Pain Management NCLEX Certified Exam (25 Questions with Answers)
A client with chronic pain reports to you, the charge nurse, that the nurse have not been
responding to requests for pain medication. What is your initial action?
A. Check the MARs and nurses' notes for the past several days.
B. Ask the nurse educator to give an in-service about pain management.
C. Perform a complete pain assessment and history on the client.
D. Have a conference with the nurses responsible for the care of this client. - Correct Answer-
have a conference with the nurses responsible for the care of this client
Which client is most likely to receive opioids for extended periods of time?
A. A client with fibromyalgia
B. A client with phantom limb pain
C. A client with progressive pancreatic cancer
D. A client with trigeminal neuralgia - Correct Answer-
A client with progressive pancreatic cancer
In caring for a young child with pain, which assessment tool is the most useful?
A. Simple description pain intensity scale
B. 0-10 numeric pain scale
C. Faces pain-rating scale
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D. McGill-Melzack pain questionnaire - Correct Answer-
C. Faces pain-rating scale
In applying the principles of pain treatment, what is the first consideration?
A. Treatment is based on client goals.
B. A multidisciplinary approach is needed.
C. The client must be believed about perceptions of own pain.
D. Drug side effects must be prevented and managed. - Correct Answer-
C. The client must be believed about perceptions of own pain.
Which route of administration is preferred if immediate analgesia and rapid titration are
necessary?
A. Intraspinal
B. Patient-controlled analgesia (PCA)
C. Intravenous (IV)
D. Sublingual - Correct Answer-
C. Intravenous (IV)
When titrating an analgesic to manage pain, what is the priority goal?
A. Administer smallest dose that provides relief with the fewest side effects.
B. Titrate upward until the client is pain free.
C. Titrate downwards to prevent toxicity.