Question 1

Which statement is true about non-pharmacological strategies for pain management?

Accepted Answer

A)  They may reduce pain perception. 
B)  They make pharmacological strategies unnecessary. 
C)  They usually take too long to implement. 
D)  They trick children into believing they do not have pain. 
A)  They may reduce pain perception. 
B)  They make pharmacological strategies unnecessary. 
C)  They usually take too long to implement. 
D)  They trick children into believing they do not have pain. A

Question 2

The nurse is caring for a child receiving intravenous (IV)morphine for severe postoperative pain.The nurse observes a slower respiratory rate,and the child cannot be aroused.What is the most appropriate action for the nurse?

Accepted Answer

A)  Administer naloxone (Narcan). 
B)  Discontinue IV infusion. 
C)  Discontinue morphine until child is fully awake. 
D)  Stimulate the child by calling his name, shaking gently, and asking him to breathe deeply. 
A)  Administer naloxone (Narcan). 
B)  Discontinue IV infusion. 
C)  Discontinue morphine until child is fully awake. 
D)  Stimulate the child by calling his name, shaking gently, and asking him to breathe deeply. A

Question 3

A lumbar puncture is needed on a school-age child.Which of the following medications is the most appropriate to apply to provide analgesia during this procedure?

Accepted Answer

A)  Tetracaine-adrenaline-cocaine ( TAC ) 15 minutes before procedure 
B)  Transdermal fentanyl ( Duragesic ) patch immediately before procedure 
C)  Eutectic mixture of local anaesthetics ( EMLA ) 1 hour before procedure 
D)  EMLA 30 minutes before procedure 
A)  Tetracaine-adrenaline-cocaine ( TAC ) 15 minutes before procedure 
B)  Transdermal fentanyl ( Duragesic ) patch immediately before procedure 
C)  Eutectic mixture of local anaesthetics ( EMLA ) 1 hour before procedure 
D)  EMLA 30 minutes before procedure C

Question 4

Kyle,age 6 months,is brought to the clinic.His parent says,"I think he hurts.He cries and rolls his head from side to side a lot." This most likely suggests which feature of pain?

Accepted Answer

A)  Type 
B)  Severity 
C)  Duration 
D)  Location 
A)  Type 
B)  Severity 
C)  Duration 
D)  Location

Question 5

Which of the following statements represents accurate information about the physiological assessment of children's pain?

Accepted Answer

A)  The best indicator of pain in children of all ages 
B)  Essential to determine whether a child is telling the truth about pain 
C)  Of most value is when children also report having pain 
D)  Of limited value as sole indicator of pain 
A)  The best indicator of pain in children of all ages 
B)  Essential to determine whether a child is telling the truth about pain 
C)  Of most value is when children also report having pain 
D)  Of limited value as sole indicator of pain

Question 6

Which drug is usually the best choice for patient-controlled analgesia ( PCA )for a child in the immediate post-operative period?

Accepted Answer

A)  Codeine 
B)  Morphine 
C)  Methadone 
D)  Meperidine 
A)  Codeine 
B)  Morphine 
C)  Methadone 
D)  Meperidine

Exam 35: Pain Assessment and Management

Which statement is true about non-pharmacological strategies for pain management?

The nurse is caring for a child receiving intravenous (IV)morphine for severe postoperative pain.The nurse observes a slower respiratory rate,and the child cannot be aroused.What is the most appropriate action for the nurse?

A lumbar puncture is needed on a school-age child.Which of the following medications is the most appropriate to apply to provide analgesia during this procedure?

Kyle,age 6 months,is brought to the clinic.His parent says,"I think he hurts.He cries and rolls his head from side to side a lot." This most likely suggests which feature of pain?

Which of the following statements represents accurate information about the physiological assessment of children's pain?

Which drug is usually the best choice for patient-controlled analgesia ( PCA )for a child in the immediate post-operative period?

Contemporary Perinatal Nursing in Canada

The Family and Culture

Community Care

Health Promotion

Health Assessment

Reproductive Health

Infertility, contraception, and Abortion

Preconception, genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy Risk Factors and Assessment: Maternal and Fetal

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Comfort Measures for Labour

Fetal Health Surveillance During Labour

Nursing Care During Labour and Birth

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn

Newborn Nutrition and Feeding

Infants With Gestational Age-Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Contemporary Pediatric Nursing in Canada

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social, cultural, and Religious Influences on Child Health Promotion

Developmental Influences on Child Health Promotion

Communication, history, physical, and Developmental Assessment

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, disability, and End-Of-Life Care

Cognitive and Sensory Impairment

Family-Centred Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematological and Immunological Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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