NUR 304 Exam 1 Test bank Questions With Correct
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Answers
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A //new //nurse //reports //to //the //nurse //preceptor //that //a //client //requested //pain //medication,
//and //when
the //nurse //brought //it, //the //client //was //sound //asleep. //The //nurse //states //the //client //cannot
//possibly
sleep //with //the //severe //pain //the //client //described. //Which //response //by //the //experienced
//nurse //is
best?
a. //"Being //able //to //sleep //doesn't //mean //pain //doesn't //exist."
b. //"Have //you //ever //experienced //any //type //of //pain?"
c. //"The //client //should //be //assessed //for //drug //addiction."
d. //"You're //right; //I //would //put //the //medication //back."` //- //CORRECT //ANSWERS(S)✔✔ANS: //A
A //client's //description //is //the //most //accurate //assessment //of //pain. //The //nurse //would //believe
//the
client //and //provide //pain //relief. //Physiologic //changes //due //to //pain //vary //from //client //to
//client, //and
assessments //of //them //would //not //supersede //the //client's //descriptions, //especially //if //the
//pain //is
chronic //in //nature. //Asking //if //the //new //nurse //has //had //pain //is //judgmental //and //flippant //and
//does
not //provide //useful //information. //This //amount //of //information //does //not //warrant //an
//assessment
for //drug //addiction. //Putting //the //medication //back //and //ignoring //the //client's //report //of //pain
//serves
no //useful //purpose //and //is //unethical.
,The //nurse //in //the //outpatient //surgery //clinic //is //discussing //an //upcoming //surgical //procedure
//with //a
client. //Which //information //provided //by //the //nurse //is //most //appropriate //for //the //client's
//long-term
outcome?
a. //"At //least //you //know //that //the //pain //after //surgery //will //diminish //quickly."
b. //"Discuss //acceptable //pain //control //after //your //operation //with //the //surgeon."
c. //"Opioids //often //cause //nausea //but //you //won't //have //to //take //them //for //long."
d. //"The //nursing //staff //will //give //you //pain //medication //when //you //ask //them //for //it." //-
CORRECT //ANSWERS(S)✔✔ANS: //B
//
The //best //outcome //after //a //surgical //procedure //is //timely //and //satisfactory //pain //control,
//which
diminishes //the //likelihood //of //chronic //pain //afterward. //The //nurse //suggests //that //the //client
advocate //for //himself //or //herself //and //discuss //acceptable //pain //control //with //the //surgeon.
//Stating
that //pain //after //surgery //is //usually //short //lived //does //not //provide //the //client //with //options
//to //have
personalized //pain //control. //To //prevent //or //reduce //nausea //and //other //side //effects //from
//opioids, //a
multimodal //pain //approach //is //desired. //For //acute //pain //after //surgery, //giving //pain
//medications
around //the //clock //instead //of //waiting //until //the //client //requests //it //is //a //better //approach.
A //nurse //is //assessing //pain //on //a //confused //older //client //who //has //difficulty //with //verbal
//expression.
Which //pain //assessment //tool //would //the //nurse //choose //for //this //assessment?
a. //Numeric //rating //scale
b. //Verbal //Descriptor //Scale
c. //FACES //Pain //Scale-Revised
,d. //Wong-Baker //FACES //Pain //Scale //- //CORRECT //ANSWERS(S)✔✔ANS: //C
All //are //valid //pain //rating //scales; //however, //some //research //has //shown //that //the //FACES //Pain
Scale-Revised //is //preferred //by //both //cognitively //intact //and //cognitively //impaired //adults. //A
confused //client //with //difficulty //speaking //would //not //be //a //good //candidate //for //the //numeric
//rating
scale //or //the //verbal //descriptor //scale. //The //cartoon //images //on //the //Wong-Baker //FACES //Pain
Scale //may //not //be //appropriate //for //an //adult //client.
The //nurse //is //assessing //a //client's //pain //and //has //elicited //information //on //the //location,
//quality,
intensity, //effect //on //functioning, //aggravating //and //relieving //factors, //and //onset //and
//duration.
Which //question //by //the //nurse //would //be //best //to //ask //the //client //for //completing //a
//comprehensive
pain //assessment?
a. //"Are //you //worried //about //addiction //to //pain //pills?"
b. //"Do //you //attach //any //spiritual //meaning //to //pain?"
c. //"How //high //would //you //say //your //pain //tolerance //is?"
d. //"What //pain //rating //would //be //acceptable //to //you?" //- //CORRECT //ANSWERS(S)✔✔ANS: //D
A //comprehensive //pain //assessment //includes //the //items //listed //in //the //question //plus //the
//client's
opinion //on //a //comfort-function //outcome, //such //as //what //pain //rating //would //be //acceptable
//to //him
or //her. //Asking //about //addiction //is //not //warranted //in //an //initial //pain //assessment. //Asking
//about
spiritual //meanings //for //pain //may //give //the //nurse //important //information, //but //getting //the
//basics
first //is //more //important. //Asking //about //pain //tolerance //may //give //the //client //the //idea //that
//pain
, tolerance //is //being //judged.
A //nurse //is //assessing //pain //in //an //older //adult. //Which //action //by //the //nurse //is //best?
a. //Ask //only //"yes-or-no" //questions //so //the //client //doesn't //get //too //tired.
b. //Give //the //client //a //picture //of //the //pain //scale //and //come //back //later.
c. //Question //the //client //about //new //pain //only, //not //normal //pain //from //aging.
d. //Sit //down, //ask //one //question //at //a //time, //and //allow //the //client //to //answer. //- //CORRECT
ANSWERS(S)✔✔ANS: //D
//
Some //older //clients //do //not //report //pain //because //they //think //it //is //a //normal //part //of //aging
//or
because //they //do //not //want //to //be //a //bother. //Sitting //down //conveys //time, //interest, //and
//availability.
Ask //only //one //question //at //a //time //and //allow //the //client //enough //time //to //answer //it. //Yes-
or-no
questions //are //an //example //of //poor //communication //technique. //Giving //the //client //a //pain
//scale,
and //then //leaving, //might //give //the //impression //that //the //nurse //does //not //have //time //for //the
//client.
Also, //the //client //may //not //know //how //to //use //it. //There //is //no //normal //pain //from //aging.
The //nurse //receives //a //hand-off //report. //One //client //is //described //as //a //drug //seeker //who //is
//obsessed
with //even //tiny //changes //in //physical //condition //and //is //"on //the //light //constantly" //asking //for
//more
pain //medication. //When //assessing //this //client's //pain, //which //statement //or //question //by //the
//nurse
is //most //appropriate?
a. //"Help //me //understand //how //pain //is //affecting //you //right //now."
b. //"I //wish //I //could //do //more; //is //there //anything //I //can //get //for //you?"
// // // // // // // //
Answers
// //
A //new //nurse //reports //to //the //nurse //preceptor //that //a //client //requested //pain //medication,
//and //when
the //nurse //brought //it, //the //client //was //sound //asleep. //The //nurse //states //the //client //cannot
//possibly
sleep //with //the //severe //pain //the //client //described. //Which //response //by //the //experienced
//nurse //is
best?
a. //"Being //able //to //sleep //doesn't //mean //pain //doesn't //exist."
b. //"Have //you //ever //experienced //any //type //of //pain?"
c. //"The //client //should //be //assessed //for //drug //addiction."
d. //"You're //right; //I //would //put //the //medication //back."` //- //CORRECT //ANSWERS(S)✔✔ANS: //A
A //client's //description //is //the //most //accurate //assessment //of //pain. //The //nurse //would //believe
//the
client //and //provide //pain //relief. //Physiologic //changes //due //to //pain //vary //from //client //to
//client, //and
assessments //of //them //would //not //supersede //the //client's //descriptions, //especially //if //the
//pain //is
chronic //in //nature. //Asking //if //the //new //nurse //has //had //pain //is //judgmental //and //flippant //and
//does
not //provide //useful //information. //This //amount //of //information //does //not //warrant //an
//assessment
for //drug //addiction. //Putting //the //medication //back //and //ignoring //the //client's //report //of //pain
//serves
no //useful //purpose //and //is //unethical.
,The //nurse //in //the //outpatient //surgery //clinic //is //discussing //an //upcoming //surgical //procedure
//with //a
client. //Which //information //provided //by //the //nurse //is //most //appropriate //for //the //client's
//long-term
outcome?
a. //"At //least //you //know //that //the //pain //after //surgery //will //diminish //quickly."
b. //"Discuss //acceptable //pain //control //after //your //operation //with //the //surgeon."
c. //"Opioids //often //cause //nausea //but //you //won't //have //to //take //them //for //long."
d. //"The //nursing //staff //will //give //you //pain //medication //when //you //ask //them //for //it." //-
CORRECT //ANSWERS(S)✔✔ANS: //B
//
The //best //outcome //after //a //surgical //procedure //is //timely //and //satisfactory //pain //control,
//which
diminishes //the //likelihood //of //chronic //pain //afterward. //The //nurse //suggests //that //the //client
advocate //for //himself //or //herself //and //discuss //acceptable //pain //control //with //the //surgeon.
//Stating
that //pain //after //surgery //is //usually //short //lived //does //not //provide //the //client //with //options
//to //have
personalized //pain //control. //To //prevent //or //reduce //nausea //and //other //side //effects //from
//opioids, //a
multimodal //pain //approach //is //desired. //For //acute //pain //after //surgery, //giving //pain
//medications
around //the //clock //instead //of //waiting //until //the //client //requests //it //is //a //better //approach.
A //nurse //is //assessing //pain //on //a //confused //older //client //who //has //difficulty //with //verbal
//expression.
Which //pain //assessment //tool //would //the //nurse //choose //for //this //assessment?
a. //Numeric //rating //scale
b. //Verbal //Descriptor //Scale
c. //FACES //Pain //Scale-Revised
,d. //Wong-Baker //FACES //Pain //Scale //- //CORRECT //ANSWERS(S)✔✔ANS: //C
All //are //valid //pain //rating //scales; //however, //some //research //has //shown //that //the //FACES //Pain
Scale-Revised //is //preferred //by //both //cognitively //intact //and //cognitively //impaired //adults. //A
confused //client //with //difficulty //speaking //would //not //be //a //good //candidate //for //the //numeric
//rating
scale //or //the //verbal //descriptor //scale. //The //cartoon //images //on //the //Wong-Baker //FACES //Pain
Scale //may //not //be //appropriate //for //an //adult //client.
The //nurse //is //assessing //a //client's //pain //and //has //elicited //information //on //the //location,
//quality,
intensity, //effect //on //functioning, //aggravating //and //relieving //factors, //and //onset //and
//duration.
Which //question //by //the //nurse //would //be //best //to //ask //the //client //for //completing //a
//comprehensive
pain //assessment?
a. //"Are //you //worried //about //addiction //to //pain //pills?"
b. //"Do //you //attach //any //spiritual //meaning //to //pain?"
c. //"How //high //would //you //say //your //pain //tolerance //is?"
d. //"What //pain //rating //would //be //acceptable //to //you?" //- //CORRECT //ANSWERS(S)✔✔ANS: //D
A //comprehensive //pain //assessment //includes //the //items //listed //in //the //question //plus //the
//client's
opinion //on //a //comfort-function //outcome, //such //as //what //pain //rating //would //be //acceptable
//to //him
or //her. //Asking //about //addiction //is //not //warranted //in //an //initial //pain //assessment. //Asking
//about
spiritual //meanings //for //pain //may //give //the //nurse //important //information, //but //getting //the
//basics
first //is //more //important. //Asking //about //pain //tolerance //may //give //the //client //the //idea //that
//pain
, tolerance //is //being //judged.
A //nurse //is //assessing //pain //in //an //older //adult. //Which //action //by //the //nurse //is //best?
a. //Ask //only //"yes-or-no" //questions //so //the //client //doesn't //get //too //tired.
b. //Give //the //client //a //picture //of //the //pain //scale //and //come //back //later.
c. //Question //the //client //about //new //pain //only, //not //normal //pain //from //aging.
d. //Sit //down, //ask //one //question //at //a //time, //and //allow //the //client //to //answer. //- //CORRECT
ANSWERS(S)✔✔ANS: //D
//
Some //older //clients //do //not //report //pain //because //they //think //it //is //a //normal //part //of //aging
//or
because //they //do //not //want //to //be //a //bother. //Sitting //down //conveys //time, //interest, //and
//availability.
Ask //only //one //question //at //a //time //and //allow //the //client //enough //time //to //answer //it. //Yes-
or-no
questions //are //an //example //of //poor //communication //technique. //Giving //the //client //a //pain
//scale,
and //then //leaving, //might //give //the //impression //that //the //nurse //does //not //have //time //for //the
//client.
Also, //the //client //may //not //know //how //to //use //it. //There //is //no //normal //pain //from //aging.
The //nurse //receives //a //hand-off //report. //One //client //is //described //as //a //drug //seeker //who //is
//obsessed
with //even //tiny //changes //in //physical //condition //and //is //"on //the //light //constantly" //asking //for
//more
pain //medication. //When //assessing //this //client's //pain, //which //statement //or //question //by //the
//nurse
is //most //appropriate?
a. //"Help //me //understand //how //pain //is //affecting //you //right //now."
b. //"I //wish //I //could //do //more; //is //there //anything //I //can //get //for //you?"
