ATI-PQ 5

A nurse is reinforcing teaching with a newly licensed nurse about pain management during the end of life. Which of the following statements should the nurse make? a) "Clients are often afraid that opioid narcotics can result in addiction." b) "Discomfort is expected in clients who are at the end-of-life." c) "Opioid narcotics can cause loose stools and diarrhea in clients." d) "Pain is expected in older adult clients."

a) "Clients are often afraid that opioid narcotics can result in addiction."

A nurse is collecting data on a client for manifestations of pain. Which of the following findings is an objective indicator of pain? a) The client grimaces when they move. b) The client states the pain is located on their abdomen. c) The client rates their pain as an 8 on a scale of 0 to 10. d) The client reports a burning sensation.

a) The client grimaces when they move.

A nurse is collecting data on a client following cognitive behavioral therapy. Which of the following findings indicates a therapeutic response? a) The client reports decreased anxiety. b) The client has an increased heart rate. c) The client is restless. d) The client has a decrease in pupil size.

a) The client reports decreased anxiety.

A nurse is assisting with teaching a newly licensed nurse about ethical principles. Which of the following is an example of justice? a) A nurse administers scheduled pain medication for a client who is having pain. b) A nurse provides nonpharmacological pain interventions to each client equally. c) A nurse gives a client the choice to take a pain medication via intramuscular or oral route. d) A nurse fulfills a promise to a client that they will return with their pain medication.

b) A nurse provides nonpharmacological pain interventions to each client equally.

A nurse is assisting with teaching a class about the use of pain medications to clients who have an opioid addiction. Which of the following medications are a nonopioid analgesic? a) Codeine b) Acetaminophen c) Ibuprofen d) Fentanyl e) Oxycodone

b) Acetaminophen c) Ibuprofen

A nurse is assisting with the care of a client who is postoperative. Click to highlight the documentation in the client's medical record that require further action by the nurse? To deselect a finding, click on the finding again. a) Temp 37.5° C (99.5° F) b) Client is difficult to arouse. c) Respirations 10/min d) Pulse oximetry 89% on room air e) Pupils are 3 mm, equal and reactive to light

b) Client is difficult to arouse. c) Respirations 10/min d) Pulse oximetry 89% on room air

A nurse is planning care for a client who is scheduled for acupuncture. The nurse should plan to monitor the client for which of the following adverse effects of acupuncture? a) Burn b) Infection c) Respiratory depression d) Orthostatic hypotension

b) Infection

A nurse is assisting with teaching an older adult client who has a new prescription for a pain medication. Which of the following actions should the nurse take? a) Instruct the client to take the pain medication after the pain becomes severe. b) Instruct the client to keep a pain diary. c) Provide the information at a 10th grade reading level. d) Provide written materials that are printed with a small font size.

b) Instruct the client to keep a pain diary.

A nurse is caring for a client who reports abdominal pain. The nurse asks the client to describe what the pain feels like. The nurse is using which of the following components of the PQRST mnemonic? a) Precipitating cause b) Quality c) Region d) Severity

b) Quality

A nurse is assisting with teaching a newly licensed nurse about ethical principles. Which of the following is an example of autonomy? a) A nurse provides nonpharmacological pain interventions to each client equally. b) A nurse fulfills a promise to a client that they will return with their pain medication. c) A nurse gives a client the choice of when to take a pain medication. d) A nurse administers a scheduled pain medication for a client who is having pain.

c) A nurse gives a client the choice of when to take a pain medication.

A nurse is planning care for a client who is scheduled for extracorporeal shock-wave lithotripsy (ESWL). The nurse should plan to monitor the client for which of the following adverse effects of ESWL? a) Infection b) Burn c) Bruising d) Respiratory depression

c) Bruising

A nurse is collecting data on a client who is nonverbal for acute pain. Which of the following findings is a manifestation of pain? a) Reduced respiratory rate b) Constricted pupils c) Elevated blood pressure d) Decreased heart rate

c) Elevated blood pressure

A nurse is collecting data on a client who received an opioid narcotic for incisional pain. Which of the following findings is the priority? a) Blood pressure b) Pain level c) Pulse oximetry d) Level of sedation

c) Pulse oximetry

A nurse is collecting data on a client following administration of an opioid narcotic. Which of the following findings indicates a decrease in the client's pain? a) The client has an increased respiratory rate. b) The client is diaphoretic. c) The client is asleep. d) The client has an elevated blood pressure.

c) The client is asleep.

A nurse is planning care for a group of clients. Which of the following clients should the nurse plan to utilize cold therapy? a) A client who is unconscious. b) A client who has a spinal cord injury. c) A client who has peripheral vascular disease. d) A client who has a new ankle sprain.

d) A client who has a new ankle sprain.

A nurse is caring for a client who has a prescription for morphine 1 to 2 mg subcut every 4 hr PRN for pain. Which of the following actions should the nurse take? a) Clarify the dosage of the morphine. b) Clarify the route of the morphine. c) Administer 2 mg of morphine every 2 hr. d) Administer up to 2 mg of morphine in 4 hr.

d) Administer up to 2 mg of morphine in 4 hr.

A nurse is caring for a client who had radiation therapy and is experiencing painful dermatitis. The nurse should identify the client is experiencing which of the following types of pain? a) Acute pain b) Neuropathic pain c) Chronic pain d) Cancer pain

d) Cancer pain

A nurse is assisting with teaching a newly licensed nurse about ethical principles. The nurse should include that working to not cause harm to a client, while trying to achieve the best possible outcome, is an example of which of the following ethical principles? a) Fidelity b) Justice c) Autonomy d) Nonmaleficence

d) Nonmaleficence

A nurse is caring for a client who reports back pain. The nurse asks the client to rate the pain on a scale of 0 to 10. The nurse is using which of the following components of the PQRST mnemonic? a) Quality b) Region c) Precipitating cause d) Severity

d) Severity

A nurse is assisting with teaching a newly licensed nurse about pain. Which of the following is an example of nociceptive pain? a) Post-herpetic neuralgia b) Diabetic neuropathy c) Phantom limb pain d) Strained muscle

d) Strained muscle