ATI HEALTH ASSESSMENT EXAM. QUESTIONS WITH 100% CORRECT ANSWERS.

125. The nursing instructor is discussing the different types of pain with the nursing class. What type of pain would the instructor explain to the students that originates from a specific site, yet the patient feels the pain at another site? A) Chronic pain B) Cutaneous pain C) Referred pain D) Somatic pain 126. A nurse is caring for a patient who reports constant pain. The nurse knows that constant pain can lead to the modification of the function of the nervous system, which can, in turn, lead to what? A) Neuronal windup B) Peripheral sensitization C) Neuronal plasticity D) Chronic pain 127. Pain is often untreated or undertreated; when this occurs, chronic pain may result. What can be the outcome? A) Chronic sensitization syndrome B) Peripheral sensitization syndrome C) Complex regional pain syndrome D) Fibromyalgia pain syndrome 128. What is an excitatory process caused by pain stimuli that involves the spinal nerves and can persist when there is no longer stimulation? A) Central sensitization B) Neuronal windup C) Peripheral sensitization D) Neuronal plasticity 129. A 52-year-old woman comes to the clinic reporting pain in her right lower quadrant. When assessing the patient's pain, what elements would the nurse include? (Mark all that apply.) A) Aggressiveness B) Intensity C) Quality D) Functional goal E) Quantity 130. The nurse is assessing a 17-year-old boy with a history of drug addiction. What will be helpful in determining interventions that will be most beneficial for providing adequate pain relief to this patient? A) Gathering information that the patient wants to share about his pain B) Using in-depth questions to collect salient data about the patient's pain C) Collecting objective data that the patient chooses to share D) Collecting subjective data that the nurse notes during assessment 131. A pediatric nurse is assessing a 4-week-old boy who has just been admitted to the pediatric unit with a diagnosis of possible pyloric stenosis. When assessing this patient, what behavior would indicate pain in this newborn to the nurse? A) Closed lips B) Extended fingers C) Nasolabial fold D) Eye widening 132. A 5-year-old girl is admitted to the postanesthesia care unit after the repair of her fractured femur. What activities would best indicate pain in this child according to the FLACC scale? (Mark all that apply.) A) Leg movement B) Arched back C) Sleep D) Eye widening E) Difficulty consoling 133. A nurse in the emergency department is caring for a patient who is nonverbal following a traumatic injury. What would be the best way for the nurse to assess this patient's level of pain? A) Ask the patient to draw a picture of the pain B) Ask the paramedics what they think is the patient's pain level C) Ask the patient to describe the pain D) Ask the family if they have noticed any changes in the patient's behavior 134. When a patient with opioid tolerance has an altered physiologic response to pain stimuli, he or she develops a form of pain sensitivity called what? A) Opioid hyperalgesia B) Pain hyperactivity C) Opioid hypoalgesia D) Pain hypoactivity 135. What are the steps for pain transmission in the gate control theory? (Mark all that apply.) A) Unrelieved painful stimulus on a peripheral neuron causes the "gate" to open B) The gate opens through repolarization of the nerve fiber C) The brain stem recognizes the stimulus as pain D) The pain stimulus passes down the afferent pathway E) The pain stimulus crosses the dorsal horn of the spine to the limbic system 136. The Joint Commission mandates that nurses assess and reassess a patient's pain level. A nurse's institution mandates pain reassessment at 30 minutes for any drug given intravenously. This mandate is based on what? A) Research that shows that it takes half as long for IV pain medication to work than oral medication B) The time it takes a pain medication to decrease pain intensity C) The time it takes a pain medication to block pain in a patient D) The median half-life of an intravenous pain medication 137. What is the best description of the pain phenomena felt in rheumatoid arthritis and osteoarthritis? A) Neuronal windup B) Neuronal plasticity C) Peripheral sensitization D) Central sensitization 138. The nurse is assessing the pain of an 86-year-old man who is recovering from a right hip open reduction procedure. What element would the nurse know it is important to review to best understand the patient's pain? A) Sleep patterns B) Family history C) Genetic history D) Elimination pattern 139. A 78-year-old patient is admitted to the unit with abdominal pain. The nurse doing the admission assessment knows what about pain in older adults? A) Older adults have fewer nerve fibers; therefore, they feel less pain B) Older adults may be reluctant to report pain C) Older adults are always in chronic pain D) Older adults are stoic and expect to be in pain 140. A 78 year old man has been hospitalized with a broken right hip. The nurse assesses the patient, finds signs of malnutrition and consults the dietician. While reinforcing the dieticians teaching about primary nutrients and their role in maintaining health to the patient and his family, the nurse describes complex carbohydrates as what? A. Polysaccharides B. Monosaccharides C. Phospholipids D. Carbosaccharides 141. A 13 year old patient with cancer asks the nurse what hair is made of. What would be the nurses best answer A. Hair consist mostly of carbohydrates B. Hair consist mostly of protein C. Hair consists mostly of inorganic matter D. Hair consists mostly of cellular waste