2
Pain Management NCLEX Exam with accurate detailed
|| || || || || || ||
answers
A client with chronic pain reports to you, the charge nurse, that the nurse have not been
|| || || || || || || || || || || || || || || || ||
responding to requests for pain medication. What is your initial action?
|| || || || || || || || || ||
A. Check the MARs and nurses' notes for the past several days.
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B. Ask the nurse educator to give an in-service about pain management.
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C. Perform a complete pain assessment and history on the client.
|| || || || || || || || || ||
D. Have a conference with the nurses responsible for the care of this client. - ✔✔have a
|| || || || || || || || || || || || || || || || ||
conference with the nurses responsible for the care of this client
|| || || || || || || || || ||
Family members are encouraging your client to "tough it out" rather than run the risk of
|| || || || || || || || || || || || || || || ||
becoming addicted to narcotics. The client is stoically abiding by the family's wishes.
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Priority nursing interventions for this client should target which dimension of pain?
|| || || || || || || || || || ||
A. Sensory
||
B. Affective
||
C. Sociocultural
||
D. Behavioral
||
E. Cognitive - ✔✔sociocultural
|| || ||
A client with diabetic neuropathy reports a burning, electrical-type in the lower extremities
|| || || || || || || || || || || || ||
that is not responding to NSAIDs. You anticipate that the physician will order which
|| || || || || || || || || || || || || ||
adjuvant medication for this type of pain?|| || || || || || ||
A. Amitriptyline (Elavil)
|| ||
, 2
B. Corticosteroids
||
C. Methylphenidate (Ritalin)
|| ||
D. Lorazepam (Ativan) - ✔✔amitriptyline (Elavil)
|| || || || ||
Which client is most likely to receive opioids for extended periods of time?
|| || || || || || || || || || || ||
A. A client with fibromyalgia
|| || || ||
B. A client with phantom limb pain
|| || || || || ||
C. A client with progressive pancreatic cancer
|| || || || || ||
D. A client with trigeminal neuralgia - ✔✔A client with progressive pancreatic cancer
|| || || || || || || || || || || ||
As the charge nurse, you are reviewing the charts of clients who were assigned to a newly
|| || || || || || || || || || || || || || || || ||
graduated RN. The RN has correctly charted dose and time of medication, but there is no
|| || || || || || || || || || || || || || || ||
documentation regarding non-pharmaceutical measures. What action should you take first? || || || || || || || || ||
A. Make a note in the nurse's file and continue to observe clinical performance
|| || || || || || || || || || || || ||
B. Refer the new nurse to the in-service education department.
|| || || || || || || || ||
C. Quiz the nurse about knowledge of pain management
|| || || || || || || ||
D. Give praise for the correct dose and time and discuss the deficits in charting. - ✔✔Give
|| || || || || || || || || || || || || || || || ||
praise for the correct dose and time and discuss the deficits in charting
|| || || || || || || || || || || ||
In caring for a young child with pain, which assessment tool is the most useful?
|| || || || || || || || || || || || || ||
A. Simple description pain intensity scale
|| || || || ||
B. 0-10 numeric pain scale
|| || || ||
C. Faces pain-rating scale
|| || ||
D. McGill-Melzack pain questionnaire - ✔✔C. Faces pain-rating scale
|| || || || || || || ||
Pain Management NCLEX Exam with accurate detailed
|| || || || || || ||
answers
A client with chronic pain reports to you, the charge nurse, that the nurse have not been
|| || || || || || || || || || || || || || || || ||
responding to requests for pain medication. What is your initial action?
|| || || || || || || || || ||
A. Check the MARs and nurses' notes for the past several days.
|| || || || || || || || || || ||
B. Ask the nurse educator to give an in-service about pain management.
|| || || || || || || || || || ||
C. Perform a complete pain assessment and history on the client.
|| || || || || || || || || ||
D. Have a conference with the nurses responsible for the care of this client. - ✔✔have a
|| || || || || || || || || || || || || || || || ||
conference with the nurses responsible for the care of this client
|| || || || || || || || || ||
Family members are encouraging your client to "tough it out" rather than run the risk of
|| || || || || || || || || || || || || || || ||
becoming addicted to narcotics. The client is stoically abiding by the family's wishes.
|| || || || || || || || || || || || ||
Priority nursing interventions for this client should target which dimension of pain?
|| || || || || || || || || || ||
A. Sensory
||
B. Affective
||
C. Sociocultural
||
D. Behavioral
||
E. Cognitive - ✔✔sociocultural
|| || ||
A client with diabetic neuropathy reports a burning, electrical-type in the lower extremities
|| || || || || || || || || || || || ||
that is not responding to NSAIDs. You anticipate that the physician will order which
|| || || || || || || || || || || || || ||
adjuvant medication for this type of pain?|| || || || || || ||
A. Amitriptyline (Elavil)
|| ||
, 2
B. Corticosteroids
||
C. Methylphenidate (Ritalin)
|| ||
D. Lorazepam (Ativan) - ✔✔amitriptyline (Elavil)
|| || || || ||
Which client is most likely to receive opioids for extended periods of time?
|| || || || || || || || || || || ||
A. A client with fibromyalgia
|| || || ||
B. A client with phantom limb pain
|| || || || || ||
C. A client with progressive pancreatic cancer
|| || || || || ||
D. A client with trigeminal neuralgia - ✔✔A client with progressive pancreatic cancer
|| || || || || || || || || || || ||
As the charge nurse, you are reviewing the charts of clients who were assigned to a newly
|| || || || || || || || || || || || || || || || ||
graduated RN. The RN has correctly charted dose and time of medication, but there is no
|| || || || || || || || || || || || || || || ||
documentation regarding non-pharmaceutical measures. What action should you take first? || || || || || || || || ||
A. Make a note in the nurse's file and continue to observe clinical performance
|| || || || || || || || || || || || ||
B. Refer the new nurse to the in-service education department.
|| || || || || || || || ||
C. Quiz the nurse about knowledge of pain management
|| || || || || || || ||
D. Give praise for the correct dose and time and discuss the deficits in charting. - ✔✔Give
|| || || || || || || || || || || || || || || || ||
praise for the correct dose and time and discuss the deficits in charting
|| || || || || || || || || || || ||
In caring for a young child with pain, which assessment tool is the most useful?
|| || || || || || || || || || || || || ||
A. Simple description pain intensity scale
|| || || || ||
B. 0-10 numeric pain scale
|| || || ||
C. Faces pain-rating scale
|| || ||
D. McGill-Melzack pain questionnaire - ✔✔C. Faces pain-rating scale
|| || || || || || || ||
