Question 1

The nurse reassures a patient that most acute pain is intense and of short duration.How long does can acute pain usually last?

Accepted Answer

A)  1 week 
B)  Less than 6 months 
C)  At least 9 months 
D)  More than 1 year 
A)  1 week 
B)  Less than 6 months 
C)  At least 9 months 
D)  More than 1 year

Question 2

To share assessment findings and pain relief interventions,which documentation sample is the most helpful?

Accepted Answer

A)  1600: Patient reports chest pain.Medicated with morphine sulfate. 
B)  1600: Patient reports sharp chest pain.Morphine sulfate given IM. 
C)  1600: Patient reports sharp pain in left chest radiating to neck.Morphine sulfate 5 mg administered IM in right deltoid. 
D)  1600: Patient requested medication for pain in left chest.Morphine sulfate 10 mg PO given. 
A)  1600: Patient reports chest pain.Medicated with morphine sulfate. 
B)  1600: Patient reports sharp chest pain.Morphine sulfate given IM. 
C)  1600: Patient reports sharp pain in left chest radiating to neck.Morphine sulfate 5 mg administered IM in right deltoid. 
D)  1600: Patient requested medication for pain in left chest.Morphine sulfate 10 mg PO given.

Question 3

The nurse is planning interventions for a patient experiencing pain.For what type of synergistic relationship should the nurse assess?

Accepted Answer

A)  Inflammatory process 
B)  Circulatory disorder 
C)  Food allergy 
D)  Fatigue 
A)  Inflammatory process 
B)  Circulatory disorder 
C)  Food allergy 
D)  Fatigue

Question 4

The nurse is trying to establish an effective relationship with a patient in pain.What is the best statement for the nurse to make when beginning the assessment?

Accepted Answer

A)  "I'll check to see if you can have anything." 
B)  "Let me give you a backrub and see if it helps." 
C)  "I believe you are in pain." 
D)  "When was your last medication for pain?" 
A)  "I'll check to see if you can have anything." 
B)  "Let me give you a backrub and see if it helps." 
C)  "I believe you are in pain." 
D)  "When was your last medication for pain?"

Question 5

A patient is receiving epidural analgesics.What should the nurse monitor closely in this patient?

Accepted Answer

A)  Temperature elevation from 98° to 99.2°F (36.6° to 37.3°
C)  
B)  Increase in pulse rate from 88 to 99 
C)  Decrease in respirations from 16 to 14 
D)  Decrease in blood pressure from 120/80 to 110/68 
A)  Temperature elevation from 98° to 99.2°F (36.6° to 37.3°
C)  
B)  Increase in pulse rate from 88 to 99 
C)  Decrease in respirations from 16 to 14 
D)  Decrease in blood pressure from 120/80 to 110/68

Question 6

Where does the nurse recognize that many institutions are now including pain assessment in implementing patient care?

Accepted Answer

A)  The initial assessment 
B)  Discharge planning 
C)  Assessing vital signs 
D)  Care planning 
A)  The initial assessment 
B)  Discharge planning 
C)  Assessing vital signs 
D)  Care planning

Question 7

The nurse is using a pain scale of 0 to 10 to assess pain in a postoperative patient.What is considered the maximum pain level at which a patient can usually function effectively?

Accepted Answer

A)  2 
B)  3 
C)  4 
D)  5 
A)  2 
B)  3 
C)  4 
D)  5

Question 8

The nurse obtains information from a patient about the site,severity,and duration of the pain.What type of data is this considered?

Accepted Answer

A)  Patient data 
B)  Objective data 
C)  Focused data 
D)  Subjective data 
A)  Patient data 
B)  Objective data 
C)  Focused data 
D)  Subjective data

Question 9

When preparing a patient for sleep,diming the lights and decreasing the noise levels are examples of nursing interventions.What are these interventions designed to do?

Accepted Answer

A)  Mimic usual sleep patterns. 
B)  Decrease environmental stimuli. 
C)  Prepare the patient for sleep. 
D)  Provide for more rest. 
A)  Mimic usual sleep patterns. 
B)  Decrease environmental stimuli. 
C)  Prepare the patient for sleep. 
D)  Provide for more rest.

Question 10

An American Indian patient requests that an egg yolk be placed in a saucer and put under his bed to absorb the pain.What should the nurse do?

Accepted Answer

A)  Explain that medication will relieve the pain better. 
B)  Place the egg in a saucer under the bed. 
C)  Ask the health care provider for permission. 
D)  Warn that housekeeping staff will remove the egg. 
A)  Explain that medication will relieve the pain better. 
B)  Place the egg in a saucer under the bed. 
C)  Ask the health care provider for permission. 
D)  Warn that housekeeping staff will remove the egg.

Question 11

The home health nurse is caring for a patient with an implanted pacemaker.What type of pain management would be contraindicated?

Accepted Answer

A)  Peripheral analgesics 
B)  A TENS unit 
C)  Opioid analgesics 
D)  Adjuvant analgesics 
A)  Peripheral analgesics 
B)  A TENS unit 
C)  Opioid analgesics 
D)  Adjuvant analgesics

Question 12

The nurse is giving a backrub to a patient to relieve pain.What pain theory is the nurse using?

Accepted Answer

A)  Synergism 
B)  Gate control 
C)  Distraction 
D)  Guided imagery 
A)  Synergism 
B)  Gate control 
C)  Distraction 
D)  Guided imagery

Question 13

The nurse is assessing pain reported by a Latino male patient.What is important for the nurse take into consideration when observing objective data?

Accepted Answer

A)  Latino men are suspicious of female caregivers. 
B)  Latino men have a cultural bias against use of narcotics. 
C)  Latino men believe pain is necessary for cure. 
D)  Latino men feel it is unmanly to admit to pain. 
A)  Latino men are suspicious of female caregivers. 
B)  Latino men have a cultural bias against use of narcotics. 
C)  Latino men believe pain is necessary for cure. 
D)  Latino men feel it is unmanly to admit to pain.

Question 14

When should a nurse administer prescribed analgesic medication when treating a postoperative patient?

Accepted Answer

A)  Before activity 
B)  Only when requested by the health care provider 
C)  Only when requested by the family 
D)  Only when requested by the patient 
A)  Before activity 
B)  Only when requested by the health care provider 
C)  Only when requested by the family 
D)  Only when requested by the patient

Question 15

A patient has pain in the left arm secondary to coronary insufficiency.This is an example of what type of pain?

Accepted Answer

A)  Acute pain 
B)  Chronic pain 
C)  Referred pain 
D)  Subacute pain 
A)  Acute pain 
B)  Chronic pain 
C)  Referred pain 
D)  Subacute pain

Question 16

The nurse explains that transcutaneous electric nerve stimulation (TENS)provides a continuous mild electric current to the skin.How does the TENS unit act to reduce pain?

Accepted Answer

A)  Distracts the patient. 
B)  Blocks endorphin production. 
C)  Warms the skin. 
D)  Blocks pain impulses. 
A)  Distracts the patient. 
B)  Blocks endorphin production. 
C)  Warms the skin. 
D)  Blocks pain impulses.

Question 17

What action should the nurse take when evaluating the effectiveness of new or revised therapies for pain relief?

Accepted Answer

A)  Observe the patient performing activities of daily living. 
B)  Observe the patient's facial expressions. 
C)  Frequently assess subjective data. 
D)  Perform evaluation of outcome goals. 
A)  Observe the patient performing activities of daily living. 
B)  Observe the patient's facial expressions. 
C)  Frequently assess subjective data. 
D)  Perform evaluation of outcome goals.

Exam 21: Pain Management, comfort, rest, and Sleep

The nurse reassures a patient that most acute pain is intense and of short duration.How long does can acute pain usually last?

To share assessment findings and pain relief interventions,which documentation sample is the most helpful?

The nurse is planning interventions for a patient experiencing pain.For what type of synergistic relationship should the nurse assess?

The nurse is trying to establish an effective relationship with a patient in pain.What is the best statement for the nurse to make when beginning the assessment?

A patient is receiving epidural analgesics.What should the nurse monitor closely in this patient?

Where does the nurse recognize that many institutions are now including pain assessment in implementing patient care?

The nurse is using a pain scale of 0 to 10 to assess pain in a postoperative patient.What is considered the maximum pain level at which a patient can usually function effectively?

The nurse obtains information from a patient about the site,severity,and duration of the pain.What type of data is this considered?

When preparing a patient for sleep,diming the lights and decreasing the noise levels are examples of nursing interventions.What are these interventions designed to do?

An American Indian patient requests that an egg yolk be placed in a saucer and put under his bed to absorb the pain.What should the nurse do?

The home health nurse is caring for a patient with an implanted pacemaker.What type of pain management would be contraindicated?

The nurse is giving a backrub to a patient to relieve pain.What pain theory is the nurse using?

The nurse is assessing pain reported by a Latino male patient.What is important for the nurse take into consideration when observing objective data?

When should a nurse administer prescribed analgesic medication when treating a postoperative patient?

A patient has pain in the left arm secondary to coronary insufficiency.This is an example of what type of pain?

The nurse explains that transcutaneous electric nerve stimulation (TENS)provides a continuous mild electric current to the skin.How does the TENS unit act to reduce pain?

What action should the nurse take when evaluating the effectiveness of new or revised therapies for pain relief?

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