Question 1

Which of the following are characteristics of cancer pain?

Accepted Answer

A) It may be acute. 
B) It may be chronic. 
C) It usually is related to tumor recurrence or treatment. 
D) It often is of less intensity than the patient reports. 
A) It may be acute. 
B) It may be chronic. 
C) It usually is related to tumor recurrence or treatment. 
D) It often is of less intensity than the patient reports.

Question 2

The patient's family is concerned that the patient may get too much pain medication after surgery and become addicted to the medication if he is placed on a patient-controlled analgesia (PCA)pump.They also voice concern about the effectiveness of the PCA.The nurse should instruct the family and the patient that:

Accepted Answer

A) pain relief with the PCA pump is not as good as when the nurse provides it,but it does save on nursing time. 
B) pain relief is good when the medication peaks,but less so when the levels drop,and that is when the patient will know that he needs more. 
C) because the device provides medication as soon as the patient needs it,he will probably use less of the medication. 
D) the patient will be kept in bed for several days after surgery to make sure it is safe to ambulate. 
A) pain relief with the PCA pump is not as good as when the nurse provides it,but it does save on nursing time. 
B) pain relief is good when the medication peaks,but less so when the levels drop,and that is when the patient will know that he needs more. 
C) because the device provides medication as soon as the patient needs it,he will probably use less of the medication. 
D) the patient will be kept in bed for several days after surgery to make sure it is safe to ambulate.

Question 3

Pain is experienced differently by different people,because pain perception is based on which of the following?

Accepted Answer

A) Past pain experiences 
B) Personal values 
C) Cultural expectations 
D) Emotions 
A) Past pain experiences 
B) Personal values 
C) Cultural expectations 
D) Emotions

Question 4

A nurse is evaluating the epidural catheter insertion site and suspects that the intraspinal catheter has punctured the dura when _____ noted.

Accepted Answer

A) clear drainage is 
B) bloody drainage is 
C) purulent drainage is 
D) redness,warmth,and swelling are 
A) clear drainage is 
B) bloody drainage is 
C) purulent drainage is 
D) redness,warmth,and swelling are

Question 5

Which of the following statements about evaluating patients in pain is true?

Accepted Answer

A) The best judge of the existence of pain is the nurse. 
B) Visible signs always accompany pain. 
C) Patients often are hesitant to report pain. 
D) Nonpharmacological interventions are better than pain medications. 
A) The best judge of the existence of pain is the nurse. 
B) Visible signs always accompany pain. 
C) Patients often are hesitant to report pain. 
D) Nonpharmacological interventions are better than pain medications.

Question 6

The nurse frequently must assess a patient who is experiencing pain.When assessing the intensity of the pain,the nurse should:

Accepted Answer

A) ask whether there are any precipitating factors. 
B) question the patient about the location of the pain. 
C) offer the patient a pain scale to objectify the information. 
D) use open-ended questions to find out about the sensation. 
A) ask whether there are any precipitating factors. 
B) question the patient about the location of the pain. 
C) offer the patient a pain scale to objectify the information. 
D) use open-ended questions to find out about the sensation.

Question 7

________________ is a method of preventing pain while reducing overall opioid use.

Accepted Answer

Preemptive

Question 8

When evaluating the effects of patient-controlled analgesia (PCA),the nurse notes that the patient is sedated and is difficult to arouse.What step should the nurse take next?

Accepted Answer

A) Insert an airway. 
B) Turn patient to the side. 
C) Stop the PCA. 
D) Expect this as a patient outcome of the therapy. 
A) Insert an airway. 
B) Turn patient to the side. 
C) Stop the PCA. 
D) Expect this as a patient outcome of the therapy.

Question 9

Offering the patient a backrub before preparing for sleep can promote relaxation and comfort.An effective backrub takes:

Accepted Answer

A) 1 to 2 minutes. 
B) 3 to 6 minutes. 
C) 7 to 10 minutes. 
D) 11 to 15 minutes. 
A) 1 to 2 minutes. 
B) 3 to 6 minutes. 
C) 7 to 10 minutes. 
D) 11 to 15 minutes.

Question 10

The nurse knows that an advantage of intraspinal analgesia is the:

Accepted Answer

A) smaller doses of epidural than intrathecal medication. 
B) lack of significant patient complications. 
C) systemic distribution of morphine faster than fentanyl. 
D) ability to achieve appropriate analgesia with smaller dosages. 
A) smaller doses of epidural than intrathecal medication. 
B) lack of significant patient complications. 
C) systemic distribution of morphine faster than fentanyl. 
D) ability to achieve appropriate analgesia with smaller dosages.

Question 11

Which of the following patient conditions is categorized as a neurobiological disease?

Accepted Answer

A) Physical dependence 
B) Addiction 
C) Pseudoaddiction 
D) Drug tolerance 
A) Physical dependence 
B) Addiction 
C) Pseudoaddiction 
D) Drug tolerance

Question 12

Drugs administered in the epidural space spread by:

Accepted Answer

A) diffusion through the dura mater. 
B) transport through blood vessels. 
C) absorption by fat. 
D) absorption through muscle. 
A) diffusion through the dura mater. 
B) transport through blood vessels. 
C) absorption by fat. 
D) absorption through muscle.

Question 13

The application of touch and movement to muscles,tendons,and ligaments without manipulation of the joints is called _________________.

Accepted Answer

The answer of The application of touch and movement to...

Question 14

The patient is in the hospital undergoing major abdominal surgery.When the patient returns from the recovery room,the nurse expects that he most likely will be receiving pain medication:

Accepted Answer

A) by mouth. 
B) intramuscularly. 
C) via the epidural route. 
D) intravenously. 
A) by mouth. 
B) intramuscularly. 
C) via the epidural route. 
D) intravenously.

Question 15

A nonpharmacological approach that the nurse may implement for patients who are experiencing pain that focuses on diverting the patient's attention away from the pain sensation by promoting pleasurable and meaningful stimuli is:

Accepted Answer

A) massage. 
B) heat/cold. 
C) guided imagery. 
D) distraction. 
A) massage. 
B) heat/cold. 
C) guided imagery. 
D) distraction.

Question 16

The patient had knee-replacement surgery and has a local infusion pump to provide a local anesthetic to the surgical site.The patient puts on the call light and complains that pain at the site is more intense than it has ever been and is getting worse.The nurse checks the site and finds that the dressing is damp but intact.The infusion pump is pumping,and there is medication in the bag.The most probable cause of the problem might be the:

Accepted Answer

A) catheter may be clogged. 
B) pump may be releasing too much drug into the site. 
C) catheter may be displaced. 
D) patient may be exaggerating the pain. 
A) catheter may be clogged. 
B) pump may be releasing too much drug into the site. 
C) catheter may be displaced. 
D) patient may be exaggerating the pain.

Question 17

Massaging upward and outward from the vertebral column and back again is known as __________________.

Accepted Answer

The answer of Massaging upward and outward from the vertebral...

Exam 16: Pain Management

Which of the following are characteristics of cancer pain?

Pain is experienced differently by different people,because pain perception is based on which of the following?

A nurse is evaluating the epidural catheter insertion site and suspects that the intraspinal catheter has punctured the dura when _____ noted.

Which of the following statements about evaluating patients in pain is true?

The nurse frequently must assess a patient who is experiencing pain.When assessing the intensity of the pain,the nurse should:

________________ is a method of preventing pain while reducing overall opioid use.

When evaluating the effects of patient-controlled analgesia (PCA),the nurse notes that the patient is sedated and is difficult to arouse.What step should the nurse take next?

Offering the patient a backrub before preparing for sleep can promote relaxation and comfort.An effective backrub takes:

The nurse knows that an advantage of intraspinal analgesia is the:

Which of the following patient conditions is categorized as a neurobiological disease?

Drugs administered in the epidural space spread by:

The application of touch and movement to muscles,tendons,and ligaments without manipulation of the joints is called _________________.

The patient is in the hospital undergoing major abdominal surgery.When the patient returns from the recovery room,the nurse expects that he most likely will be receiving pain medication:

A nonpharmacological approach that the nurse may implement for patients who are experiencing pain that focuses on diverting the patient's attention away from the pain sensation by promoting pleasurable and meaningful stimuli is:

Massaging upward and outward from the vertebral column and back again is known as __________________.

Using Evidence in Practice

Admitting, transfer, and Discharge

Communication and Collaboration

Documentation and Informatics

Vital Signs

Health Assessment

Specimen Collection

Diagnostic Procedures

Medical Asepsis

Sterile Technique

Safe Patient Handling, transfer, and Positioning

Exercise Mobility

Support Surfaces and Special Beds

Patient Safety

Disaster Preparedness

Palliative Care

Personal Hygiene and Bed Making

Care of the Eye and Ear

Safe Medication Preparation

Administration of Nonparenteral Medications

Administration of Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Cardiac Care

Closed Chest Drainage Systems

Emergency Measure for Life Support

Intravenous and Vascular Access Therapy

Blood Therapy

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Intraoperative Care

Pressure Injury Prevention and Care

Wound Care and Irrigations

Dressings,bandages,and Binders

Therapeutic Use of Heat and Cold

Home Care Safety

Home Care Teaching

Filters