NCLEX Fundamentals of Nursing Exam Questions & Answers with
Rationales | Comprehensive Review Guide | Verified Practice Test |
Latest NCLEX Prep | Pass on Your First Attempt
A 73-Year-Old Patient Who Sustained A Right Hip Fracture In A Fall Requests Pain Medication
From The Nurse. Based On His Injury, Which Type Of Pain Is This Patient Most Likely
Experiencing?
1) Phantom
2) Visceral
3) Deep Somatic
4) Referred
ANS>>
3) Deep Somatic
FEEDBACK:
Deep Somatic Pain Originates In Ligaments, Tendons, Nerves, Blood Vessels, And Bones.
Therefore, A Hip Fracture Causes Deep Somatic Pain. Phantom Pain Is Pain That Is Perceived To
Originate From A Part That Was Removed During Surgery. Visceral Pain Is Caused By Deep
Internal Pain Receptors And Commonly Occurs In The Abdominal Cavity, Cranium, And Thorax.
Referred Pain Occurs In An Area That Is Distant To The Original Site.
Which Pain Management Task Can The Nurse Safely Delegate To Nursing Assistive Personnel?
1) Asking About Pain During Vital Signs
2) Evaluating The Effectiveness Of Pain Medication
3) Developing A Plan Of Care Involving Nonpharmacologic Interventions
4) Administering Over-The-Counter Pain Medications
ANS>>
1) Asking About Pain During Vital Signs
, FEEDBACK:
The Nurse Can Delegate The Task Of Asking About Pain When Nursing Assistive Personnel (NAP)
Obtain Vital Signs. The NAP Must Be Instructed To Report Findings To The Nurse Without Delay.
The Nurse Should Evaluate The Effectiveness Of Pain Medications And Develop The Plan Of
Care. Administering Over-The-Counter And Prescription Medications Is The Responsibility Of
The Registered Nurse Or Licensed Practical Nurse.
Which Factor In The Patient's Past Medical History Dictates That The Nurse Exercise Caution
When Administering Acetaminophen (Tylenol)?
1) Hepatitis B
2) Occasional Alcohol Use
3) Allergy To Aspirin
4) Gastric Irritation With Bleeding
ANS>>
1) Hepatitis B
FEEDBACK:
Even In Recommended Doses, Acetaminophen Can Cause Severe Hepatotoxicity In Patients
With Liver Disease, Such As Hepatitis B. Patients Who Consume Alcohol Regularly Should Also
Use Acetaminophen Cautiously. Those Allergic To Aspirin Or Other Nonsteroidal Anti-
Inflammatory Drugs (Nsaids) Can Use Acetaminophen Safely. Acetaminophen Rarely Causes
Gastrointestinal (GI) Problems; Therefore, It Can Be Used For Those With A History Of Gastric
Irritation And Bleeding.
Rationales | Comprehensive Review Guide | Verified Practice Test |
Latest NCLEX Prep | Pass on Your First Attempt
A 73-Year-Old Patient Who Sustained A Right Hip Fracture In A Fall Requests Pain Medication
From The Nurse. Based On His Injury, Which Type Of Pain Is This Patient Most Likely
Experiencing?
1) Phantom
2) Visceral
3) Deep Somatic
4) Referred
ANS>>
3) Deep Somatic
FEEDBACK:
Deep Somatic Pain Originates In Ligaments, Tendons, Nerves, Blood Vessels, And Bones.
Therefore, A Hip Fracture Causes Deep Somatic Pain. Phantom Pain Is Pain That Is Perceived To
Originate From A Part That Was Removed During Surgery. Visceral Pain Is Caused By Deep
Internal Pain Receptors And Commonly Occurs In The Abdominal Cavity, Cranium, And Thorax.
Referred Pain Occurs In An Area That Is Distant To The Original Site.
Which Pain Management Task Can The Nurse Safely Delegate To Nursing Assistive Personnel?
1) Asking About Pain During Vital Signs
2) Evaluating The Effectiveness Of Pain Medication
3) Developing A Plan Of Care Involving Nonpharmacologic Interventions
4) Administering Over-The-Counter Pain Medications
ANS>>
1) Asking About Pain During Vital Signs
, FEEDBACK:
The Nurse Can Delegate The Task Of Asking About Pain When Nursing Assistive Personnel (NAP)
Obtain Vital Signs. The NAP Must Be Instructed To Report Findings To The Nurse Without Delay.
The Nurse Should Evaluate The Effectiveness Of Pain Medications And Develop The Plan Of
Care. Administering Over-The-Counter And Prescription Medications Is The Responsibility Of
The Registered Nurse Or Licensed Practical Nurse.
Which Factor In The Patient's Past Medical History Dictates That The Nurse Exercise Caution
When Administering Acetaminophen (Tylenol)?
1) Hepatitis B
2) Occasional Alcohol Use
3) Allergy To Aspirin
4) Gastric Irritation With Bleeding
ANS>>
1) Hepatitis B
FEEDBACK:
Even In Recommended Doses, Acetaminophen Can Cause Severe Hepatotoxicity In Patients
With Liver Disease, Such As Hepatitis B. Patients Who Consume Alcohol Regularly Should Also
Use Acetaminophen Cautiously. Those Allergic To Aspirin Or Other Nonsteroidal Anti-
Inflammatory Drugs (Nsaids) Can Use Acetaminophen Safely. Acetaminophen Rarely Causes
Gastrointestinal (GI) Problems; Therefore, It Can Be Used For Those With A History Of Gastric
Irritation And Bleeding.
