Review Questions
1
.
The nurse is precepting a newly graduated nurse. What is an example of a statement by the new nurse that demonstrates an accurate understanding of pain?
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“I had my gall bladder out last year and know exactly how you feel.”
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“Patients with neuropathic pain are at risk for developing depression.”
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“Phantom pain may occur after an amputation; however, it is not real pain.”
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“Visceral pain is caused by muscle pain.”
2
.
A patient complains of having experienced back pain for the past two months. The pain is described as sharp, achy, and throbbing that comes and goes. What type of pain is the patient experiencing?
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acute, nociceptive
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acute, neuropathic
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chronic, nociceptive
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chronic, neuropathic
3
.
The nurse is caring for a patient who complains of lower back pain following a kidney infection. What type of pain is the patient experiencing?
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breakthrough pain
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referred pain
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nociceptive pain
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phantom pain
4
.
The nurse is caring for an 8-year-old male who rates his pain as 7/10 on the numerical rating scale. The patient is laughing, playing video games, and showing no physical signs of pain. What is the priority intervention to assess the patient’s pain?
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Ask clarifying questions to further assess the patient’s pain.
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Assess the patient’s vital signs.
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Leave the patient alone to continue playing video games.
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Turn the video game off and instruct the patient to rest.
5
.
The nurse is caring for a patient with Alzheimer disease who has a broken bone. What pain assessment scale is most appropriate for evaluating the patient’s pain?
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FACES scale
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FLACC scale
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numerical rating scale
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PAINAD scale
6
.
The nurse is precepting a newly graduated nurse. What is an example of a statement by the new graduate nurse that warrants further education?
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“Pain should be reassessed and addressed with additional interventions until the patient’s pain goal is reached.”
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“The numerical rating scale should be used with young children due to its simplicity.”
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“The FLACC scale assesses five criteria: face, legs, activity, cry, and consolability.”
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“The FACES scale is not always reliable and should be used in combination with additional pain assessments.”
7
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The nurse is assessing a patient’s pain. What is the most reliable factor for determining if the patient is in pain?
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physical signs, such as clinched teeth and grimacing
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a history of recent illness or injury
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altered vital signs
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the patient’s own reports of being in pain
8
.
What pain medications should a patient with liver failure avoid taking?
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acetaminophen
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hydrocodone
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ketorolac
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NSAIDs
9
.
The nurse is educating a patient on the use of a PCA. What statement made by the patient indicates the nurse’s teaching was effective?
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“I will not need any other pain medications while I am on the PCA.”
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“I can self-administer the pain medications as often as I need to.”
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“I can have my spouse push the button if I am asleep.”
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“The pump is programmed to keep me from getting too much pain medication.”
10
.
The nurse is caring for a patient experiencing postsurgical abdominal pain. What information is important to tell the patient about effective pain management?
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“Nonopioids alone will be able to effectively manage your pain.”
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“To prevent overdose, wait until your pain is moderate before taking pain medications.”
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“Take pain medications after walking to decrease the risk of falling.”
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“We will work together to create a regular schedule for pain medication administration.”
11
.
The nurse is considering potential nonpharmacological interventions to manage a patient’s pain. What statement demonstrates an accurate understanding of nonpharmacological pain management?
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“Producers of dietary supplements must demonstrate their safety and efficacy.”
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“Reiki applies massage to specific pressure points in the hands and feet.”
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“Patients should remove clothing before applying heat therapy.”
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“Tai chi promotes relaxation through body movement and controlled breathing.”
12
.
The nurse is caring for a patient who is in labor. The patient refuses pain medications and wants to control the pain using nonpharmacological interventions. What nonpharmacological intervention would be appropriate for the patient to consider?
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acupuncture
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herbal supplements
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guided imagery
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TENS therapy
13
.
What is an example of a statement that demonstrates an accurate understanding of treating pain for those with SUDs?
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“Opioids should never be prescribed to patients with an SUD.”
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“Treating the patient’s pain will resolve the SUD.”
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“The SUD and the cause of the pain should be treated independently.”
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“The pain will be resolved once the patient completes rehab.”
14
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The nurse is monitoring a patient for signs of withdrawal. What symptom is associated with withdrawal?
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increased appetite
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increased energy
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constricted pupils
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yawning