1
PRN 1032 - EXAM 3 LATEST 2026/2027 | MULTIPLE-
CHOICE | 40 VERIFIED Q&A | DETAILED RATIONALES
|NGN-ALIGNED | PASS GUARANTEED – A+ GRADED
SECTION 1: COMFORT & PAIN MANAGEMENT - Questions 1-8
Q1: Pain Management - Non-Pharmacological Interventions
A nurse is teaching a client about non-pharmacological pain management. Which intervention
should the nurse include?
A. Administering morphine as prescribed
B. Applying a cold or warm compress to the painful area
C. Increasing the dose of ibuprofen
D. Requesting a patient-controlled analgesia (PCA) pump
Correct Answer: B
Rationale: Non-pharmacological pain interventions include heat/cold therapy, massage, distraction,
relaxation techniques, and guided imagery. Pharmacological interventions include opioids and
NSAIDs. Applying heat or cold is a safe, non-pharmacological method to relieve pain. [100%
CORRECT]
Q2: Pain Management - Opioid Adverse Effects
A client is prescribed an opioid analgesic for severe pain. Which adverse effect is most common and
requires preventive intervention?
A. Respiratory depression
B. Constipation
C. Sedation
D. Nausea
Correct Answer: B
Rationale: Constipation is the most common adverse effect of opioids. A bowel regimen, including
stool softeners and increased fluids, should be initiated to prevent constipation. Respiratory
depression, sedation, and nausea are also possible but less common and require monitoring. [100%
CORRECT]
Q3: Pain Assessment - Pain Quality
A client who is post-operative reports pain as "sharp and stabbing" at the incision site. The nurse
should document this as which component of the pain assessment?
A. Provocation
B. Quality
C. Region
D. Severity
, 2
Correct Answer: B
Rationale: The Quality of pain refers to its description, such as sharp, dull, burning, or stabbing. This
is documented as part of a comprehensive pain assessment using the PQRSTU framework.
Provocation refers to what makes it better or worse, region refers to location, and severity refers to
intensity. [100% CORRECT]
Q4: Pain Assessment - FLACC Scale
A nurse is assessing pain in a 3-year-old child who is nonverbal. Which pain assessment tool is most
appropriate?
A. Numerical rating scale (0-10)
B. Wong-Baker FACES scale
C. FLACC scale
D. Visual analog scale
Correct Answer: C
Rationale: The FLACC scale (Face, Legs, Activity, Cry, Consolability) is specifically designed for infants
and young children who cannot self-report pain. Wong-Baker FACES can be used for children as
young as 3, but FLACC is more objective for preverbal patients. Numerical and visual analog scales
require cognitive ability. [100% CORRECT]
Q5: Pain Assessment - Objective Signs
Objective signs of pain include:
A. Patient report of pain
B. Tachycardia, diaphoresis, and guarding
C. Patient report of pain intensity
D. Patient report of pain location
Correct Answer: B
Rationale: Objective signs of pain are observable by the clinician and include tachycardia, elevated
blood pressure, diaphoresis, guarding, and facial grimacing. Patient reports are subjective data.
[100% CORRECT]
Q6: Pain Management - WHO Analgesic Ladder
According to the WHO analgesic ladder, for mild pain, the recommended medication is:
A. Morphine
B. Hydromorphone
C. Non-opioid (e.g., acetaminophen)
D. Fentanyl
Correct Answer: C
Rationale: The WHO ladder recommends non-opioid analgesics (like acetaminophen or NSAIDs) for
mild pain (Step 1). For moderate pain, add a weak opioid (Step 2). For severe pain, use strong
opioids (Step 3). Morphine, hydromorphone, and fentanyl are strong opioids for severe pain. [100%
CORRECT]
PRN 1032 - EXAM 3 LATEST 2026/2027 | MULTIPLE-
CHOICE | 40 VERIFIED Q&A | DETAILED RATIONALES
|NGN-ALIGNED | PASS GUARANTEED – A+ GRADED
SECTION 1: COMFORT & PAIN MANAGEMENT - Questions 1-8
Q1: Pain Management - Non-Pharmacological Interventions
A nurse is teaching a client about non-pharmacological pain management. Which intervention
should the nurse include?
A. Administering morphine as prescribed
B. Applying a cold or warm compress to the painful area
C. Increasing the dose of ibuprofen
D. Requesting a patient-controlled analgesia (PCA) pump
Correct Answer: B
Rationale: Non-pharmacological pain interventions include heat/cold therapy, massage, distraction,
relaxation techniques, and guided imagery. Pharmacological interventions include opioids and
NSAIDs. Applying heat or cold is a safe, non-pharmacological method to relieve pain. [100%
CORRECT]
Q2: Pain Management - Opioid Adverse Effects
A client is prescribed an opioid analgesic for severe pain. Which adverse effect is most common and
requires preventive intervention?
A. Respiratory depression
B. Constipation
C. Sedation
D. Nausea
Correct Answer: B
Rationale: Constipation is the most common adverse effect of opioids. A bowel regimen, including
stool softeners and increased fluids, should be initiated to prevent constipation. Respiratory
depression, sedation, and nausea are also possible but less common and require monitoring. [100%
CORRECT]
Q3: Pain Assessment - Pain Quality
A client who is post-operative reports pain as "sharp and stabbing" at the incision site. The nurse
should document this as which component of the pain assessment?
A. Provocation
B. Quality
C. Region
D. Severity
, 2
Correct Answer: B
Rationale: The Quality of pain refers to its description, such as sharp, dull, burning, or stabbing. This
is documented as part of a comprehensive pain assessment using the PQRSTU framework.
Provocation refers to what makes it better or worse, region refers to location, and severity refers to
intensity. [100% CORRECT]
Q4: Pain Assessment - FLACC Scale
A nurse is assessing pain in a 3-year-old child who is nonverbal. Which pain assessment tool is most
appropriate?
A. Numerical rating scale (0-10)
B. Wong-Baker FACES scale
C. FLACC scale
D. Visual analog scale
Correct Answer: C
Rationale: The FLACC scale (Face, Legs, Activity, Cry, Consolability) is specifically designed for infants
and young children who cannot self-report pain. Wong-Baker FACES can be used for children as
young as 3, but FLACC is more objective for preverbal patients. Numerical and visual analog scales
require cognitive ability. [100% CORRECT]
Q5: Pain Assessment - Objective Signs
Objective signs of pain include:
A. Patient report of pain
B. Tachycardia, diaphoresis, and guarding
C. Patient report of pain intensity
D. Patient report of pain location
Correct Answer: B
Rationale: Objective signs of pain are observable by the clinician and include tachycardia, elevated
blood pressure, diaphoresis, guarding, and facial grimacing. Patient reports are subjective data.
[100% CORRECT]
Q6: Pain Management - WHO Analgesic Ladder
According to the WHO analgesic ladder, for mild pain, the recommended medication is:
A. Morphine
B. Hydromorphone
C. Non-opioid (e.g., acetaminophen)
D. Fentanyl
Correct Answer: C
Rationale: The WHO ladder recommends non-opioid analgesics (like acetaminophen or NSAIDs) for
mild pain (Step 1). For moderate pain, add a weak opioid (Step 2). For severe pain, use strong
opioids (Step 3). Morphine, hydromorphone, and fentanyl are strong opioids for severe pain. [100%
CORRECT]
