ATI RN
ATI Custom Fundamentals Chapter 31 ALL Questions
Extract:
Question 1 of 5
The nurse appreciates the principal advantage in using patient-controlled analgesia (PCA) is that it:
Correct Answer: D
Rationale: The principal advantage of PCA is that it reduces patient anxiety about pain by giving the patient more control in its management. PCA empowers the patient to self-administer medication within safe limits enhancing pain control and reducing anxiety. It does not reduce nurse workload (
A) eliminate all pain (
B) or eliminate adverse effects (
C) as monitoring and risks remain.
Question 2 of 5
A nurse caring for a patient with a Fentanyl patch assesses that the patient is abnormally sleepy,is slurring words,and is unsteady when ambulating. The nurse should:
Correct Answer: A
Rationale: If a patient with a Fentanyl patch shows signs of overdose (abnormal sleepiness slurred speech unsteadiness) the nurse should remove the patch and wipe off the skin to stop further drug absorption. Applying ice (
B) does not counteract overdose elevating the bed and offering stimulants (
C) is ineffective and side rails (
D) do not address the overdose.
Question 3 of 5
A nurse is caring for a client who is postoperative. When helping to manage the client's pain,which of the following principles should the nurse apply? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Using a pain scale (
A) considering individual expression (
B) and expecting verbal/nonverbal cues (
C) are key principles. Opioid addiction (
D) is not inevitable and fast-acting analgesics (E) are not always appropriate.
Question 4 of 5
The most helpful intervention by the nurse for a hospitalized child who is having difficulty falling asleep would be to:
Correct Answer: C
Rationale: Keeping a night light on creates a comforting environment reducing fear of the dark. Sugary snacks (
A) increase alertness a blanket/pillow (
B) is secondary and complete darkness (
D) may frighten the child.
Question 5 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.