Practice Question
A nurse is caring for a client who requests pain medication. Which of the following actions should the nurse perform first?
Answer Choices:
Correct Answer:
Determine the location of the pain.
Rationale:
❖ Assessing pain location is the first priority in pain management to ensure safe and effective intervention.
❖ This assessment provides data to select the right medication, dose, and non-pharmacologic measures.
❖ Determining pain characteristics (location, intensity, type) can reveal if it is expected or signals a complication.
❖ Pain assessment must precede any intervention, per the nursing process (assessment first).
❖ Addressing pain location also provides a baseline for later evaluation after intervention.
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This question is from ATI LPN Medical surgical Exam X which contains 39 questions.
More Questions from This Exam
A nurse is assisting with preoperative teaching for a client. Which of the following outcomes should the nurse expect?
Answer Choices:
A. Reduced postoperative anxiety
B. Reduced postoperative respiratory function
C. Increase in postoperative pain
D. Increased length of postoperative care in the health care facility
A client is about to undergo an elective surgical procedure. Which of the following is the role of the nurse providing preoperative care regarding informed consent
Answer Choices:
A. Obtain the client's consent.
B. Explain the risks and benefits of the procedure.
C. Describe the consequences of forgoing treatment.
D. Witness the client's signature.
A nurse is reinforcing teaching about how to use an incentive spirometer with a client. Which of the following statements should the nurse make?
Answer Choices:
A. "Use the incentive spirometer once every 4 hours."
B. "Inhale through the incentive spirometer 10 times with each use."
C. "Sit up at a 30-degree angle when using the incentive spirometer."
D. "Hold your breath for 7 seconds when using the incentive spirometer."
A nurse is assisting with the care of a client who has septic shock and is at risk for disseminated intravascular coagulation (DIC). Which of the following nursing statements indicates an understanding of the condition?
Answer Choices:
A. "DIC is a genetic disorder involving vitamin K deficiency."
B. "DIC is characterized by an elevated platelet count."
C. "DIC is caused by abnormal coagulation involving fibrinogen."
D. "DIC is controllable with lifelong heparin usage."
A nurse is planning to monitor a client for dehydration following several episodes of vomiting and an increase in the client's temperature. Which of the following findings should the nurse identify as an indication that the client is dehydrated?
Answer Choices:
A. Distended neck veins
B. BP 146/94 mm Hg
C. Urine specific gravity 1.034
D. Bounding pulse
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Medical-Surgical
- Answer Choices: 4
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