NUR 115 Study Guide Exam
Questions With Correct Answers
Which postoperative client is manifesting the most serious
| | | | | | | |
negative effect of inadequate pain management?
| | | | |
1. Demonstrates continuous use of call bell related to
| | | | | | | | |
unsatisfied needs and discomfort | | |
2. Develops venous thromboembolism related to
| | | | | |
immobility caused by pain and discomfort | | | | |
3. Refuses to participate in physical activity because of fear
| | | | | | | | | |
of pain caused by exercise
| | | |
4. Feels depressed about loss of function and helpless
| | | | | | | | |
about getting relief from pain - CORRECT ANSWER✔✔-2.
| | | | | | | |
Develops venous thromboembolism related to immobility
| | | | | |
caused by pain and discomfort | | | |
A client with chronic pain reports to the charge nurse that
| | | | | | | | | | |
the other nurses have not been responding to your request
| | | | | | | | | |
for pain medication. What is the charge nurses initial
| | | | | | | | |
action?
1. Check the medication administration records for the past
| | | | | | | |
several days.
| | |
2. Ask the nurse educator to provide in-service training
| | | | | | | | |
about pain management.
| | |
,3. Perform a complete pain assessment on the client and
| | | | | | | | | |
take a pain history.
| | | |
4. Have a conference with the staff nurses to assess their
| | | | | | | | | | |
care of this client. - CORRECT ANSWER✔✔-4. Have a
| | | | | | | | |
conference with the staff nurses to assess their care of this
| | | | | | | | | | |
client.
According to recent guidelines from the American pain
| | | | | | | |
society in collaboration with the American Society of
| | | | | | | |
anesthesiologist, what are the priority pain management | | | | | | |
strategies that the nurse would expect to see in the pain
| | | | | | | | | | |
management for post surgical clients? Select all that apply. | | | | | | | |
1. Acetaminophen and or nonsteroidal anti-inflammatory
| | | | | |
drugs (NSAIDS) for management of postoperative pain in
| | | | | | | |
adults and children without contraindications
| | | | |
2. Surgical site specific peripheral region anesthetic
| | | | | | |
techniques in adults and children for procedures | | | | | |
3. Neuraxial (epidural) analgesia for major thoracic and
| | | | | | | |
abdominal procedures if the client has risk for cardiac
| | | | | | | | |
complications or prolonged ileus | | |
4. Multimodal therapy that could include opioids and non-
| | | | | | | |
Opioid therapies, regional anesthetic techniques, and
| | | | | |
nonpharmacologic therapies |
5. Long acting oral opioids, especially the immediate
| | | | | | | |
postoperative period, for continuous around the - CORRECT | | | | | | |
ANSWER✔✔-1, 2, 3, 4
| | | |
,The home health nurse is interviewing an older client with a
| | | | | | | | | | |
history of mild heart failure and rheumatoid arthritis. The
| | | | | | | | |
client reports "feeling pretty good, except for the pain and
| | | | | | | | | |
stiffness in my joints when I first get out of bed." Which
| | | | | | | | | | | |
member of the healthcare team would be the most
| | | | | | | | |
appropriate to aid in the clients report of pain? | | | | | | | |
1. Healthcare provider to review the dosage and frequency
| | | | | | | | |
of pain medication.
| | |
2. Physical therapist for evaluation of function and possible
| | | | | | | | |
exercise therapy. | |
3. Social worker to locate community resources for
| | | | | | | |
complementary therapy. | |
4. Unlicensed assistive personnel to help client with a warm
| | | | | | | | | |
shower in the morning - CORRECT ANSWER✔✔-4.
| | | | | | |
Unlicensed assistive personnel to help client with a warm | | | | | | | | |
shower in the morning | | |
Family members are encouraging the client to "tough out
| | | | | | | | |
the pain" rather than risk drug addiction to opioids. The
| | | | | | | | | |
client is stoically abiding. The nurse recognizes that the
| | | | | | | | |
sociocultural dimension of pain is the current priority for the | | | | | | | | |
client. Which question will the nurse ask?
| | | | | | |
|
| 1.
"Where is the pain located, and does it radiate to other
| | | | | | | | | | |
parts of your body?"
| | |
|
, | 2.
"How would you describe the pain, and how is it affecting
| | | | | | | | | | |
you?"
| 3.
"What do you believe about pain medication and drug
| | | | | | | | |
addiction?"
| 4.
"How is the pain affecting your activity level and your ability
| | | | | | | | | |
to function?" - CORRECT ANSWER✔✔-3. "What do you
| | | | | | | | |
believe about pain medication and drug addiction?"
| | | | | |
A client with diabetic neuropathy reports a burning,
| | | | | | | |
electrical-type pain in the lower extremities that is worse at | | | | | | | | | |
night and not responding to nonsteroidal anti-inflammatory
| | | | | |
drugs. Which medication will the nurse advocate for first?
| | | | | | | | |
| 1.
Gabapentin
|
| 2.
Corticosteroids
Questions With Correct Answers
Which postoperative client is manifesting the most serious
| | | | | | | |
negative effect of inadequate pain management?
| | | | |
1. Demonstrates continuous use of call bell related to
| | | | | | | | |
unsatisfied needs and discomfort | | |
2. Develops venous thromboembolism related to
| | | | | |
immobility caused by pain and discomfort | | | | |
3. Refuses to participate in physical activity because of fear
| | | | | | | | | |
of pain caused by exercise
| | | |
4. Feels depressed about loss of function and helpless
| | | | | | | | |
about getting relief from pain - CORRECT ANSWER✔✔-2.
| | | | | | | |
Develops venous thromboembolism related to immobility
| | | | | |
caused by pain and discomfort | | | |
A client with chronic pain reports to the charge nurse that
| | | | | | | | | | |
the other nurses have not been responding to your request
| | | | | | | | | |
for pain medication. What is the charge nurses initial
| | | | | | | | |
action?
1. Check the medication administration records for the past
| | | | | | | |
several days.
| | |
2. Ask the nurse educator to provide in-service training
| | | | | | | | |
about pain management.
| | |
,3. Perform a complete pain assessment on the client and
| | | | | | | | | |
take a pain history.
| | | |
4. Have a conference with the staff nurses to assess their
| | | | | | | | | | |
care of this client. - CORRECT ANSWER✔✔-4. Have a
| | | | | | | | |
conference with the staff nurses to assess their care of this
| | | | | | | | | | |
client.
According to recent guidelines from the American pain
| | | | | | | |
society in collaboration with the American Society of
| | | | | | | |
anesthesiologist, what are the priority pain management | | | | | | |
strategies that the nurse would expect to see in the pain
| | | | | | | | | | |
management for post surgical clients? Select all that apply. | | | | | | | |
1. Acetaminophen and or nonsteroidal anti-inflammatory
| | | | | |
drugs (NSAIDS) for management of postoperative pain in
| | | | | | | |
adults and children without contraindications
| | | | |
2. Surgical site specific peripheral region anesthetic
| | | | | | |
techniques in adults and children for procedures | | | | | |
3. Neuraxial (epidural) analgesia for major thoracic and
| | | | | | | |
abdominal procedures if the client has risk for cardiac
| | | | | | | | |
complications or prolonged ileus | | |
4. Multimodal therapy that could include opioids and non-
| | | | | | | |
Opioid therapies, regional anesthetic techniques, and
| | | | | |
nonpharmacologic therapies |
5. Long acting oral opioids, especially the immediate
| | | | | | | |
postoperative period, for continuous around the - CORRECT | | | | | | |
ANSWER✔✔-1, 2, 3, 4
| | | |
,The home health nurse is interviewing an older client with a
| | | | | | | | | | |
history of mild heart failure and rheumatoid arthritis. The
| | | | | | | | |
client reports "feeling pretty good, except for the pain and
| | | | | | | | | |
stiffness in my joints when I first get out of bed." Which
| | | | | | | | | | | |
member of the healthcare team would be the most
| | | | | | | | |
appropriate to aid in the clients report of pain? | | | | | | | |
1. Healthcare provider to review the dosage and frequency
| | | | | | | | |
of pain medication.
| | |
2. Physical therapist for evaluation of function and possible
| | | | | | | | |
exercise therapy. | |
3. Social worker to locate community resources for
| | | | | | | |
complementary therapy. | |
4. Unlicensed assistive personnel to help client with a warm
| | | | | | | | | |
shower in the morning - CORRECT ANSWER✔✔-4.
| | | | | | |
Unlicensed assistive personnel to help client with a warm | | | | | | | | |
shower in the morning | | |
Family members are encouraging the client to "tough out
| | | | | | | | |
the pain" rather than risk drug addiction to opioids. The
| | | | | | | | | |
client is stoically abiding. The nurse recognizes that the
| | | | | | | | |
sociocultural dimension of pain is the current priority for the | | | | | | | | |
client. Which question will the nurse ask?
| | | | | | |
|
| 1.
"Where is the pain located, and does it radiate to other
| | | | | | | | | | |
parts of your body?"
| | |
|
, | 2.
"How would you describe the pain, and how is it affecting
| | | | | | | | | | |
you?"
| 3.
"What do you believe about pain medication and drug
| | | | | | | | |
addiction?"
| 4.
"How is the pain affecting your activity level and your ability
| | | | | | | | | |
to function?" - CORRECT ANSWER✔✔-3. "What do you
| | | | | | | | |
believe about pain medication and drug addiction?"
| | | | | |
A client with diabetic neuropathy reports a burning,
| | | | | | | |
electrical-type pain in the lower extremities that is worse at | | | | | | | | | |
night and not responding to nonsteroidal anti-inflammatory
| | | | | |
drugs. Which medication will the nurse advocate for first?
| | | | | | | | |
| 1.
Gabapentin
|
| 2.
Corticosteroids
