RELIAS BASIC PAIN MANAGEMENT
HOSPICE EXAM UPDATED PRACTICE TEST
BANK 2026 TESTED QUESTIONS WITH
ANSWERS GRADED A+
⩥ A nurse is caring for a patient who recently had abdominal surgery
and is experiencing severe pain. The patient's blood pressure is 110/60
mm Hg, and heart rate is 60 beats/min. Additionally, the patient does not
appear to be in any distress. Which response by the nurse is most
therapeutic?
a. "Your vitals do not show that you are having pain; can you describe
your pain?"
b. "OK, I will go get you some narcotic pain relievers immediately."
c. "What would you like to try to alleviate your pain?"
d. "You do not look like you are in pain. Answer: c. "What would you
like to try to alleviate your pain?"
Be sure the patient is a partner in making decisions about the best
approaches for managing pain. A patient knows the most about his or her
pain and is an important partner in selecting successful pain therapies.
The nurse must believe that a patient is in pain whenever the patient
reports that he or she is in pain, even if the patient does not appear to be
in pain. The nurse must be careful to not judge the patient based on vital
signs or nonverbal communication and must not assume that the patient
,is seeking narcotics. The patient is a partner in pain management, so
going to get narcotics to treat the pain without consulting with the
patient first is not appropriate.
⩥ A nurse teaches the patient about the gate control theory. Which
statement made by a patient reflects a correct understanding about the
relationship between the gate control theory of pain and the use of
meditation to relieve pain?
a. "Meditation controls pain by blocking pain impulses from coming
through the gate."
b. "Meditation alters the chemical composition of pain neuroregulators,
which closes the gate."
c. "Meditation will help me sleep through the pain because it opens the
gate."
d. "Meditation stops the occurrence of pain stimuli." Answer: a.
"Meditation controls pain by blocking pain impulses from coming
through the gate."
According to this theory, gating mechanisms located along the central
nervous system regulate or block pain impulses. Pain impulses pass
through when a gate is open and are blocked when a gate is closed.
Nonpharmacologic pain-relief measures, such as meditation, work by
closing the gates, which keeps pain impulses from coming through.
Meditation does not open pain gates or stop pain from occurring.
Meditation also does not have an effect on pain neuroregulators.
, ⩥ A nurse is planning care for an older-adult patient who is experiencing
pain. Which statement made by the nurse indicates the supervising nurse
needs to follow up?
a. "As adults age, their ability to perceive pain decreases."
b. "Older patients may have low serum albumin in their blood, causing
toxic effects of analgesic drugs."
c. "Patients who have dementia probably experience pain, and their pain
is not always well controlled."
"It is safe to administer opioids to older adults as long as you start with
small doses and frequently assess
d. patient's response to the medication." Answer: a. "As adults age, their
ability to perceive pain decreases."
Aging does not affect the ability to perceive pain. This misconception
must be corrected by the supervising nurse. All the other statements are
true and require no follow-up. Opioids are safe to use in older adults as
long as they are slowly titrated and the nurse frequently monitors the
patient. Patients with dementia most likely experience unrelieved pain
because their pain is difficult to assess. Older adults frequently eat
poorly, resulting in low serum albumin levels. Many drugs are highly
protein bound. In the presence of low serum albumin, more free drug
(active form) is available, thus increasing the risk for side and/or toxic
effects.
HOSPICE EXAM UPDATED PRACTICE TEST
BANK 2026 TESTED QUESTIONS WITH
ANSWERS GRADED A+
⩥ A nurse is caring for a patient who recently had abdominal surgery
and is experiencing severe pain. The patient's blood pressure is 110/60
mm Hg, and heart rate is 60 beats/min. Additionally, the patient does not
appear to be in any distress. Which response by the nurse is most
therapeutic?
a. "Your vitals do not show that you are having pain; can you describe
your pain?"
b. "OK, I will go get you some narcotic pain relievers immediately."
c. "What would you like to try to alleviate your pain?"
d. "You do not look like you are in pain. Answer: c. "What would you
like to try to alleviate your pain?"
Be sure the patient is a partner in making decisions about the best
approaches for managing pain. A patient knows the most about his or her
pain and is an important partner in selecting successful pain therapies.
The nurse must believe that a patient is in pain whenever the patient
reports that he or she is in pain, even if the patient does not appear to be
in pain. The nurse must be careful to not judge the patient based on vital
signs or nonverbal communication and must not assume that the patient
,is seeking narcotics. The patient is a partner in pain management, so
going to get narcotics to treat the pain without consulting with the
patient first is not appropriate.
⩥ A nurse teaches the patient about the gate control theory. Which
statement made by a patient reflects a correct understanding about the
relationship between the gate control theory of pain and the use of
meditation to relieve pain?
a. "Meditation controls pain by blocking pain impulses from coming
through the gate."
b. "Meditation alters the chemical composition of pain neuroregulators,
which closes the gate."
c. "Meditation will help me sleep through the pain because it opens the
gate."
d. "Meditation stops the occurrence of pain stimuli." Answer: a.
"Meditation controls pain by blocking pain impulses from coming
through the gate."
According to this theory, gating mechanisms located along the central
nervous system regulate or block pain impulses. Pain impulses pass
through when a gate is open and are blocked when a gate is closed.
Nonpharmacologic pain-relief measures, such as meditation, work by
closing the gates, which keeps pain impulses from coming through.
Meditation does not open pain gates or stop pain from occurring.
Meditation also does not have an effect on pain neuroregulators.
, ⩥ A nurse is planning care for an older-adult patient who is experiencing
pain. Which statement made by the nurse indicates the supervising nurse
needs to follow up?
a. "As adults age, their ability to perceive pain decreases."
b. "Older patients may have low serum albumin in their blood, causing
toxic effects of analgesic drugs."
c. "Patients who have dementia probably experience pain, and their pain
is not always well controlled."
"It is safe to administer opioids to older adults as long as you start with
small doses and frequently assess
d. patient's response to the medication." Answer: a. "As adults age, their
ability to perceive pain decreases."
Aging does not affect the ability to perceive pain. This misconception
must be corrected by the supervising nurse. All the other statements are
true and require no follow-up. Opioids are safe to use in older adults as
long as they are slowly titrated and the nurse frequently monitors the
patient. Patients with dementia most likely experience unrelieved pain
because their pain is difficult to assess. Older adults frequently eat
poorly, resulting in low serum albumin levels. Many drugs are highly
protein bound. In the presence of low serum albumin, more free drug
(active form) is available, thus increasing the risk for side and/or toxic
effects.
