Pain Management-NClex type Fundamentals of Nursing Questions and Answers

Pain Management-NClex type
Fundamentals of Nursing Questions
and Answers
WhichMofMtheMfollowingMsignsMorMsymptomsMinManMopioid-
naïveMpatientMisMofMgreatestMconcernMtoMtheMnurseMwhenMassessingMtheMpatientM1
MhourMafterMadministeringManMopioid?
A.MOxygenMsaturationMofM95%M

B.MDifficultyMarousingMtheMpatientM

C.MRespiratoryMrateMofM10Mbreaths/minM

D.MPainMintensityMratingMofM5MonMaMscaleMofM0MtoM10M-MAnswerMB



AMhealthMcareMproviderMwritesMtheMfollowingMorderMforManMopioidMnaiveMpatientMw
hoMreturnedMfromMtheMoperatingMroomMfollowingMaMtotalMhipMreplacement.M"Fentany
lMpatchM100Mmcg,MchangeMeveryM3Mdays."MBasedMonMthisMorder,MtheMnurseMtakes
MtheMfollowingMaction:
A.MCallsMtheMhealthMcareMprovider,MandMquestionsMtheMorderM

B.MAppliesMtheMpatchMtheMthirdMpostoperativeMdayM

C.MAppliesMtheMpatchMasMsoonMasMtheMpatientMreportsMpainM

D.MPlacesMtheMpatchMasMcloseMtoMtheMhipMdressingMasMpossibleM-MAnswerMA



AMpatientMisMbeingMdischargedMhomeMonManMaround-the-
clockM(ATC)MopioidMforMchronicMbackMpain.MBecauseMofMthisMorder,MtheMnurseMantic
ipatesManMorderMforMwhichMclassMofMmedication?

A.MStoolMsoftenerM

B.MStimulantMlaxativeM

C.MHM2MreceptorMblockerM

D.MProtonMpumpMinhibitorM-MAnswerMB



AMnewMmedicalMresidentMwritesManMorderMforMOxyContinMSRM10MmgMPOMq12Mhour
sMprn.MWhichMpartMofMtheMorderMdoesMtheMnurseMquestion?

A.MTheMdrugM

B.MTheMtimeMintervalM

,C.MTheMdoseM

D.MTheMrouteM-MAnswerMB



TheMnurseMnoticesMthatMaMpatientMhasMreceivedMoxycodone/acetaminophenM(Percocet)
M(5/325)MtwoMtabletsMPOMeveryM3MhoursMforMtheMpastM3Mdays.MWhatMconcernsMt
heMnurseMtheMmost?

A.MTheMpatient'sMlevelMofMpainM

B.MTheMpotentialMforMaddictionM

C.MTheMamountMofMdailyMacetaminophenM

D.MTheMriskMforMgastrointestinalMbleedingM-MAnswerMC



AMpatientMwithMchronicMlowMbackMpainMwhoMtookManMopioidMaround-the-
clockM(ATC)MforMtheMpastMyearMdecidedMtoMabruptlyMstopMtheMmedicationMforMfear
MofMaddiction.MHeMisMnowMexperiencingMshakingMchills,MabdominalMcramps,MandMjoin
tMpain.MTheMnurseMrecognizesMthatMthisMpatientMisMexperiencingMsymptomsMof:

A.MAddiction.M

B.MTolerance.M

C.MPseudoaddiction.M

D.MPhysicalMdependence.M-MAnswerMD



AfterMhavingMreceivedM0.2MmgMofMnaloxoneM(Narcan)MintravenousMpushM(IVP),MaMpat
ient'MsMrespiratoryMrateMandMdepthMareMwithinMnormalMlimits.MTheMnurseMnowMplan
sMtoMimplementMtheMfollowingMaction:

A.MDiscontinueMallMorderedMopioidsM

B.MCloseMtheMroomMdoorMtoMallowMtheMpatientMtoMrecoverM

C.MAdministerMtheMremainingMnaloxoneMoverM4MminutesM

D.MAssessMpatient'sMvitalMsignsMeveryM15MminutesMforM2MhoursM-MAnswerMD



WhichMoneMofMtheMfollowingMinstructionsMisMcrucialMforMtheMnurseMtoMgiveMtoMbot
hMfamilyMmembersMandMtheMpatientMwhoMisMaboutMtoMbeMstartedMonMaMpatient-
controlledManalgesiaM(PCA)MofMmorphine?

A.MOnlyMtheMpatientMshouldMpushMtheMbutton.M

, B.MDoMnotMuseMtheMPCAMuntilMtheMpainMisMsevere.M

C.MTheMPCAMpreventsMoverdosesMfromMoccurring.M

D.MNotifyMtheMnurseMwhenMtheMbuttonMisMpushed.M-MAnswerMA



AMpatientMwithMaMhistoryMofMaMstrokeMthatMleftMherMconfusedMandMunableMtoMco
mmunicateMreturnsMfromMinterventionalMradiologyMfollowingMplacementMofMaMgastrosto
myMtube.MTheMhealthMcareMprovider'sMorderMreadsMasMfollows:M"VicodinM1Mtab,Mper
Mtube,Mq4Mhours,Mprn."MWhichMactionMbyMtheMnurseMisMmostMappropriate?
A.MNoMactionMisMrequiredMbyMtheMnurseMbecauseMtheMorderMisMappropriate.M

B.MRequestMtoMhaveMtheMorderedMchangedMtoMATCM(aroundMtheMclock)MforMtheMfir
stM48Mhours.M

C.MAskMforMaMchangeMofMmedicationMtoMmeperidineM(Demerol)M50MmgMIVP,Mq3Mho
urs,Mprn.M

D.MBeginMtheMVicodinMwhenMtheMpatientMshowsMnonverbalMsymptomsMofMpain.M-
MAnswerMB


AMpatientMreturningMtoMtheMnursingMunitMafterMkneeMsurgeryMisMverbalizingMpainMat
MtheMsurgicalMsite.MTheMnurse'sMfirstMactionMisMto:
A.MCallMtheMpatient'sMhealthMcareMprovider.M

B.MAdministerMpainMmedicationMasMordered.M

C.MCheckMtheMpatient'sMvitalMsigns.M

D.MAssessMtheMcharacteristicsMofMtheMpain.M-MAnswerMD



TheMpatientMratesMhisMpainMasMaM6MonMaMscaleMofM0MtoM10,MwithM0MbeingMno
MpainMandM10MbeingMtheMworstMpain.MTheMpatient'sMwifeMsaysMthatMheMcan'tMbe
MinMthatMmuchMpainMsinceMheMhasMbeenMsleepingMforM30Mminutes.MWhichMisMthe
MmostMaccurateMresourceMforMassessingMtheMpain?
A.MTheMpatient'sMwifeMisMtheMbestMresourceMforMdeterminingMtheMlevelMofMpainMsi
nceMsheMhasMbeenMwithMhimMcontinuallyMforMtheMentireMday.M

B.MTheMpatient'sMreportMofMpainMisMtheMbestMmethodMforMassessingMtheMpain.M

C.MTheMpatient'sMhealthMcareMproviderMhasMtheMbestMknowledgeMofMtheMlevelMofM
painMthatMtheMpatientMthatMshouldMbeMexperiencing.M

D.MTheMnurseMisMtheMmostMexperiencedMatMassessingMpain.M-MAnswerMB