Fundamentals Exam 4 ATI Questions
1. A nurse at a clinic is collecting data about pain from a client who reports severe
abdominal pain.The nurse asks the client if there has been any accom- panying nausea
and vomiting. Which of the following pain characteristics is the nurse attempting to
determine Ans: Presence of associated manifestations
2. A nurse is collecting data from a client who is reporting pain despite taking
analgesia. Which of the following actions should the nurse take to determine the
intensity of the client's pain Ans: Offer the client a pain scale to measure their pain
3. A nurse is discussing the care of a group of clients with a newly licensed nurse.
Which of the following clients should the newly licensed nurse identify as experiencing
chronic pain Ans: A client who has episodic back pain following a fall 2 years ago
4. A nurse is monitoring a client for adverse effects following the adminis- tration of
an opioid. Which of the following effects should the nurse identify as an adverse
effect of opioids? (Select all that apply Ans: Bradypnea, Orthostatic hypotension, &
Nausea
5. A nurse is caring for a client who is receiving morphine via a patient-con- trolled
analgesia (PCA) infusion device after abdominal surgery. Which of the following
statements indicates that the client knows how to use the device Ans: "I should tell the
nurse if the pain doesn't stop while I am using this device."
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, 6. A nurse is caring for a client who is 2 days postoperative following an
appendectomy and has type 1 diabetes mellitus. Their Hgb is 12g/dL and BMI is 17.1.
The incision is approximated and free of redness, with scant serous drainage on the
dressing. The nurse should recognize that the client has which of the following risk
factors for impaired wound healing? Select all that apply Ans: Chronic illness, Low
hemoglobin, & Malnutrition
7. A nurse is collecting data from a client who is 5 days postoperative following
abdominal surgery. The surgeon suspects an incisional wound infection and has
prescribed antibiotic therapy for the nurse to initiate after collecting wound and
blood specimens for culture and sensitivity.Which of the following findings should the
nurse expect. Select all that apply Ans: --Increase in incisional pain
--fever & chills
--reddened wound edges.
8. A nurse educator is reviewing the wound healing process with a group of nurses.
The nurse educator should include in the information which of the following
alterations for wound healing by secondary intention? Select all that apply Ans: Stage
3 pressure injury & open burn area
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1. A nurse at a clinic is collecting data about pain from a client who reports severe
abdominal pain.The nurse asks the client if there has been any accom- panying nausea
and vomiting. Which of the following pain characteristics is the nurse attempting to
determine Ans: Presence of associated manifestations
2. A nurse is collecting data from a client who is reporting pain despite taking
analgesia. Which of the following actions should the nurse take to determine the
intensity of the client's pain Ans: Offer the client a pain scale to measure their pain
3. A nurse is discussing the care of a group of clients with a newly licensed nurse.
Which of the following clients should the newly licensed nurse identify as experiencing
chronic pain Ans: A client who has episodic back pain following a fall 2 years ago
4. A nurse is monitoring a client for adverse effects following the adminis- tration of
an opioid. Which of the following effects should the nurse identify as an adverse
effect of opioids? (Select all that apply Ans: Bradypnea, Orthostatic hypotension, &
Nausea
5. A nurse is caring for a client who is receiving morphine via a patient-con- trolled
analgesia (PCA) infusion device after abdominal surgery. Which of the following
statements indicates that the client knows how to use the device Ans: "I should tell the
nurse if the pain doesn't stop while I am using this device."
1/7
, 6. A nurse is caring for a client who is 2 days postoperative following an
appendectomy and has type 1 diabetes mellitus. Their Hgb is 12g/dL and BMI is 17.1.
The incision is approximated and free of redness, with scant serous drainage on the
dressing. The nurse should recognize that the client has which of the following risk
factors for impaired wound healing? Select all that apply Ans: Chronic illness, Low
hemoglobin, & Malnutrition
7. A nurse is collecting data from a client who is 5 days postoperative following
abdominal surgery. The surgeon suspects an incisional wound infection and has
prescribed antibiotic therapy for the nurse to initiate after collecting wound and
blood specimens for culture and sensitivity.Which of the following findings should the
nurse expect. Select all that apply Ans: --Increase in incisional pain
--fever & chills
--reddened wound edges.
8. A nurse educator is reviewing the wound healing process with a group of nurses.
The nurse educator should include in the information which of the following
alterations for wound healing by secondary intention? Select all that apply Ans: Stage
3 pressure injury & open burn area
2/7
