question 5 of 5
The nurse is aware that the new order for indomethacin (Indocin) involves the administration of a:
Correct Answer: A
Rationale: Indomethacin is a nonsteroidal anti-inflammatory drug (NSAI
D) that reduces inflammation and pain. It is not an adjuvant analgesic (
B) COX-2 inhibitor (
C) or narcotic (
D).