Question 1

Which of the following statements made by the patient indicates to the nurse that teaching on a patient-controlled analgesia (PCA)device has been effective?

Accepted Answer

A)  "This is the only pain medication I will need to be on." 
B)  "I can administer the pain medication as frequently as I need to" 
C)  "I feel less anxiety about the possibility of overdosing." 
D)  "I will need the nurse to notify me when it is time for another dose." 
A)  "This is the only pain medication I will need to be on." 
B)  "I can administer the pain medication as frequently as I need to" 
C)  "I feel less anxiety about the possibility of overdosing." 
D)  "I will need the nurse to notify me when it is time for another dose."

Question 2

The nurse is evaluating the effectiveness of guided imagery for pain management as used for a patient who has second- and third-degree burns and needs extensive dressing changes.Which statement best describes that guided imagery is effectively controlling the patient's pain during dressing changes?

Accepted Answer

A)  The patient's need for analgesic medication decreases during the dressing changes. 
B)  The patient rates pain during the dressing change as a 6 on a scale of 0 to 10. 
C)  The patient's facial expressions are stoic during the procedure. 
D)  The patient can tolerate more pain, so dressing changes can be performed more frequently. 
A)  The patient's need for analgesic medication decreases during the dressing changes. 
B)  The patient rates pain during the dressing change as a 6 on a scale of 0 to 10. 
C)  The patient's facial expressions are stoic during the procedure. 
D)  The patient can tolerate more pain, so dressing changes can be performed more frequently.

Question 3

The nurse is caring for an infant in the intensive care unit.Which of the following is the most accurate description of factors that will influence the perception and management of pain for this patient?

Accepted Answer

A)  Infants cannot tolerate analgesics owing to an underdeveloped metabolism. 
B)  Infants have an increased sensitivity to pain when compared with older children. 
C)  Pain cannot be accurately assessed in infants. 
D)  Infants respond behaviorally and physiologically to painful stimuli. 
A)  Infants cannot tolerate analgesics owing to an underdeveloped metabolism. 
B)  Infants have an increased sensitivity to pain when compared with older children. 
C)  Pain cannot be accurately assessed in infants. 
D)  Infants respond behaviorally and physiologically to painful stimuli.

Question 4

The nurse is assessing how a patient's pain is affecting mobility.Which assessment question is most appropriate?

Accepted Answer

A)  "Have you considered working with a physical therapist?" 
B)  "What activities, if any, has your pain prevented you from doing?" 
C)  "Would you please rate your pain on a scale from 1 to 10 for me?" 
D)  "What effect does your pain medication typically have on your pain?" 
A)  "Have you considered working with a physical therapist?" 
B)  "What activities, if any, has your pain prevented you from doing?" 
C)  "Would you please rate your pain on a scale from 1 to 10 for me?" 
D)  "What effect does your pain medication typically have on your pain?"

Question 5

A patient who had a motor vehicle accident 2 days ago is experiencing pain and is receiving patient-controlled analgesia (PCA).How does the nurse know that the patient is experiencing effective pain management with the PCA?

Accepted Answer

A)  The patient is sleeping and is difficult to arouse. 
B)  The patient rates pain at an acceptable level of 3 on a 0 to 10 scale. 
C)  Sufficient medication is left in the PCA syringe. 
D)  The patient presses the control button to deliver pain medication. 
A)  The patient is sleeping and is difficult to arouse. 
B)  The patient rates pain at an acceptable level of 3 on a 0 to 10 scale. 
C)  Sufficient medication is left in the PCA syringe. 
D)  The patient presses the control button to deliver pain medication.

Question 6

The nurse is caring for a patient who suddenly experiences chest pain.What is the nurse's first priority?

Accepted Answer

A)  Call the rapid response team. 
B)  Ask the patient to rate and describe the pain. 
C)  Raise the head of the bed. 
D)  Administer pain relief medications. 
A)  Call the rapid response team. 
B)  Ask the patient to rate and describe the pain. 
C)  Raise the head of the bed. 
D)  Administer pain relief medications.

Question 7

A nurse has brought the patient his scheduled pain medication.The patient asks the nurse to wait to give pain medication until the time for the dressing change,which is 2 hours away.Which response by the nurse is most therapeutic?

Accepted Answer

A)  "This medication will still be providing you relief at the time of your dressing change." 
B)  "OK, swallow this pain pill, and I will return in a minute to fill your wound." 
C)  "Would you like medication to be given for dressing changes on top of your regularly scheduled medication?" 
D)  "Your medication is scheduled for this time, and I can't adjust the time for you. I'm sorry, but you must take your pill right now." 
A)  "This medication will still be providing you relief at the time of your dressing change." 
B)  "OK, swallow this pain pill, and I will return in a minute to fill your wound." 
C)  "Would you like medication to be given for dressing changes on top of your regularly scheduled medication?" 
D)  "Your medication is scheduled for this time, and I can't adjust the time for you. I'm sorry, but you must take your pill right now."

Question 8

The nurse anticipates administering an opioid fentanyl patch to which patient?

Accepted Answer

A)  A 15-year-old adolescent with a broken femur 
B)  A 30-year-old adult with cellulitis 
C)  A 50-year-old patient with prostate cancer 
D)  An 80-year-old patient with a broken hip 
A)  A 15-year-old adolescent with a broken femur 
B)  A 30-year-old adult with cellulitis 
C)  A 50-year-old patient with prostate cancer 
D)  An 80-year-old patient with a broken hip

Question 9

A nurse is supervising a student who is caring for a patient with chronic pain.Which statement by the student indicates an understanding of pain management?

Accepted Answer

A)  "This patient says her pain is a 5, but she is not acting like it. I am not going to give her any pain medication." 
B)  "The patient is sleeping, so I pushed her PCA button for her." 
C)  "I need to reassess the patient's pain 1 hour after administering oral pain medication." 
D)  "It wasn't time for the patient's medication, so when she requested it, I gave her a placebo." 
A)  "This patient says her pain is a 5, but she is not acting like it. I am not going to give her any pain medication." 
B)  "The patient is sleeping, so I pushed her PCA button for her." 
C)  "I need to reassess the patient's pain 1 hour after administering oral pain medication." 
D)  "It wasn't time for the patient's medication, so when she requested it, I gave her a placebo."

Question 10

Which statement made by a nursing educator best explains why it is important for nurses to determine a patient's medical history and recent drug use?

Accepted Answer

A)  "Health care providers have a responsibility to prevent drug seekers from gaining access to drugs." 
B)  "This information is useful in determining what type of pain interventions will most likely be effective in providing pain relief." 
C)  "Some recreational drugs have pharmaceutical counterparts that may be more effective in managing pain." 
D)  "Getting this information gives the nurse an opportunity to provide patient teaching about drug abstinence." 
A)  "Health care providers have a responsibility to prevent drug seekers from gaining access to drugs." 
B)  "This information is useful in determining what type of pain interventions will most likely be effective in providing pain relief." 
C)  "Some recreational drugs have pharmaceutical counterparts that may be more effective in managing pain." 
D)  "Getting this information gives the nurse an opportunity to provide patient teaching about drug abstinence."

Question 11

The nurse recognizes that which of the following is a modifiable contributor to a patient's perception of pain?

Accepted Answer

A)  Age and gender 
B)  Anxiety and fear 
C)  Culture 
D)  Previous pain experience 
A)  Age and gender 
B)  Anxiety and fear 
C)  Culture 
D)  Previous pain experience

Question 12

The nurse is administering ibuprofen (Advil)to an older patient.Which of the following assessment data causes the nurse to hold the medication?

Accepted Answer

A)  Past medical history of gastric ulcer 
B)  Patient states last bowel movement was 4 days ago 
C)  Stated allergy to aspirin 
D)  Patient states has 2/10 intermittent joint pain 
E)  Patient experienced respiratory depression after administration of an opioid medication 
A)  Past medical history of gastric ulcer 
B)  Patient states last bowel movement was 4 days ago 
C)  Stated allergy to aspirin 
D)  Patient states has 2/10 intermittent joint pain 
E)  Patient experienced respiratory depression after administration of an opioid medication

Question 13

What nursing intervention is most effective in preventing injury to a patient following administration of epidural anesthesia?

Accepted Answer

A)  Keeping the reversal agent in a syringe in the patient's bedside table 
B)  Applying a gauze dressing to the epidural catheter insertion site 
C)  Labeling the tubing that leads to the epidural catheter 
D)  Asking the nursing assistive personnel to check on the patient at least once every 2 hours 
A)  Keeping the reversal agent in a syringe in the patient's bedside table 
B)  Applying a gauze dressing to the epidural catheter insertion site 
C)  Labeling the tubing that leads to the epidural catheter 
D)  Asking the nursing assistive personnel to check on the patient at least once every 2 hours

Question 14

A nursing student is planning care for an elderly patient who is experiencing pain.Which of the following statements made by the nursing student indicates the need for the nursing professor to clarify the nursing student's knowledge?

Accepted Answer

A)  "Older patients often have difficulty determining what is causing their pain." 
B)  "It is safe to administer opioids to older adults as long as you start with small doses and frequently assess the patient's response to the medication." 
C)  "As adults age, their ability to perceive pain decreases." 
D)  "Patients who have dementia probably experience pain, and their pain is not always well controlled." 
A)  "Older patients often have difficulty determining what is causing their pain." 
B)  "It is safe to administer opioids to older adults as long as you start with small doses and frequently assess the patient's response to the medication." 
C)  "As adults age, their ability to perceive pain decreases." 
D)  "Patients who have dementia probably experience pain, and their pain is not always well controlled."

Question 15

Which of the following is the best way for the nurse to manage pain for a patient with chronic pain from arthritis?

Accepted Answer

A)  Administer pain medication before any activity. 
B)  Provide intravascular bolus as needed for breakthrough pain. 
C)  Give medications around-the-clock. 
D)  Administer pain medication only when nonpharmacological measures have failed. 
A)  Administer pain medication before any activity. 
B)  Provide intravascular bolus as needed for breakthrough pain. 
C)  Give medications around-the-clock. 
D)  Administer pain medication only when nonpharmacological measures have failed.

Exam 43: Pain Management

Which of the following statements made by the patient indicates to the nurse that teaching on a patient-controlled analgesia (PCA)device has been effective?

The nurse is evaluating the effectiveness of guided imagery for pain management as used for a patient who has second- and third-degree burns and needs extensive dressing changes.Which statement best describes that guided imagery is effectively controlling the patient's pain during dressing changes?

The nurse is caring for an infant in the intensive care unit.Which of the following is the most accurate description of factors that will influence the perception and management of pain for this patient?

The nurse is assessing how a patient's pain is affecting mobility.Which assessment question is most appropriate?

A patient who had a motor vehicle accident 2 days ago is experiencing pain and is receiving patient-controlled analgesia (PCA).How does the nurse know that the patient is experiencing effective pain management with the PCA?

The nurse is caring for a patient who suddenly experiences chest pain.What is the nurse's first priority?

A nurse has brought the patient his scheduled pain medication.The patient asks the nurse to wait to give pain medication until the time for the dressing change,which is 2 hours away.Which response by the nurse is most therapeutic?

The nurse anticipates administering an opioid fentanyl patch to which patient?

A nurse is supervising a student who is caring for a patient with chronic pain.Which statement by the student indicates an understanding of pain management?

Which statement made by a nursing educator best explains why it is important for nurses to determine a patient's medical history and recent drug use?

The nurse recognizes that which of the following is a modifiable contributor to a patient's perception of pain?

The nurse is administering ibuprofen (Advil)to an older patient.Which of the following assessment data causes the nurse to hold the medication?

What nursing intervention is most effective in preventing injury to a patient following administration of epidural anesthesia?

A nursing student is planning care for an elderly patient who is experiencing pain.Which of the following statements made by the nursing student indicates the need for the nursing professor to clarify the nursing student's knowledge?

Which of the following is the best way for the nurse to manage pain for a patient with chronic pain from arthritis?

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