ATI RN
ATI Custom Fundamentals Chapter 31 ALL Questions
Extract:
Question 1 of 5
The nurse assesses a patient's sleep for NREM (non-rapid eye movement) sleep because this sleep has the characteristics of:
Correct Answer: A
Rationale: NREM sleep is characterized by offering the most rest as it includes deep restorative stages (3 and 4) where the body repairs tissues. Irregular respirations (
B) are associated with sleep disorders heart rate decreases (
C) during NREM and daytime activity (
D) is unrelated to sleep.
Question 2 of 5
The nurse takes into consideration the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards for pain assessment and treatment. Include:
Correct Answer: C
Rationale: All patients have the right to appropriate pain assessment per JCAHO standards ensuring routine evaluation. Pain is not assessed only on complaint (
A) treatment may continue post-discharge (
B) and treatment considers subjective reports not just objective data (
D).
Question 3 of 5
Going to bed hungry or overly full does not interfere with sleep. It helps the patient reach REM state of sleep faster.
Correct Answer: B
Rationale: Going to bed hungry or overly full can disrupt sleep by causing discomfort or digestive issues and it does not hasten REM sleep. The statement is false.
Question 4 of 5
The patient with a recent abdominal incision has an abdominal binder applied. The nurse explains that this appliance helps reduce pain by:
Correct Answer: A
Rationale: An abdominal binder supports surface and internal tissues reducing pain by minimizing movement and strain on the incision. It does not primarily provide back support (
B) increase warmth (
C) or keep sutures/staples in place (
D).
Question 5 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.