ADN 210 EXAM 3 QUESTIONS WITH VERIFIED SOLUTIONS LATEST
UPDATE 2026
A client is eligible for patient-controlled analgesia (PCA) when:
a) A family member is able to assist with self-dosing
b) there are advanced directives in place
c) the client has the ability to self-administer
d) there is a nurse to assist with self-administration - Answers The client has the
ability to self-administer
A client is receiving morphine sulfate by a patient-controlled analgesia (PCA) system
after a left lower lobectomy about 4 hours ago. The client reports moderately severe
pain in the left thorax that worsens when coughing. The nurse's first course of action
is to:
a.) reassure the client that the PCA system is working and will relieve pain.
b.) encourage the client to rest; no further assessment is needed.
c.) Asses the pain systemically with the hospital approved pain scale.
d.) Encourage the client to take deep breaths and expectorate the mucous that is
stimulating the cough. - Answers Asses the pain systemically with the hospital
approved pain scale.
The use of a patient-controlled analgesia (PCA) pump is effective in which situation?
a) The client achieves a therapeutic level of analgesia.
b) The client does not become dependent on opioids postoperatively
c) There is decreased cost by decreasing use of IM injections
d) The family can assist the client in managing the pain. - Answers The client
achieves a therapeutic level of analgesia.
A client who is recovering from a bilateral adrenalectomy has a patient-controlled
analgesia (PCA) system with morphine sulfate. The nurse should:
a) observe the client at regular intervals for opioid addiction
b) encourage the client to reduce analgesic use and tolerate the pain.
c) evaluate pain control at least every 2 hours.
d) increase the amount of morphine if the client does not administer the medication -
Answers Evaluate pain control at least every 2 hours
After completing client teaching on use of patient-controlled analgesia (PCA) the
nurse determiens that the client understands when the client says:
a) "it is okay for my family to press the button for me if I am too tired to do it
myself."
b) "I should wait until the pain is really bad before I push the button to get more pain
medicine."
c) "The machine will give me only the prescribed amount of pain medication even if I
push the button too soon."
d) "I have to be careful about pushing the button too many time or I will overdose." -
Answers "The machine will give me only the prescribed amount of pain medication
even if I push the button too soon."
You have completed a preoperative teaching session with a patient who will receive
morphine via a patient-controlled analgesia pump (PCA) after surgery/ Which of the
following statements by the patient indicates the need for further teaching?
a) "I will remind my family member to push the PCA pump button for me if i doze off
during the day."
, b) "I will let my nurse know if the pain medication is not effective enough to help me
move after surgery."
c) "I can push the button whenever I feel pain."
d) "I will use the PCA pump until oral pain medication controls my pain." - Answers
"I will remind my family member to push the PCA pump button for me if i doze off
during the day."
A patient has been admitted to a post-surgical unit with a patient-controlled analgesia
(PCA) system. Which of the following statements is true of this medication delivery
system?
a) The dose that is delivered when the patient activates the machine is preset.
b) Thorough patient teaching is necessary to prevent overdoses.
c) Use of opioid analgesics in a PCA is contraindicated due to the risk of respiratory
depression
d) An antidote is automatically delivered if the patient exceeds the recommended dose
- Answers The dose that is delivered when the patient activates the machine is preset.
Which of the following is the priority assessment for a nurse caring for a client with a
PCA pump?
a) respiratory
b) cardiovascular
c) peripheral vascular
d) neuromuscular - Answers Respiratory
A client who is 1 day postoperative is using a morphine PCA pump. The client is
confused and disoriented. What is the priority intervention by the nurse?
a) Check the respiratory rate and depth as well as oxygen saturation levels
b) Check the pulse rate and blood pressure
c) Check whether the client is self-administering a bolus too frequently
d) Check for shortness of breath, signifying a pulmonary embolism. - Answers Check
the respiratory rate and depth as well as oxygen saturation levels
A client who underwent a left lower lobectomy has been out of surgery for 48 hours.
The client is receiving morphine sulfate via PCA system and reports having pain in
the left thorax that worsens when coughing. After checking the PCA system, the nurse
should next:
a) Let the client rest, so the client is not stimulated to cough.
b) Encourage the client to take deep breaths to help control the pain.
c) Reassure the client that the machine is working and will administer medication to
relieve the pain.
d) Obtain a more detailed assessment of the client's pain using a pain scale. -
Answers Obtain a more detailed assessment of the client's pain using a pain scale.
The nurse is preparing to care for an 86-year-old client who just returned to the unit
after surgery to repair a fractured hip. The client has severe dementia. Which pain
management strategy would be most appropriate for this client?
a) IV patient-controlled analgesia
b) Oral patient-controlled analgesia (PCA)
c) Around-the-clock oral pain medication
d) As needed (PRN) IV pain medication - Answers Around-the-clock oral pain
medication
The nurse is teaching a client how to manage their post-operative pain through a PCA
pump. The nurse determines that additional teaching is needed when the client states
which of the following?
a) This will allow me to control my own pain medication
UPDATE 2026
A client is eligible for patient-controlled analgesia (PCA) when:
a) A family member is able to assist with self-dosing
b) there are advanced directives in place
c) the client has the ability to self-administer
d) there is a nurse to assist with self-administration - Answers The client has the
ability to self-administer
A client is receiving morphine sulfate by a patient-controlled analgesia (PCA) system
after a left lower lobectomy about 4 hours ago. The client reports moderately severe
pain in the left thorax that worsens when coughing. The nurse's first course of action
is to:
a.) reassure the client that the PCA system is working and will relieve pain.
b.) encourage the client to rest; no further assessment is needed.
c.) Asses the pain systemically with the hospital approved pain scale.
d.) Encourage the client to take deep breaths and expectorate the mucous that is
stimulating the cough. - Answers Asses the pain systemically with the hospital
approved pain scale.
The use of a patient-controlled analgesia (PCA) pump is effective in which situation?
a) The client achieves a therapeutic level of analgesia.
b) The client does not become dependent on opioids postoperatively
c) There is decreased cost by decreasing use of IM injections
d) The family can assist the client in managing the pain. - Answers The client
achieves a therapeutic level of analgesia.
A client who is recovering from a bilateral adrenalectomy has a patient-controlled
analgesia (PCA) system with morphine sulfate. The nurse should:
a) observe the client at regular intervals for opioid addiction
b) encourage the client to reduce analgesic use and tolerate the pain.
c) evaluate pain control at least every 2 hours.
d) increase the amount of morphine if the client does not administer the medication -
Answers Evaluate pain control at least every 2 hours
After completing client teaching on use of patient-controlled analgesia (PCA) the
nurse determiens that the client understands when the client says:
a) "it is okay for my family to press the button for me if I am too tired to do it
myself."
b) "I should wait until the pain is really bad before I push the button to get more pain
medicine."
c) "The machine will give me only the prescribed amount of pain medication even if I
push the button too soon."
d) "I have to be careful about pushing the button too many time or I will overdose." -
Answers "The machine will give me only the prescribed amount of pain medication
even if I push the button too soon."
You have completed a preoperative teaching session with a patient who will receive
morphine via a patient-controlled analgesia pump (PCA) after surgery/ Which of the
following statements by the patient indicates the need for further teaching?
a) "I will remind my family member to push the PCA pump button for me if i doze off
during the day."
, b) "I will let my nurse know if the pain medication is not effective enough to help me
move after surgery."
c) "I can push the button whenever I feel pain."
d) "I will use the PCA pump until oral pain medication controls my pain." - Answers
"I will remind my family member to push the PCA pump button for me if i doze off
during the day."
A patient has been admitted to a post-surgical unit with a patient-controlled analgesia
(PCA) system. Which of the following statements is true of this medication delivery
system?
a) The dose that is delivered when the patient activates the machine is preset.
b) Thorough patient teaching is necessary to prevent overdoses.
c) Use of opioid analgesics in a PCA is contraindicated due to the risk of respiratory
depression
d) An antidote is automatically delivered if the patient exceeds the recommended dose
- Answers The dose that is delivered when the patient activates the machine is preset.
Which of the following is the priority assessment for a nurse caring for a client with a
PCA pump?
a) respiratory
b) cardiovascular
c) peripheral vascular
d) neuromuscular - Answers Respiratory
A client who is 1 day postoperative is using a morphine PCA pump. The client is
confused and disoriented. What is the priority intervention by the nurse?
a) Check the respiratory rate and depth as well as oxygen saturation levels
b) Check the pulse rate and blood pressure
c) Check whether the client is self-administering a bolus too frequently
d) Check for shortness of breath, signifying a pulmonary embolism. - Answers Check
the respiratory rate and depth as well as oxygen saturation levels
A client who underwent a left lower lobectomy has been out of surgery for 48 hours.
The client is receiving morphine sulfate via PCA system and reports having pain in
the left thorax that worsens when coughing. After checking the PCA system, the nurse
should next:
a) Let the client rest, so the client is not stimulated to cough.
b) Encourage the client to take deep breaths to help control the pain.
c) Reassure the client that the machine is working and will administer medication to
relieve the pain.
d) Obtain a more detailed assessment of the client's pain using a pain scale. -
Answers Obtain a more detailed assessment of the client's pain using a pain scale.
The nurse is preparing to care for an 86-year-old client who just returned to the unit
after surgery to repair a fractured hip. The client has severe dementia. Which pain
management strategy would be most appropriate for this client?
a) IV patient-controlled analgesia
b) Oral patient-controlled analgesia (PCA)
c) Around-the-clock oral pain medication
d) As needed (PRN) IV pain medication - Answers Around-the-clock oral pain
medication
The nurse is teaching a client how to manage their post-operative pain through a PCA
pump. The nurse determines that additional teaching is needed when the client states
which of the following?
a) This will allow me to control my own pain medication
