NR 226: Fundamentals of Patient Care - Week 3 Pain Management
Quiz 2026 |Chamberlain
1. Which type of pain is typically characterized by a sudden onset, short
duration, and is usually associated with a specific injury?
A. Chronic pain
B. Neuropathic pain
C. Acute pain
D. Phantom pain
Answer: C
Rationale: Acute pain is protective, has an identifiable cause, is of short duration, and
eventually heals.
2. A patient describes their pain as ‘burning and tingling.’ The nurse recognizes
this as which type of pain?
A. Visceral pain
B. Psychogenic pain
C. Somatic pain
D. Neuropathic pain
Answer: D
Rationale: Neuropathic pain is caused by damage to peripheral nerves or the CNS and is
commonly described as burning, tingling, or shooting.
,3. When assessing a 4-year-old child’s pain level, which tool is most appropriate
for the nurse to use?
A. Numeric Rating Scale (0-10)
B. Visual Analog Scale
C. FLACC Scale
D. Wong-Baker FACES Scale
Answer: D
Rationale: The Wong-Baker FACES Scale is ideal for children as young as 3 years old
because it uses drawings of faces to represent pain levels.
4. Which process of nociception involves the conversion of an energy stimulus
into an electrical impulse?
A. Transmission
B. Transduction
C. Modulation
D. Perception
Answer: B
Rationale: Transduction is the first phase of nociception where the energy from a noxious
stimulus is converted into an electrical signal.
5. A patient reports pain in the left shoulder during a myocardial infarction. This
is an example of:
A. Radiating pain
B. Referred pain
C. Idiopathic pain
D. Superficial pain
Answer: B
Rationale: Referred pain is felt in a part of the body separate from the actual source of the
pain, such as shoulder pain during a heart attack.
, 6. What is the primary concern when administering opioids to a patient who is
opioid-naïve?
A. Physical dependence
B. Addiction
C. Nausea and vomiting
D. Respiratory depression
Answer: D
Rationale: While many side effects exist, respiratory depression is the most serious and
potentially life-threatening adverse effect of opioids.
7. According to the Gate Control Theory, which intervention might ‘close the
gate’ to pain?
A. Increasing opioid dosage
B. Massage or TENS unit
C. Surgical intervention
D. Complete bed rest
Answer: B
Rationale: The Gate Control Theory suggests that non-painful input, like massage or TENS,
closes the ‘gates’ to painful input, preventing pain sensations from traveling to the CNS.
8. A patient with terminal cancer is receiving large doses of opioids and is still in
pain. They request more medication. What is the nurse’s best action?
A. Withhold the dose to prevent addiction
B. Administer the medication as prescribed
C. Tell the patient they have reached the maximum dose
D. Give a placebo to check if the pain is real
Answer: B
Rationale: In palliative care, the goal is comfort. Addiction is not a primary concern, and
there is no ‘ceiling effect’ for pure opioid agonists in terminal illness.
Quiz 2026 |Chamberlain
1. Which type of pain is typically characterized by a sudden onset, short
duration, and is usually associated with a specific injury?
A. Chronic pain
B. Neuropathic pain
C. Acute pain
D. Phantom pain
Answer: C
Rationale: Acute pain is protective, has an identifiable cause, is of short duration, and
eventually heals.
2. A patient describes their pain as ‘burning and tingling.’ The nurse recognizes
this as which type of pain?
A. Visceral pain
B. Psychogenic pain
C. Somatic pain
D. Neuropathic pain
Answer: D
Rationale: Neuropathic pain is caused by damage to peripheral nerves or the CNS and is
commonly described as burning, tingling, or shooting.
,3. When assessing a 4-year-old child’s pain level, which tool is most appropriate
for the nurse to use?
A. Numeric Rating Scale (0-10)
B. Visual Analog Scale
C. FLACC Scale
D. Wong-Baker FACES Scale
Answer: D
Rationale: The Wong-Baker FACES Scale is ideal for children as young as 3 years old
because it uses drawings of faces to represent pain levels.
4. Which process of nociception involves the conversion of an energy stimulus
into an electrical impulse?
A. Transmission
B. Transduction
C. Modulation
D. Perception
Answer: B
Rationale: Transduction is the first phase of nociception where the energy from a noxious
stimulus is converted into an electrical signal.
5. A patient reports pain in the left shoulder during a myocardial infarction. This
is an example of:
A. Radiating pain
B. Referred pain
C. Idiopathic pain
D. Superficial pain
Answer: B
Rationale: Referred pain is felt in a part of the body separate from the actual source of the
pain, such as shoulder pain during a heart attack.
, 6. What is the primary concern when administering opioids to a patient who is
opioid-naïve?
A. Physical dependence
B. Addiction
C. Nausea and vomiting
D. Respiratory depression
Answer: D
Rationale: While many side effects exist, respiratory depression is the most serious and
potentially life-threatening adverse effect of opioids.
7. According to the Gate Control Theory, which intervention might ‘close the
gate’ to pain?
A. Increasing opioid dosage
B. Massage or TENS unit
C. Surgical intervention
D. Complete bed rest
Answer: B
Rationale: The Gate Control Theory suggests that non-painful input, like massage or TENS,
closes the ‘gates’ to painful input, preventing pain sensations from traveling to the CNS.
8. A patient with terminal cancer is receiving large doses of opioids and is still in
pain. They request more medication. What is the nurse’s best action?
A. Withhold the dose to prevent addiction
B. Administer the medication as prescribed
C. Tell the patient they have reached the maximum dose
D. Give a placebo to check if the pain is real
Answer: B
Rationale: In palliative care, the goal is comfort. Addiction is not a primary concern, and
there is no ‘ceiling effect’ for pure opioid agonists in terminal illness.
