, ATI Med-Surg Proctored Exam Question Bank
k. k. k. k. k.
Test Bank
k.
MULTIPLEk.CHOICE
1. Whichk.questionk.askedk.byk.thek.nursek.willk.givek.thek.mostk.informationk.aboutk.thek.patient’sk.metastat
ick.bonek.cancerk.pain?
a. “Howk.longk.havek.youk.hadk.thisk.pain?”
b. “Howk.wouldk.youk.describek.yourk.pain?”
c. “Howk.muchk.medicationk.dok.youk.takek.fork.t
hek.pain?”
d. “Howk.manyk.timesk.ak.dayk.dok.youk.take
medicationk.fork.thek.pain?”
ANS:k . B
2. Ak.patientk.whok.usesk.ak.fentanylk.(Duragesic)k.patchk.fork.chronick.cancerk.paink.suddenlyk.complainsk.o
fk.rapidk.onsetk.paink.atk.ak.levelk.9k.(0k.tok.10k.scale)k.andk.requestsk.“somethingk.fork.paink.thatk.willk.workk.no
w.”k.Howk.willk.thek.nursek.documentk.thek.typek.ofk.paink.reportedk.byk.thisk.patient?
a. Somatick.pain
b. Referredk.pain
c. Neuropathick.pain
d. Breakthroughk.pain
ANS:k . D
3. Thek.nursek.teachesk.ak.studentk.nursek.aboutk.thek.actionk.ofk.ibuprofen.k.Whichk.statement,k.ifk.madek.byk.t
hek.student,k.indicatesk.thatk.teachingk.wask.effective?
a. “Thek.drugk.decreasesk.paink.impulsesk.ink.the
spinalk.cord.”
b. “Thek.drugk.decreasesk.sensitivityk.ofk.the
braink.tok.painfulk.stimuli.”
c. “Thek.drugk.decreasesk.productionk.ofk.pain-
k.sensitizingk.chemicals.”
d. “Thek.drugk.decreasesk.thek.modulatingk.effect
ofk.descendingk.nerves.”
ANS:k . C
4. Ak.nursek.assessesk.ak.patientk.withk.chronick.cancerk.paink.whok.isk.receivingk.imipraminek.(Tofranil)k.ink.
additionk.tok.long-
actingk.morphine.k.Whichk.statement,k.ifk.madek.byk.thek.patient,k.indicatesk.tok.thek.nursek.thatk.thek.patien
tk.isk.receivingk.adequatek.paink.control?
a. “I’mk.notk.anxiousk.atk.all.”
b. “Ik.sleepk.8k.hoursk.everyk.night.”
c. “Ik.feelk.muchk.lessk.depressedk.sincek.I’ve
, 2
beenk.takingk.thek.Tofranil.”
d. “Thek.paink.isk.manageablek.andk.Ik.cank.accompl
ishk.myk.desiredk.activities.
ANS:k . D
5. Ak.patientk.withk.chronick.backk.paink.hask.learnedk.tok.controlk.thek.paink.withk.thek.usek.ofk.imageryk.andk.h
ypnosis.k.Thek.patient’sk.spousek.asksk.thek.nursek.howk.thesek.techniquesk.work.k.Whichk.responsek.byk.the
k.nursek.isk.best?
a. “Thek.strategiesk.workk.byk.affectingk.thek.perce
ptionk.ofk.pain.”
b. “Thesek.techniquesk.blockk.thek.paink.pathwa
ysk.ofk.thek.nerves.”
c. “Bothk.strategiesk.preventk.transmissionk.of
painfulk.stimulik.tok.thek.brain.”
d. “Thek.therapiesk.slowk.thek.releasek.ofk.chemic
alsk.ink.thek.spinalk.cordk.thatk.cause
pain.”
ANS:k . A
6. Ak.patientk.whok.isk.receivingk.sustained-
releasek.morphinek.sulfatek.(MSk.Contin)k.everyk.12k.hoursk.fork.chronick.paink.experiencesk.levelk.9k.(0k.t
ok.10k.scale)k.breakthroughk.paink.andk.anxiety.k.Whichk.actionk.byk.thek.nursek.isk.best?
a. Providek.amitriptylinek.(Elavil)k.10k.mg
orally.
b. Administerk.lorazepamk.(Ativan)k.1k.mgk.oral
ly.
c. Offerk.ibuprofenk.(Motrin)k.400k.tok.800k.mg
orally.
d. Givek.immediate-
releasek.morphinek.30k.mgk.orally.
ANS:k . D
7. Ak.patientk.withk.chronick.neckk.paink.isk.seenk.ink.thek.paink.clinick.fork.follow-
up.k.Ink.orderk.tok.evaluatek.whetherk.thek.paink.managementk.isk.effective,k.whichk.questionk.isk.bestk
.fork.thek.nursek.tok.ask?
a. “Cank.youk.describek.thek.qualityk.ofk.yourk.pai
n?”
b. “Hask.therek.beenk.ak.changek.ink.thek.paink.locati
on?”
c. “Howk.wouldk.youk.ratek.yourk.paink.onk.ak.0k.to
10k.scale?”
d. “Doesk.thek.paink.keepk.youk.fromk.doing
thingsk.youk.enjoy?”
ANS:k . D
, 3
8.k . k . Ak.patientk.withk.second-
controlled
degree analgesia
burns k.has k.(PCA)k.for
been receiving k.ak.week.k.Thek.patient
hydromorphone k.wakes
through k.upk.frequentlyk.duringk.thek.nightk.compl
patient-
ainingk.ofk.pain.k.Whatk.actionk.byk.thek.nursek.isk.mostk.appropriate?
a. Administerk.ak.dosek.ofk.morphinek.everyk.1k.t
ok.2k. hoursk. fromk. thek. PCAk. machinek. while
k. the
patientk.isk.sleeping.
b. Consultk.withk.thek.healthk.carek.providerk.ab
outk.usingk.ak.differentk.treatmentk.protocol
tok.controlk.thek.patient’sk.pain.
c. Requestk.thatk.thek.healthk.carek.providerk.order
k.ak.bolusk.dosek.ofk.morphinek.tok.bek.givenk.w
henk.thek.patientk.awakensk.withk.pain.
d. Teachk.thek.patientk.tok.pushk.thek.buttonk.everyk.
10k.minutesk.fork.ank.hourk.beforek.goingk.to
sleep,k.evenk.ifk.thek.paink.isk.minimal.
ANS:k . B
9. Thek.nursek.assessesk.thatk.ak.patientk.receivingk.epiduralk.morphinek.hask.notk.voidedk.fork.overk.10k.hour
s.k.Whatk.actionk.shouldk.thek.nursek.takek.initially?
a. Monitork.fork.withdrawalk.symptoms.
b. Placek.ank.indwellingk.urinaryk.catheter.
c. Askk.ifk.thek.patientk.feelsk.thek.needk.tok.void.
d. Documentk.thisk.allergick.reactionk.ink.thek.patie
nt’sk.chart.
ANS:k . C
10. Whenk.visitingk.ak.hospicek.patient,k.thek.nursek.assessesk.thatk.thek.patientk.hask.ak.respiratoryk.ratek.ofk.
11k.breaths/minutek.andk.complainsk.ofk.severek.pain.k.Whichk.actionk.isk.bestk.fork.thek.nursek.tok.take
?
a. Informk.thek.patientk.thatk.increasingk.thek.mo
rphinek.willk.causek.thek.respiratoryk.drivek.tok.
fail.
b. Tellk.thek.patientk.thatk.additionalk.morphinek
.cank.bek.administeredk.whenk.thek.respirations
k.arek.12.
c. Titratek.thek.prescribedk.morphinek.dose
upwardk.untilk.thek.patientk.indicatesk.ade
quatek.paink.relief.
d. Administerk.ak.nonopioidk.analgesic,k.suchk.as
k.ak.nonsteroidalk.antiinflammatoryk.drugk.(N
SAID),k.tok.improvek.patientk.paink.control.
ANS:k . C
11. Thek.nursek.isk.completingk.thek.medicationk.reconciliationk.formk.fork.ak.patientk.admittedk.withk.chronic
k. k. k. k. k.
Test Bank
k.
MULTIPLEk.CHOICE
1. Whichk.questionk.askedk.byk.thek.nursek.willk.givek.thek.mostk.informationk.aboutk.thek.patient’sk.metastat
ick.bonek.cancerk.pain?
a. “Howk.longk.havek.youk.hadk.thisk.pain?”
b. “Howk.wouldk.youk.describek.yourk.pain?”
c. “Howk.muchk.medicationk.dok.youk.takek.fork.t
hek.pain?”
d. “Howk.manyk.timesk.ak.dayk.dok.youk.take
medicationk.fork.thek.pain?”
ANS:k . B
2. Ak.patientk.whok.usesk.ak.fentanylk.(Duragesic)k.patchk.fork.chronick.cancerk.paink.suddenlyk.complainsk.o
fk.rapidk.onsetk.paink.atk.ak.levelk.9k.(0k.tok.10k.scale)k.andk.requestsk.“somethingk.fork.paink.thatk.willk.workk.no
w.”k.Howk.willk.thek.nursek.documentk.thek.typek.ofk.paink.reportedk.byk.thisk.patient?
a. Somatick.pain
b. Referredk.pain
c. Neuropathick.pain
d. Breakthroughk.pain
ANS:k . D
3. Thek.nursek.teachesk.ak.studentk.nursek.aboutk.thek.actionk.ofk.ibuprofen.k.Whichk.statement,k.ifk.madek.byk.t
hek.student,k.indicatesk.thatk.teachingk.wask.effective?
a. “Thek.drugk.decreasesk.paink.impulsesk.ink.the
spinalk.cord.”
b. “Thek.drugk.decreasesk.sensitivityk.ofk.the
braink.tok.painfulk.stimuli.”
c. “Thek.drugk.decreasesk.productionk.ofk.pain-
k.sensitizingk.chemicals.”
d. “Thek.drugk.decreasesk.thek.modulatingk.effect
ofk.descendingk.nerves.”
ANS:k . C
4. Ak.nursek.assessesk.ak.patientk.withk.chronick.cancerk.paink.whok.isk.receivingk.imipraminek.(Tofranil)k.ink.
additionk.tok.long-
actingk.morphine.k.Whichk.statement,k.ifk.madek.byk.thek.patient,k.indicatesk.tok.thek.nursek.thatk.thek.patien
tk.isk.receivingk.adequatek.paink.control?
a. “I’mk.notk.anxiousk.atk.all.”
b. “Ik.sleepk.8k.hoursk.everyk.night.”
c. “Ik.feelk.muchk.lessk.depressedk.sincek.I’ve
, 2
beenk.takingk.thek.Tofranil.”
d. “Thek.paink.isk.manageablek.andk.Ik.cank.accompl
ishk.myk.desiredk.activities.
ANS:k . D
5. Ak.patientk.withk.chronick.backk.paink.hask.learnedk.tok.controlk.thek.paink.withk.thek.usek.ofk.imageryk.andk.h
ypnosis.k.Thek.patient’sk.spousek.asksk.thek.nursek.howk.thesek.techniquesk.work.k.Whichk.responsek.byk.the
k.nursek.isk.best?
a. “Thek.strategiesk.workk.byk.affectingk.thek.perce
ptionk.ofk.pain.”
b. “Thesek.techniquesk.blockk.thek.paink.pathwa
ysk.ofk.thek.nerves.”
c. “Bothk.strategiesk.preventk.transmissionk.of
painfulk.stimulik.tok.thek.brain.”
d. “Thek.therapiesk.slowk.thek.releasek.ofk.chemic
alsk.ink.thek.spinalk.cordk.thatk.cause
pain.”
ANS:k . A
6. Ak.patientk.whok.isk.receivingk.sustained-
releasek.morphinek.sulfatek.(MSk.Contin)k.everyk.12k.hoursk.fork.chronick.paink.experiencesk.levelk.9k.(0k.t
ok.10k.scale)k.breakthroughk.paink.andk.anxiety.k.Whichk.actionk.byk.thek.nursek.isk.best?
a. Providek.amitriptylinek.(Elavil)k.10k.mg
orally.
b. Administerk.lorazepamk.(Ativan)k.1k.mgk.oral
ly.
c. Offerk.ibuprofenk.(Motrin)k.400k.tok.800k.mg
orally.
d. Givek.immediate-
releasek.morphinek.30k.mgk.orally.
ANS:k . D
7. Ak.patientk.withk.chronick.neckk.paink.isk.seenk.ink.thek.paink.clinick.fork.follow-
up.k.Ink.orderk.tok.evaluatek.whetherk.thek.paink.managementk.isk.effective,k.whichk.questionk.isk.bestk
.fork.thek.nursek.tok.ask?
a. “Cank.youk.describek.thek.qualityk.ofk.yourk.pai
n?”
b. “Hask.therek.beenk.ak.changek.ink.thek.paink.locati
on?”
c. “Howk.wouldk.youk.ratek.yourk.paink.onk.ak.0k.to
10k.scale?”
d. “Doesk.thek.paink.keepk.youk.fromk.doing
thingsk.youk.enjoy?”
ANS:k . D
, 3
8.k . k . Ak.patientk.withk.second-
controlled
degree analgesia
burns k.has k.(PCA)k.for
been receiving k.ak.week.k.Thek.patient
hydromorphone k.wakes
through k.upk.frequentlyk.duringk.thek.nightk.compl
patient-
ainingk.ofk.pain.k.Whatk.actionk.byk.thek.nursek.isk.mostk.appropriate?
a. Administerk.ak.dosek.ofk.morphinek.everyk.1k.t
ok.2k. hoursk. fromk. thek. PCAk. machinek. while
k. the
patientk.isk.sleeping.
b. Consultk.withk.thek.healthk.carek.providerk.ab
outk.usingk.ak.differentk.treatmentk.protocol
tok.controlk.thek.patient’sk.pain.
c. Requestk.thatk.thek.healthk.carek.providerk.order
k.ak.bolusk.dosek.ofk.morphinek.tok.bek.givenk.w
henk.thek.patientk.awakensk.withk.pain.
d. Teachk.thek.patientk.tok.pushk.thek.buttonk.everyk.
10k.minutesk.fork.ank.hourk.beforek.goingk.to
sleep,k.evenk.ifk.thek.paink.isk.minimal.
ANS:k . B
9. Thek.nursek.assessesk.thatk.ak.patientk.receivingk.epiduralk.morphinek.hask.notk.voidedk.fork.overk.10k.hour
s.k.Whatk.actionk.shouldk.thek.nursek.takek.initially?
a. Monitork.fork.withdrawalk.symptoms.
b. Placek.ank.indwellingk.urinaryk.catheter.
c. Askk.ifk.thek.patientk.feelsk.thek.needk.tok.void.
d. Documentk.thisk.allergick.reactionk.ink.thek.patie
nt’sk.chart.
ANS:k . C
10. Whenk.visitingk.ak.hospicek.patient,k.thek.nursek.assessesk.thatk.thek.patientk.hask.ak.respiratoryk.ratek.ofk.
11k.breaths/minutek.andk.complainsk.ofk.severek.pain.k.Whichk.actionk.isk.bestk.fork.thek.nursek.tok.take
?
a. Informk.thek.patientk.thatk.increasingk.thek.mo
rphinek.willk.causek.thek.respiratoryk.drivek.tok.
fail.
b. Tellk.thek.patientk.thatk.additionalk.morphinek
.cank.bek.administeredk.whenk.thek.respirations
k.arek.12.
c. Titratek.thek.prescribedk.morphinek.dose
upwardk.untilk.thek.patientk.indicatesk.ade
quatek.paink.relief.
d. Administerk.ak.nonopioidk.analgesic,k.suchk.as
k.ak.nonsteroidalk.antiinflammatoryk.drugk.(N
SAID),k.tok.improvek.patientk.paink.control.
ANS:k . C
11. Thek.nursek.isk.completingk.thek.medicationk.reconciliationk.formk.fork.ak.patientk.admittedk.withk.chronic
