NUR109 M6.2: ATI Engage Fundamentals Pain
Question 1: A nurse is contributing to a plan to teach staff about the ethical principle of justice and how it relates to pain management for clients. Which of the following statements should the nurse make?NUR109 M6.2: ATI
- “justice allows the client the freedom of choice”
- “justice allows the client the opportunity to be treated fairly”
- “justice is causing no harm to the client”
- “justice is doing good for the client”
Answer 1: B
Question 2: A nurse is assisting with a staff in-service regarding pain control. Which of the following statements by a staff member indicates an understanding of the information? (Select all that apply).
- “a client’s religious beliefs might affect the way they respond to pain”
- “Herbal therapies are not permitted for a client receiving prescription pain medication”
- “the client’s past pain experiences are not related to their current pain and pain management”
- if a client can rate their pain using a numeric pain scale, there is no need to note nonverbal findings”
- “pain control might be harder to achieve if the nurse and client speak different primary languages”
Answer 2: A, C, E NUR109 M6.2: ATI
Question 3: A nurse is planning to teach coworkers about the legal and ethical principles used with pain management. Which of the following examples should the nurse include as an example of autonomy?
- a nurse allows a client to wait longer for their pain medication than other clients
- a nurse does not properly clean a vial of pain medication prior to withdrawing medication from the vial, which results in the client contracting an infection
- a nurse administers scheduled pain medication and provides therapeutic distraction techniques for a client in pain
- a nurse provides a client with the opportunity to take an intramuscular injection or oral medication for pain relief
Answer 3: D. NUR109 M6.2: ATI
Question 4: A nurse is caring for a client who reports muscle pain to the lower back that has persisted for over a year after a motor-vehicle crash. In which way should the nurse categorize this client’s pain?
- cancer pain
- acute pain
- chronic pain
- neuropathic pain
Answer 4: C
Question 5: A charge nurse is reviewing factors that can affect a client’s perception of pain with a newly licensed nurse. Which of the following should the charge nurse include? (select all that apply)
- stress
- dietary practices
- culture
- social support
- disease severity
Answer 5: A, C, D, E
Question 6: A nurse is reviewing the plan of care for several clients who are receiving treatment for pain. Which of the following actions should the nurse plan to take to evaluate the clients’ pain control? (select all that apply)
- consider each client’s culture preferences
- determine the effectiveness of nonpharmacological strategies
- record the clients’ subjective reports rather than the nurse’s objective observations
- recognize that older adult clients over-report their pain level
- use a pain scale specific to each client’s cognitive abilities
Answer 6: A, B, E
Question 7: A nurse is reviewing a new prescription with a client who reports difficulty managing their chronic pain. Which of the following statements should the nurse include?
- “you should write down the pain interventions you use and your pain rating before and after”
- “you should understand that it is impossible to fix everyone’s pain”
- “your provider is best at determining whether your pain treatments are effective”
- “your care partner should manage your pain control because you are unable”
Answer 7: A
Question 8: A nurse is monitoring a client who is 2 hr postoperative and is receiving morphine via PCA pump. Which of the following findings should the nurse plan to monitor to detect opioid-induced ventilatory impairment (OIVI)? (select all that apply)NUR109 M6.2: ATI
- bowel sounds
- deep tendon reflexes
- respiratory rate
- capnography
- oxygen saturation
Answer 8: C, D, E
Question 9: A nurse is caring for a client who has a prescription for hydromorphone 1 to 2 mg IM every 4 fr as needed for a pain rating 4 to 6 on a 0 to 10 scale. The client has never taken hydromorphone before. Which of the following actions should the nurse plan to take?
- administer 1 mg IM
- request a prescription to give the medication IV instead
- request a prescription for a different medication
- administer 2 mg IM
Answer 9: A
Question 10: A nurse is caring for a client who has kidney stones. Which of the following manifestations is an objective indicator of pain?
- the client is diaphoretic
- the client is experiencing stabbing pain
- the client is nauseated
- the client states feeling dizzy
Answer 10: A
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