Principles Chapter 46 Pain
Management Test Bank Exam
Questions with Correct Answers
An older client who refuses medication for pain is irritable and unable to sleep. What
should the nurse explain to the client to encourage the use of pain medication?
Select all that apply.
1.) There are high-dose medications that will eradicate the pain.
2.) The lack of pain control is causing the inability to sleep.
3.) The lack of pain control is causing irritability.
4.) The risks of taking pain medication are low in the older population.
5.) The lack of pain control will affect mobility and activity tolerance. - Answer-2, 3, 5
A client with pain has had previous episodes of uncontrolled pain in the past and is
worried about the current pain pattern. Which diagnosis would be appropriate for the
nurse to include for this client?
1.) Anxiety
2.) Ineffective Coping
3.) Deficient Knowledge
4.) Hopelessness - Answer-1
From an assessment, the nurse learns that the client is having difficulty sleeping
because of pain in the hips and knees due to arthritis. The client is weak and
fatigued. Which diagnoses would be applicable to the client at this time? Select all
that apply.
1.) Anxiety
2.) Hopelessness
3.) Ineffective Health Maintenance
4.) Insomnia
5.) Impaired Physical Mobility - Answer-3, 4, 5
A client experiencing chronic pain is not getting relief with pain medication. What
should the nurse do to help this client?
1.) Ask the physician to change the prescribed pain medication.
2.) Reassess the pain and consider another pain relief measure.
3.) Limit interaction with the client.
4.) Stop using alternative pain relief measures, if not effective. - Answer-2
, A client's pain level is assessed as being severe. Which intervention would be the
most applicable for the client at this time?
1.) Provide NSAID medication as prescribed.
2.) Coach the client with guided imagery.
3.) Suggest the client read or watch television until the pain subsides.
4.) Provide opioid analgesic as prescribed. - Answer-4
A client recovering from back surgery is refusing pain medication for fear of
becoming addicted. What should the nurse say to the client?
1.) "I understand."
2.) "There are ways to treat addictions to pain medications."
3.) "If the medication is taken to treat pain, you will not become addicted to it."
4.) "All pain medication causes addiction. There is nothing that can be done to
prevent it." - Answer-3
A client experiencing pain after surgery says "Something must be wrong" because
the pain is so severe. What is the best response for the nurse to make to the client?
1.) "The amount of tissue disrupted from the surgery is not related to the degree of
pain you feel."
2.) "That could be so."
3.) "Taking pain medication for many years has made the medication ineffective
now."
4.) "Are you sure the pain is as bad as you are saying it is?" - Answer-1
A client has been taking medication for back pain for several months, and has seen
several different health care providers in efforts to receive pain medication. The
nurse is concerned that the client is exhibiting
1.) tolerance.
2.) addiction.
3.) physical dependence.
4.) pseudoaddiction. - Answer-2
A client repeatedly asks the nurse "How much longer until I can get more pain
medication?" Once the medication is provided, the client stops asking for it. The
nurse identifies the client's behavior as being
1.) addiction.
2.) tolerance.
3.) pseudoaddiction.
4.) physical dependence. - Answer-3
After receiving medication for mild pain, the client states that the pain is getting
worse. What should the nurse plan to do for this client?
1.) Administer another dose of a nonopioid medication.
2.) Administer an opioid for severe pain.
Management Test Bank Exam
Questions with Correct Answers
An older client who refuses medication for pain is irritable and unable to sleep. What
should the nurse explain to the client to encourage the use of pain medication?
Select all that apply.
1.) There are high-dose medications that will eradicate the pain.
2.) The lack of pain control is causing the inability to sleep.
3.) The lack of pain control is causing irritability.
4.) The risks of taking pain medication are low in the older population.
5.) The lack of pain control will affect mobility and activity tolerance. - Answer-2, 3, 5
A client with pain has had previous episodes of uncontrolled pain in the past and is
worried about the current pain pattern. Which diagnosis would be appropriate for the
nurse to include for this client?
1.) Anxiety
2.) Ineffective Coping
3.) Deficient Knowledge
4.) Hopelessness - Answer-1
From an assessment, the nurse learns that the client is having difficulty sleeping
because of pain in the hips and knees due to arthritis. The client is weak and
fatigued. Which diagnoses would be applicable to the client at this time? Select all
that apply.
1.) Anxiety
2.) Hopelessness
3.) Ineffective Health Maintenance
4.) Insomnia
5.) Impaired Physical Mobility - Answer-3, 4, 5
A client experiencing chronic pain is not getting relief with pain medication. What
should the nurse do to help this client?
1.) Ask the physician to change the prescribed pain medication.
2.) Reassess the pain and consider another pain relief measure.
3.) Limit interaction with the client.
4.) Stop using alternative pain relief measures, if not effective. - Answer-2
, A client's pain level is assessed as being severe. Which intervention would be the
most applicable for the client at this time?
1.) Provide NSAID medication as prescribed.
2.) Coach the client with guided imagery.
3.) Suggest the client read or watch television until the pain subsides.
4.) Provide opioid analgesic as prescribed. - Answer-4
A client recovering from back surgery is refusing pain medication for fear of
becoming addicted. What should the nurse say to the client?
1.) "I understand."
2.) "There are ways to treat addictions to pain medications."
3.) "If the medication is taken to treat pain, you will not become addicted to it."
4.) "All pain medication causes addiction. There is nothing that can be done to
prevent it." - Answer-3
A client experiencing pain after surgery says "Something must be wrong" because
the pain is so severe. What is the best response for the nurse to make to the client?
1.) "The amount of tissue disrupted from the surgery is not related to the degree of
pain you feel."
2.) "That could be so."
3.) "Taking pain medication for many years has made the medication ineffective
now."
4.) "Are you sure the pain is as bad as you are saying it is?" - Answer-1
A client has been taking medication for back pain for several months, and has seen
several different health care providers in efforts to receive pain medication. The
nurse is concerned that the client is exhibiting
1.) tolerance.
2.) addiction.
3.) physical dependence.
4.) pseudoaddiction. - Answer-2
A client repeatedly asks the nurse "How much longer until I can get more pain
medication?" Once the medication is provided, the client stops asking for it. The
nurse identifies the client's behavior as being
1.) addiction.
2.) tolerance.
3.) pseudoaddiction.
4.) physical dependence. - Answer-3
After receiving medication for mild pain, the client states that the pain is getting
worse. What should the nurse plan to do for this client?
1.) Administer another dose of a nonopioid medication.
2.) Administer an opioid for severe pain.
