Question 1

Controlling pain is important to promoting wellness.Unrelieved pain has been associated with

Accepted Answer

A)  prolonged stress response and a cascade of harmful effects system-wide. 
B)  large tidal volumes and decreased lung capacity. 
C)  decreased tumor growth and longevity. 
D)  decreased carbohydrate, protein, and fat destruction. 
A)  prolonged stress response and a cascade of harmful effects system-wide. 
B)  large tidal volumes and decreased lung capacity. 
C)  decreased tumor growth and longevity. 
D)  decreased carbohydrate, protein, and fat destruction. A

Question 2

A 19-year-old male has sustained a transaction of C-7 in an MVA rendering him a quadriplegic.He describes his pain as burning,sharp,and shooting.This is characteristic of

Accepted Answer

A)  neuropathic pain. 
B)  ghost pain. 
C)  mixed pain syndrome. 
D)  nociceptive pain. 
A)  neuropathic pain. 
B)  ghost pain. 
C)  mixed pain syndrome. 
D)  nociceptive pain. A

Question 3

Jan is a 70-year-old retired nurse who is interested in nondrug,mind-body therapies,self-management,and alternative strategies to deal with joint discomfort from rheumatoid arthritis.What options should you consider in her plan of care considering her expressed wishes?

Accepted Answer

A)  Stationary exercise bicycle, free weights, and spinning class 
B)  Mind-body therapies such as music therapy, distraction techniques, meditation, prayer, hypnosis, guided imagery, relaxation techniques, and pet therapy 
C)  Chamomile tea and IcyHot gel 
D)  Acupuncture and attending church services 
A)  Stationary exercise bicycle, free weights, and spinning class 
B)  Mind-body therapies such as music therapy, distraction techniques, meditation, prayer, hypnosis, guided imagery, relaxation techniques, and pet therapy 
C)  Chamomile tea and IcyHot gel 
D)  Acupuncture and attending church services B

Question 4

An elderly Chinese woman is interested in biologically based therapies to relieve osteoarthritis pain (OA).You are preparing a plan of care for her OA.Options most conducive to her expressed wishes may include

Accepted Answer

A)  Pilates, breathing exercises, and aloe vera. 
B)  guided imagery, relaxation breathing, and meditation. 
C)  herbs, vitamins, and tai chi. 
D)  alternating ice and heat to relieve pain and inflammation. 
A)  Pilates, breathing exercises, and aloe vera. 
B)  guided imagery, relaxation breathing, and meditation. 
C)  herbs, vitamins, and tai chi. 
D)  alternating ice and heat to relieve pain and inflammation.

Question 5

Understanding classifications of pain helps nurses develop a plan of care.A 62-year-old male has fallen while trimming tree branches sustaining tissue injury.He describes his condition as an aching,throbbing back.This is characteristic of

Accepted Answer

A)  neuropathic pain. 
B)  nociceptive pain. 
C)  chronic pain. 
D)  mixed pain syndrome. 
A)  neuropathic pain. 
B)  nociceptive pain. 
C)  chronic pain. 
D)  mixed pain syndrome.

Question 6

Alan is a 30-year-old male admitted to the hospital with acute pancreatitis.He is in acute pain described as a 10/10,which is localized to the abdomen,periumbilical area,and some radiation to his back.The abdomen is grossly distended so it is difficult to assess.He is restless and agitated,with elevated pulse and blood pressure.An appropriate pain management plan of care may include

Accepted Answer

A)  IV Dilaudid q 4 hours prn, hydrocodone 5/500 PO q 6 hours prn, and acetaminophen. 
B)  Norco 5/500 q 4 hours PO and Benadryl 25 mg PO q 6 hours. 
C)  Phenergan 25 mg IM q 6 hours. 
D)  Tylenol 325 mg q 6 hours. 
A)  IV Dilaudid q 4 hours prn, hydrocodone 5/500 PO q 6 hours prn, and acetaminophen. 
B)  Norco 5/500 q 4 hours PO and Benadryl 25 mg PO q 6 hours. 
C)  Phenergan 25 mg IM q 6 hours. 
D)  Tylenol 325 mg q 6 hours.

Question 7

An 80-year-old male patient is in the ICU status fractured femur and MVA.You are making rounds and notice he is somnolent,with no response to verbal or physical stimulation.He has been on round the clock opioids doses q 4 hours.The best immediate course of nursing action is to

Accepted Answer

A)  call a Code Blue. 
B)  stop opioid; consider administering naloxone, call Rapid Response Team (Code Blue); stay with patient, stimulate, and support respiration as indicated by patient status. 
C)  call the primary hospitalist in charge of patient. 
D)  call the anesthesia provider on call. 
A)  call a Code Blue. 
B)  stop opioid; consider administering naloxone, call Rapid Response Team (Code Blue); stay with patient, stimulate, and support respiration as indicated by patient status. 
C)  call the primary hospitalist in charge of patient. 
D)  call the anesthesia provider on call.

Exam 26: Pain

Controlling pain is important to promoting wellness.Unrelieved pain has been associated with

A 19-year-old male has sustained a transaction of C-7 in an MVA rendering him a quadriplegic.He describes his pain as burning,sharp,and shooting.This is characteristic of

Jan is a 70-year-old retired nurse who is interested in nondrug,mind-body therapies,self-management,and alternative strategies to deal with joint discomfort from rheumatoid arthritis.What options should you consider in her plan of care considering her expressed wishes?

An elderly Chinese woman is interested in biologically based therapies to relieve osteoarthritis pain (OA).You are preparing a plan of care for her OA.Options most conducive to her expressed wishes may include

Understanding classifications of pain helps nurses develop a plan of care.A 62-year-old male has fallen while trimming tree branches sustaining tissue injury.He describes his condition as an aching,throbbing back.This is characteristic of

An 80-year-old male patient is in the ICU status fractured femur and MVA.You are making rounds and notice he is somnolent,with no response to verbal or physical stimulation.He has been on round the clock opioids doses q 4 hours.The best immediate course of nursing action is to

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