ATI RN
ATI Pediatric Nursing n100 Exam Questions
Extract:
A client in an outpatient pain management clinic reports that their leg pain began 1 year ago after an injury that affected the spinal nerves. The pain has an intense sharp quality 'like an electric shock'. The client rates the pain level 9 on (0-10) scale after taking opioids & non-steroidal anti-inflammatory agents and receiving acupuncture.
Question 1 of 5
What are appropriate descriptors of the pain for the nurse to document? (SELECT ALL THAT APPLY)
Correct Answer: A,C,D
Rationale: Chronic pain persists beyond the expected healing time, typically over 3-6 months, as seen with the client's 1-year duration. Intractable pain is difficult to control despite multiple treatments, as indicated by the persistent high pain level despite medications and acupuncture. Neuropathic pain, described as sharp and electric shock-like, matches the client's description due to spinal nerve injury.
Extract:
A client who has a history of constipation.
Question 2 of 5
A client who has a history of constipation asks the nurse how to prevent straining during defecation. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Increasing intake of fruits and vegetables provides dietary fiber, which adds bulk to stool and facilitates easier defecation.
Extract:
A client with an indwelling urinary catheter.
Question 3 of 5
The client asks the nurse 'Why is it necessary to secure the indwelling urinary catheter to my thigh?' The nurse's best response would be. 'It is Important to prevent:
Correct Answer: A
Rationale: Securing the catheter prevents movement that could cause urinary leakage around the catheter, reducing skin irritation and infection risk.
Extract:
None
Question 4 of 5
The nurse is concerned about a client's ability to withstand exposure to pathogens. What blood component should the nurse monitor?
Correct Answer: A
Rationale: White blood cells are critical to the immune response, and monitoring their count assesses the client's ability to fight infections.
Extract:
A client's foot on the Admission Database.
Question 5 of 5
What is the best way for the nurse to document the assessment of a client's foot on the Admission Database?
Correct Answer: D
Rationale: Specific, objective documentation of four round, 2 cm lesions on the right foot's plantar aspect ensures clarity and accuracy.