TEST BANK FOR RN ATI FUNDAMENTALS (ALL CHAPTERS 1- 58 WITH QUESTIONS
Acreage Reporting Date - (ANSWER)The deadline for providing the insurer with an acreage
report, which is used to determine the amount of coverage needed and the premium
charged for a particular crop. What are cognitive symptoms of psychotic disorders -
(ANSWER)-disordered thinkinFamotidine ( pepcid ) , Ranitidine, Cimetidine, Nizatidine -
(ANSWER)- Suppress SeWhich action should be performed to avoid the most common
cause of fatal transfusion reactions? - (ANSWER)Have two qualified health care
professionals check the blood component information and the patient's identification
When preparing to administer RBCs, the transfusionist observes that lactated Ringer
solution is hanging on the IV pole. Which substance should be used to flush the line
before hanging the blood? - (ANSWER)Only a 0.9% sodium chloride solution may run in
the same line with blood products. Other solutions may bind to components in the blood
or may cause hemolysis.
A unit of blood should hang for no longer than which time frame? - (ANSWER)A unit of
blood should not hang for more than 4 hours. The longer the blood is left at room
temperature, the greater the danger of bacterial proliferation and RBC hemolysis.
If a patient develops a skin rash, edema, and wheezing during a blood transfusion, what
should the transfusionist do? - (ANSWER)Rash, edema, and wheezing are signs of an
anaphylactic reaction, and the transfusion should be stopped immediately.
An unidentified male trauma patient requires an emergent transfusion. What is the
correct transfusion option? - (ANSWER)Type O-positive, uncrossmatched blood
After spiking the blood bag and filling the drip chamber to cover the filter, the
transfusionist observes air bubbles in the drip chamber. Which action should be taken
next? - (ANSWER)Tapping the filter chamber lightly causes the air bubbles to dissipate as
they rise in the drip chamber. Blood is never administered without a filter or with visible
air bubbles in the line
,When preparing to administer blood products, what is the most appropriate action -
(ANSWER)Completely prime the tubing and cover the filter with a 0.9% sodium chloride
solution.
During rapid resuscitation of a trauma patient, the blood filter has become clogged. What
is the most appropriate intervention - (ANSWER)A clogged filter must be changed to
facilitate effective blood transfusion.
An approved blood warmer is used for the rapid administration of whole blood and RBCs.
What is a result from the use of warmed blood components - (ANSWER)If whole blood or
RBCs must be administered rapidly, an approved blood warmer should be used to
decrease the risk of hypothermia
Why are infusions of blood products started slowly? - (ANSWER)To monitor the patient for
an adverse reaction
TYPES OF PAIN? - (ANSWER)1. Nociceptive pain (resulting from damage to tissue)...
2. Neuropathic pain (resulting from lesion or disease affecting the somatosensory
nervous system)...
3. Cancer pain (resulting from malignant disease)...
4. Psychogenic pain (without visible signs of disease)...
5. Chronic or idiopathic pain (longer duration than expected for healing or no identifiable
cause)...
When examining the abdomen... - (ANSWER)auscultate first; then inspect and palpate.
The nurse notices that a 6-month-old infant who received pain medication during the
previous shift is now quiet and withdrawn. What should the nurse should do when
,completing the pain assessment? - (ANSWER)A quiet and withdrawn infant who has
received pain medication may not necessarily be pain free. Parents may be a helpful
source of information when assessing a child's pain and when planning pain-relief
therapies because most parents know how their child exhibits pain and whether pain-
relief interventions have been successful.
What should the nurse say to the patient to assess pain quality? - (ANSWER)Pain quality is
best evaluated with open-ended requests, such as "Tell me what your pain feels like."
Asking the patient where the pain occurs is a way to assess the pain region and pattern of
radiation. Asking the patient what makes the pain better or worse is a way to assess for
provocative and palliative factors of pain. Asking the patient whether the pain is constant,
intermittent, continuous, or a combination is a way to assess pain timing.
What is the appropriate way for the nurse to assess a 4-year-old child for pain? -
(ANSWER)Use the OUCHER™ Pain Scale or Wong-Baker FACES Pain Rating Scale.
What should the nurse do after administering acetaminophen or oxycodone for pain to a
35-year-old patient - (ANSWER)Reassess the patient's pain status, allowing for sufficient
onset of action per medication, route, and the patient's condition.
About 1 hour after receiving oral oxycodone, a patient states that continued pain exceeds
the pain intensity goal and that the pain is "worse than it was before the medication."
Which action should the nurse take? - (ANSWER)Having continued pain that exceeds the
pain-intensity goal or more pain after receiving medication is unexpected, so a complete
reassessment of pain is indicated along with a report to the practitioner. An analgesic
should be effective within 1 hour of administration. Naloxone would reverse the effect of
the pain medication.
When assessing a patient, the nurse should keep what information in mind regarding
adverse effects of analgesics? - (ANSWER)Adverse effects of analgesics may be controlled
by increasing time intervals between doses, by reducing—not increasing—the dose, or by
administering other appropriate medications, such as a stimulant laxative for opioid-
, induced constipation. Adverse effects of analgesics may include respiratory depression,
sedation, constipation, and urine retention.
Before administering pain medication, the nurse assists the patient in attaining a
comfortable position with normal body alignment. This intervention is important for
which reason? - (ANSWER)Turning and repositioning the patient may reduce stimulation
of pain and pressure receptors and maximize pain-relieving interventions.
What should the nurse consider when assessing the pain status of an older adult? -
(ANSWER)Older adults may not admit to having pain.
Which statement indicates that the daughter of an 85-year-old patient suffering from
cancer pain understands what the nurse taught her about pain control? -
(ANSWER)Effectively managing a patient's pain does not mean eliminating pain. Pain
management collaboration with the patient and family helps identify an acceptable
intensity of pain that allows maximum patient functioning.
Which question provides the best data when assessing the severity of pain? -
(ANSWER)"On a scale of 0 to 10, with 0 being no pain and 10 being the worst pain, how
do you rate your pain?"cretion of Gastric Acid
- Cimetidine: Decreased Libido, Cns Effects: lethargy and confusions
- Increase Fiber and water
- Notify of coffee ground emesis
Allopurinol - (ANSWER)- inhibits Uric acid production
- Is for gout
- Causes: Kidney Injury, Gout attacks, Hepatitis
- Eat with meals to decrease gastric stress
- AVOID: High Purine ( RED MEAT )
Acreage Reporting Date - (ANSWER)The deadline for providing the insurer with an acreage
report, which is used to determine the amount of coverage needed and the premium
charged for a particular crop. What are cognitive symptoms of psychotic disorders -
(ANSWER)-disordered thinkinFamotidine ( pepcid ) , Ranitidine, Cimetidine, Nizatidine -
(ANSWER)- Suppress SeWhich action should be performed to avoid the most common
cause of fatal transfusion reactions? - (ANSWER)Have two qualified health care
professionals check the blood component information and the patient's identification
When preparing to administer RBCs, the transfusionist observes that lactated Ringer
solution is hanging on the IV pole. Which substance should be used to flush the line
before hanging the blood? - (ANSWER)Only a 0.9% sodium chloride solution may run in
the same line with blood products. Other solutions may bind to components in the blood
or may cause hemolysis.
A unit of blood should hang for no longer than which time frame? - (ANSWER)A unit of
blood should not hang for more than 4 hours. The longer the blood is left at room
temperature, the greater the danger of bacterial proliferation and RBC hemolysis.
If a patient develops a skin rash, edema, and wheezing during a blood transfusion, what
should the transfusionist do? - (ANSWER)Rash, edema, and wheezing are signs of an
anaphylactic reaction, and the transfusion should be stopped immediately.
An unidentified male trauma patient requires an emergent transfusion. What is the
correct transfusion option? - (ANSWER)Type O-positive, uncrossmatched blood
After spiking the blood bag and filling the drip chamber to cover the filter, the
transfusionist observes air bubbles in the drip chamber. Which action should be taken
next? - (ANSWER)Tapping the filter chamber lightly causes the air bubbles to dissipate as
they rise in the drip chamber. Blood is never administered without a filter or with visible
air bubbles in the line
,When preparing to administer blood products, what is the most appropriate action -
(ANSWER)Completely prime the tubing and cover the filter with a 0.9% sodium chloride
solution.
During rapid resuscitation of a trauma patient, the blood filter has become clogged. What
is the most appropriate intervention - (ANSWER)A clogged filter must be changed to
facilitate effective blood transfusion.
An approved blood warmer is used for the rapid administration of whole blood and RBCs.
What is a result from the use of warmed blood components - (ANSWER)If whole blood or
RBCs must be administered rapidly, an approved blood warmer should be used to
decrease the risk of hypothermia
Why are infusions of blood products started slowly? - (ANSWER)To monitor the patient for
an adverse reaction
TYPES OF PAIN? - (ANSWER)1. Nociceptive pain (resulting from damage to tissue)...
2. Neuropathic pain (resulting from lesion or disease affecting the somatosensory
nervous system)...
3. Cancer pain (resulting from malignant disease)...
4. Psychogenic pain (without visible signs of disease)...
5. Chronic or idiopathic pain (longer duration than expected for healing or no identifiable
cause)...
When examining the abdomen... - (ANSWER)auscultate first; then inspect and palpate.
The nurse notices that a 6-month-old infant who received pain medication during the
previous shift is now quiet and withdrawn. What should the nurse should do when
,completing the pain assessment? - (ANSWER)A quiet and withdrawn infant who has
received pain medication may not necessarily be pain free. Parents may be a helpful
source of information when assessing a child's pain and when planning pain-relief
therapies because most parents know how their child exhibits pain and whether pain-
relief interventions have been successful.
What should the nurse say to the patient to assess pain quality? - (ANSWER)Pain quality is
best evaluated with open-ended requests, such as "Tell me what your pain feels like."
Asking the patient where the pain occurs is a way to assess the pain region and pattern of
radiation. Asking the patient what makes the pain better or worse is a way to assess for
provocative and palliative factors of pain. Asking the patient whether the pain is constant,
intermittent, continuous, or a combination is a way to assess pain timing.
What is the appropriate way for the nurse to assess a 4-year-old child for pain? -
(ANSWER)Use the OUCHER™ Pain Scale or Wong-Baker FACES Pain Rating Scale.
What should the nurse do after administering acetaminophen or oxycodone for pain to a
35-year-old patient - (ANSWER)Reassess the patient's pain status, allowing for sufficient
onset of action per medication, route, and the patient's condition.
About 1 hour after receiving oral oxycodone, a patient states that continued pain exceeds
the pain intensity goal and that the pain is "worse than it was before the medication."
Which action should the nurse take? - (ANSWER)Having continued pain that exceeds the
pain-intensity goal or more pain after receiving medication is unexpected, so a complete
reassessment of pain is indicated along with a report to the practitioner. An analgesic
should be effective within 1 hour of administration. Naloxone would reverse the effect of
the pain medication.
When assessing a patient, the nurse should keep what information in mind regarding
adverse effects of analgesics? - (ANSWER)Adverse effects of analgesics may be controlled
by increasing time intervals between doses, by reducing—not increasing—the dose, or by
administering other appropriate medications, such as a stimulant laxative for opioid-
, induced constipation. Adverse effects of analgesics may include respiratory depression,
sedation, constipation, and urine retention.
Before administering pain medication, the nurse assists the patient in attaining a
comfortable position with normal body alignment. This intervention is important for
which reason? - (ANSWER)Turning and repositioning the patient may reduce stimulation
of pain and pressure receptors and maximize pain-relieving interventions.
What should the nurse consider when assessing the pain status of an older adult? -
(ANSWER)Older adults may not admit to having pain.
Which statement indicates that the daughter of an 85-year-old patient suffering from
cancer pain understands what the nurse taught her about pain control? -
(ANSWER)Effectively managing a patient's pain does not mean eliminating pain. Pain
management collaboration with the patient and family helps identify an acceptable
intensity of pain that allows maximum patient functioning.
Which question provides the best data when assessing the severity of pain? -
(ANSWER)"On a scale of 0 to 10, with 0 being no pain and 10 being the worst pain, how
do you rate your pain?"cretion of Gastric Acid
- Cimetidine: Decreased Libido, Cns Effects: lethargy and confusions
- Increase Fiber and water
- Notify of coffee ground emesis
Allopurinol - (ANSWER)- inhibits Uric acid production
- Is for gout
- Causes: Kidney Injury, Gout attacks, Hepatitis
- Eat with meals to decrease gastric stress
- AVOID: High Purine ( RED MEAT )
