Nursing 111 Final Exam Review. ATI Questions and Correct Answers

A nurse is providing teaching to a client who takes opioid pain medication and has a new prescription or docusate sodium. Which of the following statements by the client indicates an understanding of the teaching? a) "It might take up to 3 days for the medication to work." b) "I will take the medication for diarrhea." c) "I should drink 4 oz of water when I take the medication." d) "I can take this medication along with mineral oil." a) "It might take up to 3 days for the medication to work." The client understands docusate sodium is a stool softener and the therapeutic effect might take up to 3 days to achieve. A nurse is caring for a client who requests prescription pain medication. Which of the following actions should perform first? a) Reposition the client. b) Administer the medication. c) Determine the location of the pain. d) review the effects of the pain medication. c) Determine the location of the pain. The first action the nurse should take using the nursing process is to assess the client. By determining the location of the pain, the nurse can take the necessary steps to alleviate the client's pain, such as administrating pain medication, repositioning the client, and teaching the client about the effects of the medication. A nurse is caring for a client who has diverticular disease. When palpating the client's abdomen, in which of the following locations should the nurse expect the client to report abdominal pain. a) Lower left quadrant b) Upper left quadrant c) Lower right quadrant d) Upper right quadrant a) Lower left quadrant The nurse should expect the client to have abdominal pain in the lower left quadrant of the abdomen. The disease is usually found in the sigmoid colon, where high pressure to move fecal contents form the rectum causes pouch formation. A nurse is caring for a client who is postoperative following a cholecystectomy and reports pain. Which of the following actions should the nurse take? (SELECT ALL THAT APPLY) a) Offer the client a back rub. b) Remind the client to use incisional splinting c) Identify the client's pain level. d) Assist the client to ambulate e) Change the client's position a) offer the client a back rub is correct Nonpharmacological comfort measures can improve pain management b) remind the client to use incisional splinting is correct Holding a pillow against the incision when moving, turning, or coughing can help the client with self-management of pain. c) Identify the client's pain level is correct The nurse should use a standard scale to determine and document the severity of the client's pain. d) Change the client's position is correct. Nonpharmacological measures for managing pain include repositioning imagery, and distraction. A nurse is assessing a client who reports acute pain. The nurse should anticipate which of the following findings? a) Increases heart rate. b) Decreased respiratory rate. c) Hyperactive bowel sounds. d) Decreased blood pressure. a) Increased heart rate Acute pain stimulates the sympathetic nervous system and can cause an increase in heart rate. A nurse is caring for a client who requires cold applications with an ice bag to reduce the swelling and pain of an ankle injury. Which of the following actions should the nurse take? a) apply the bag 30 min at a time. b) reapply the bag 30 min after removing it. c) allow the room for some air inside the bag. d) place the bag directly on the skin. a) apply the bag for 30 at a time. the nurse should leave the bag in place for 30 mins, but should check the client's skin after 15 min to make sure there are no adverse effects. A nurse is talking with a client who is about to start using transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. Which of the following statements should the nurse identify as an indication that the client needs further teaching? a) "I wish I didn't have to attach the electrodes to my skin." b) "It's unfortunate that I have to be in the hospital for this treatment." c) I'll need to shave the hair off the skin where I place the electrodes." d) "I hope I don't have to take as many pain pills." b) "It's unfortunate that I have to be in the hospital for this treatment." TENS units are portable. The client can use his TENS unit at home or wherever he chooses. A nurse is caring for a 6-month-old infant. Which of the following findings should indicate to the nurse that the client is experiencing pain following a procedure? a) Decreased heart rate b) Decreased respiratory rate c) Increased formula consumption d) Increased crying episodes d) Increased crying episodes