Question 1

The nurse knows that which statement is true regarding the pain experienced by infants?

Accepted Answer

A) Pain in infants can only be assessed by physiologic changes,such as increased heart rate. 
B) The Wong-Baker scale can be used to assess pain in infants. 
C) A procedure that induces pain in adults will also induce pain in the infant. 
D) Infants feel pain less than adults do. 
A) Pain in infants can only be assessed by physiologic changes,such as increased heart rate. 
B) The Wong-Baker scale can be used to assess pain in infants. 
C) A procedure that induces pain in adults will also induce pain in the infant. 
D) Infants feel pain less than adults do. C

Question 2

A 60-year-old woman has developed reflexive sympathetic dystrophy after arthroscopic repair of her shoulder.A key feature of this condition is that:

Accepted Answer

A) the affected extremity will eventually regain its function. 
B) the pain is felt at one site but originates from another location. 
C) her pain will be associated with nausea,pallor,and diaphoresis. 
D) the slightest touch,such as a sleeve brushing against her arm,causes severe,intense pain. 
A) the affected extremity will eventually regain its function. 
B) the pain is felt at one site but originates from another location. 
C) her pain will be associated with nausea,pallor,and diaphoresis. 
D) the slightest touch,such as a sleeve brushing against her arm,causes severe,intense pain. D

Question 3

The nurse is assessing a patient's pain.The nurse knows that which of the following is considered the most reliable indicator of pain?

Accepted Answer

A) Vital signs 
B) The physical examination 
C) Computerized axial tomography scan findings 
D) The subjective report 
A) Vital signs 
B) The physical examination 
C) Computerized axial tomography scan findings 
D) The subjective report D

Question 4

When evaluating a patient's pain,the nurse knows that an example of acute pain would be:

Accepted Answer

A) arthritic pain. 
B) fibromyalgia. 
C) kidney stones. 
D) low back pain. 
A) arthritic pain. 
B) fibromyalgia. 
C) kidney stones. 
D) low back pain.

Question 5

A patient states that the pain medication is "not working" and rates his postoperative pain at a 10 on a 1 to 10 scale.Which of the following assessment findings indicates an acute pain response to poorly controlled pain?

Accepted Answer

A) Confusion 
B) Hyperventilation 
C) Increased blood pressure and pulse 
D) Decreased blood pressure and pulse 
A) Confusion 
B) Hyperventilation 
C) Increased blood pressure and pulse 
D) Decreased blood pressure and pulse

Question 6

During assessment of a patient's pain,the nurse keeps in mind that certain nonverbal behaviors are associated with chronic pain.Which of the following behaviors are associated with chronic pain? Select all that apply.

Accepted Answer

A) Sleeping 
B) Moaning 
C) Diaphoresis 
D) Bracing 
E) Restlessness
F)Rubbing 
A) Sleeping 
B) Moaning 
C) Diaphoresis 
D) Bracing 
E) Restlessness
F)Rubbing

Question 7

When assessing a patient's pain,the nurse knows that an example of visceral pain would be:

Accepted Answer

A) hip fracture. 
B) cholecystitis. 
C) second-degree burns. 
D) pain after a leg amputation. 
A) hip fracture. 
B) cholecystitis. 
C) second-degree burns. 
D) pain after a leg amputation.

Question 8

When assessing the intensity of a patient's pain,which question by the nurse is appropriate?

Accepted Answer

A) "What makes your pain better or worse?" 
B) "How much pain do you have now?" 
C) "How does pain limit your activities?" 
D) "What does your pain feel like?" 
A) "What makes your pain better or worse?" 
B) "How much pain do you have now?" 
C) "How does pain limit your activities?" 
D) "What does your pain feel like?"

Question 9

When assessing the quality of a patient's pain,the nurse should ask which question?

Accepted Answer

A) "When did the pain start?" 
B) "Is the pain a stabbing pain?" 
C) "Is it a sharp pain or dull pain?" 
D) "What does your pain feel like?" 
A) "When did the pain start?" 
B) "Is the pain a stabbing pain?" 
C) "Is it a sharp pain or dull pain?" 
D) "What does your pain feel like?"

Question 10

Which type of pain is due to an abnormal processing of the pain impulse through the peripheral or central nervous system?

Accepted Answer

A) Visceral pain 
B) Referred pain 
C) Cutaneous pain 
D) Neuropathic pain 
A) Visceral pain 
B) Referred pain 
C) Cutaneous pain 
D) Neuropathic pain

Question 11

A patient has had arthritic pain in her hips for several years since a hip fracture.She is able to move around in her room and has not offered any complaints so far this morning.However,when asked,she states that her pain is "bad this morning" and rates it at an 8 on a 1 to 10 scale.What does the nurse suspect?

Accepted Answer

A) She is addicted to her pain medications and cannot obtain pain relief. 
B) She does not want to trouble the nursing staff with her complaints. 
C) She is not in pain but rates it high to receive pain medication. 
D) She has experienced chronic pain for years and has adapted to it. 
A) She is addicted to her pain medications and cannot obtain pain relief. 
B) She does not want to trouble the nursing staff with her complaints. 
C) She is not in pain but rates it high to receive pain medication. 
D) She has experienced chronic pain for years and has adapted to it.

Question 12

Nociception is the term used to describe how noxious stimuli are typically perceived as pain.During which phase of nociception does the conscious awareness of a painful sensation occur?

Accepted Answer

A) Perception 
B) Modulation 
C) Transduction 
D) Transmission 
A) Perception 
B) Modulation 
C) Transduction 
D) Transmission

Exam 10: Pain Assessment: the Fifth Vital Sign

The nurse knows that which statement is true regarding the pain experienced by infants?

A 60-year-old woman has developed reflexive sympathetic dystrophy after arthroscopic repair of her shoulder.A key feature of this condition is that:

The nurse is assessing a patient's pain.The nurse knows that which of the following is considered the most reliable indicator of pain?

When evaluating a patient's pain,the nurse knows that an example of acute pain would be:

A patient states that the pain medication is "not working" and rates his postoperative pain at a 10 on a 1 to 10 scale.Which of the following assessment findings indicates an acute pain response to poorly controlled pain?

During assessment of a patient's pain,the nurse keeps in mind that certain nonverbal behaviors are associated with chronic pain.Which of the following behaviors are associated with chronic pain? Select all that apply.

When assessing a patient's pain,the nurse knows that an example of visceral pain would be:

When assessing the intensity of a patient's pain,which question by the nurse is appropriate?

When assessing the quality of a patient's pain,the nurse should ask which question?

Which type of pain is due to an abnormal processing of the pain impulse through the peripheral or central nervous system?

Nociception is the term used to describe how noxious stimuli are typically perceived as pain.During which phase of nociception does the conscious awareness of a painful sensation occur?

Critical Thinking in Health Assessment

Developmental Tasks and Health Promotion Across the Life Cycle

Cultural Competence: Cultural Care

The Interview

The Complete Health History

Mental Status Assessment

Domestic Violence Assessment

Assessment Techniques and the Clinical Setting

General Survey, measurement, vital Signs

Nutritional Assessment

Skin, hair, and Nails

Head, face, and Neck, including Regional Lymphatics

Eyes

Ears

Nose, mouth, and Throat

Breasts and Regional Lymphatics

Thorax and Lungs

Heart and Neck Vessels

Peripheral Vascular System and Lymphatic System

Abdomen

Musculoskeletal System

Neurologic System

Male Genitourinary System

Anus,rectum,and Prostate

Female Genitourinary System

The Complete Health Assessment: Putting It All Together

Reassessment of the Hospitalized Adult

The Pregnant Female

Functional Assessment of the Older Adult

Filters