ATI Med-Surg Proctored Exam
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Correct Answers 2023
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MULTIPLE
CHOICE
1. Which question asked by the nurse will give the most information
about the patient’s metastaticbone cancer pain?
a. ―How long have you had this
pain?‖
b. ―How would you describe your
pain?‖
c. ―How much medication do
you take forthe pain?‖
d. ―How many times a day do
you takemedication for
the pain?‖
ANS: B
2. A patient who uses a fentanyl (Duragesic) patch for chronic cancer
pain suddenly complains of rapid onset pain at a level 9 (0 to 10 scale)
and requests ―something for pain that will work now.‖ How will the
nurse document the type of pain reported by this patient?
a. Somatic pain
b. Referred pain
c. Neuropathic pain
d. Breakthrough pain
ANS: D
3. The nurse teaches a student nurse about the action of ibuprofen.
Which statement, if made by thestudent, indicates that teaching was
effective?
a. ―The drug decreases pain
impulses in the spinal cord.‖
b. ―The drug decreases
sensitivity of thebrain to
painful stimuli.‖
c. ―The drug decreases
production of pain-
sensitizing chemicals.‖
d. ―The drug decreases the
modulating effectof
descending nerves.‖
ANS: C
4. A nurse assesses a patient with chronic cancer pain who is receiving
imipramine (Tofranil) in addition to long-acting morphine. Which
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statement, if made by the patient, indicates to the nursethat the
patient is receiving adequate pain control?
a. ―I’m not anxious at all.‖
b. ―I sleep 8 hours every night.‖
c. ―I feel much less depressed
since I’ve
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been taking the Tofranil.‖
d. ―The pain is manageable
and I canaccomplish my
desired activities.
ANS: D
5. A patient with chronic back pain has learned to control the pain with
the use of imagery and hypnosis. The patient’s spouse asks the nurse
how these techniques work. Which response by thenurse is best?
a. ―The strategies work by
affecting theperception of
pain.‖
b. ―These techniques
block the painpathways
of the nerves.‖
c. ―Both strategies prevent
transmission ofpainful
stimuli to the brain.‖
d. ―The therapies slow the release
of
chemicals in the spinal
cord that causepain.‖
ANS: A
6. A patient who is receiving sustained-release morphine sulfate (MS
Contin) every 12 hours for chronic pain experiences level 9 (0 to 10
scale) breakthrough pain and anxiety. Which action bythe nurse is
best?
a. Provide amitriptyline
(Elavil) 10 mgorally.
b. Administer lorazepam
(Ativan) 1 mgorally.
c. Offer ibuprofen (Motrin) 400
to 800 mgorally.
d. Give immediate-release
morphine 30 mgorally.
ANS: D
7. A patient with chronic neck pain is seen in the pain clinic for
follow-up. In order to evaluatewhether the pain management is
effective, which question is best for the nurse to ask?
a. ―Can you describe the
quality of yourpain?‖