NURS 327 - Exam 1 questions and answers (2025-2026
update) 100% verified
Which substance reduces transmission of pain?
Endorphins
Acetylcholine
Serotonin
Substance P - ✔✔ANS Endorphins
The nurse is to administer meperidine 75 mg intramuscularly to a client. The medication is supplied in a
ampule of 50 mg/mL. How many milliliters should the nurse administer to the client? Enter the correct numbe
ONLY. - ✔✔ANS 1.5 mL
Acute pain can be distinguished from chronic pain by assessing which characteristic?
Acute pain responds poorly to drug therapy
Chronic pain diminishes with healing
Acute pain is specific and localized
Chronic pain is symptomatic of primary injury - ✔✔ANS Acute pain is specific and localized
Which statement is true regarding placebos?
A placebo effect is an indication that the client does not have pain
A placebo should never be used to test truthfulness about pain
A placebo should be used as first line treatment for a patient
,A positive response to a placebo indicates the patients pain is not real - ✔✔ANS A placebo should never b
used to test truthfulness about pain
A high school football player hurts his foot while playing a game. The client complains of intense pain wit
muscle spasms and swelling of the toe. Which pain assessment tool will the nurse most likely use to asses
the client's pain level?
Wong-Baker FACES Pain Rating Scale
Verbal Descriptor Scales (VDS)
Visual Analog Scale (VAS)
Numeric Rating Scale (NRS) - ✔✔ANS Numeric Rating Scale (NRS)
Which of the following is a true statement with regards to the nursing process of pain control?
The use of physiologic signs to indicate pain is unreliable.
Formulate treatment plans based on behaviors.
Usually all patients exhibit the same pain behaviors.
Nonverbal expressions of pain are reliable indicators of the quality of pain. - ✔✔ANS The use of physiologi
signs to indicate pain is unreliable.
The nurse understands that which of the following physiologic changes that influence the pain response occu
in the gerontologic population?
Increased sensitivity to medications
Decreased use of prescription and over-the-counter (OTC) medications
Lower blood levels of medications
Faster metabolism of medications - ✔✔ANS Increased sensitivity to medications
The nurse's major area of assessment for a patient receiving patient-controlled analgesia is assessment o
what system?
Respiratory
Neurologic
Cardiovascular
Integumentary - ✔✔ANS Respiratory
,A nurse documents the presence of chronic pain on an electronic health record. Choose a description tha
could be used. The pain can be:
Separate from any central or peripheral pathology.
Rapidly occurring and subsiding with treatment.
Attributed to a specific cause.
Prolonged in duration. - ✔✔ANS Prolonged in duration.
When taking a client history, the nurse notes that the client has been taking herbal remedies in addition t
acetaminophen for several years. Based on the admission history, the nurse understands that the client i
experiencing which type of pain?
Acute pain
Chronic pain
Neuropathic pain
Breakthrough pain - ✔✔ANS Chronic pain
A nurse would anticipate instituting contact precautions for a client with which of the following?
Clostridium difficile infection
Measles
Varicella
Mumps - ✔✔ANS Clostridium difficile infection
When assessing a client with suspected pertussis, which of the following would the nurse most likely find?
High fever
Paroxysmal cough
Chest pain
Diarrhea - ✔✔ANS Paroxysmal cough
A nurse is preparing a presentation for a local community group in a small rural area about hantaviru
pulmonary syndrome. Which of the following would the nurse suggest as a major prevention strategy?
Vaccinating infants and children
, Avoiding whirlpool spas
Wearing insect repellent
Eliminating rodent food sources in areas near humans - ✔✔ANS Eliminating rodent food sources in area
near humans
After demonstrating to a group of nursing students the proper technique for handwashing using soap an
water, the nursing instructor determines that the teaching has been successful when the student
demonstrate which of the following?
Washing the hands for 5 to 10 seconds
Vigorously scrubbing between the fingers
Removing the soap with a paper towel before rinsing
Washing underneath artificial fingernails - ✔✔ANS Vigorously scrubbing between the fingers
A family member of a client in a long-term care facility asks the nurse why he cannot insert a catheter so th
client will not develop skin breakdown from being wet. What should the explanation include when the nurs
responds to the family member?
Catheters are no longer used for treatment of incontinence.
Older adult residents are able to have catheters inserted if the family requests them.
The invasive nature of the catheter provides a portal for infection.
If a catheter is inserted, it must be flushed with normal saline daily. - ✔✔ANS The invasive nature of th
catheter provides a portal for infection
When a hospitalized client requires contact precautions, which responses is necessary?
The client's door should be closed.
Masks are worn when caring for the client.
The client should be placed in a private room when possible.
The client should be in a room with negative air pressure. - ✔✔ANS The client should be placed in a privat
room when possible.
The nurse is caring for a client diagnoses with severe acute respiratory syndrome (SARS). A family membe
asks what causes SARS. Which response by the nurse is accurate?
Escherichia coli
update) 100% verified
Which substance reduces transmission of pain?
Endorphins
Acetylcholine
Serotonin
Substance P - ✔✔ANS Endorphins
The nurse is to administer meperidine 75 mg intramuscularly to a client. The medication is supplied in a
ampule of 50 mg/mL. How many milliliters should the nurse administer to the client? Enter the correct numbe
ONLY. - ✔✔ANS 1.5 mL
Acute pain can be distinguished from chronic pain by assessing which characteristic?
Acute pain responds poorly to drug therapy
Chronic pain diminishes with healing
Acute pain is specific and localized
Chronic pain is symptomatic of primary injury - ✔✔ANS Acute pain is specific and localized
Which statement is true regarding placebos?
A placebo effect is an indication that the client does not have pain
A placebo should never be used to test truthfulness about pain
A placebo should be used as first line treatment for a patient
,A positive response to a placebo indicates the patients pain is not real - ✔✔ANS A placebo should never b
used to test truthfulness about pain
A high school football player hurts his foot while playing a game. The client complains of intense pain wit
muscle spasms and swelling of the toe. Which pain assessment tool will the nurse most likely use to asses
the client's pain level?
Wong-Baker FACES Pain Rating Scale
Verbal Descriptor Scales (VDS)
Visual Analog Scale (VAS)
Numeric Rating Scale (NRS) - ✔✔ANS Numeric Rating Scale (NRS)
Which of the following is a true statement with regards to the nursing process of pain control?
The use of physiologic signs to indicate pain is unreliable.
Formulate treatment plans based on behaviors.
Usually all patients exhibit the same pain behaviors.
Nonverbal expressions of pain are reliable indicators of the quality of pain. - ✔✔ANS The use of physiologi
signs to indicate pain is unreliable.
The nurse understands that which of the following physiologic changes that influence the pain response occu
in the gerontologic population?
Increased sensitivity to medications
Decreased use of prescription and over-the-counter (OTC) medications
Lower blood levels of medications
Faster metabolism of medications - ✔✔ANS Increased sensitivity to medications
The nurse's major area of assessment for a patient receiving patient-controlled analgesia is assessment o
what system?
Respiratory
Neurologic
Cardiovascular
Integumentary - ✔✔ANS Respiratory
,A nurse documents the presence of chronic pain on an electronic health record. Choose a description tha
could be used. The pain can be:
Separate from any central or peripheral pathology.
Rapidly occurring and subsiding with treatment.
Attributed to a specific cause.
Prolonged in duration. - ✔✔ANS Prolonged in duration.
When taking a client history, the nurse notes that the client has been taking herbal remedies in addition t
acetaminophen for several years. Based on the admission history, the nurse understands that the client i
experiencing which type of pain?
Acute pain
Chronic pain
Neuropathic pain
Breakthrough pain - ✔✔ANS Chronic pain
A nurse would anticipate instituting contact precautions for a client with which of the following?
Clostridium difficile infection
Measles
Varicella
Mumps - ✔✔ANS Clostridium difficile infection
When assessing a client with suspected pertussis, which of the following would the nurse most likely find?
High fever
Paroxysmal cough
Chest pain
Diarrhea - ✔✔ANS Paroxysmal cough
A nurse is preparing a presentation for a local community group in a small rural area about hantaviru
pulmonary syndrome. Which of the following would the nurse suggest as a major prevention strategy?
Vaccinating infants and children
, Avoiding whirlpool spas
Wearing insect repellent
Eliminating rodent food sources in areas near humans - ✔✔ANS Eliminating rodent food sources in area
near humans
After demonstrating to a group of nursing students the proper technique for handwashing using soap an
water, the nursing instructor determines that the teaching has been successful when the student
demonstrate which of the following?
Washing the hands for 5 to 10 seconds
Vigorously scrubbing between the fingers
Removing the soap with a paper towel before rinsing
Washing underneath artificial fingernails - ✔✔ANS Vigorously scrubbing between the fingers
A family member of a client in a long-term care facility asks the nurse why he cannot insert a catheter so th
client will not develop skin breakdown from being wet. What should the explanation include when the nurs
responds to the family member?
Catheters are no longer used for treatment of incontinence.
Older adult residents are able to have catheters inserted if the family requests them.
The invasive nature of the catheter provides a portal for infection.
If a catheter is inserted, it must be flushed with normal saline daily. - ✔✔ANS The invasive nature of th
catheter provides a portal for infection
When a hospitalized client requires contact precautions, which responses is necessary?
The client's door should be closed.
Masks are worn when caring for the client.
The client should be placed in a private room when possible.
The client should be in a room with negative air pressure. - ✔✔ANS The client should be placed in a privat
room when possible.
The nurse is caring for a client diagnoses with severe acute respiratory syndrome (SARS). A family membe
asks what causes SARS. Which response by the nurse is accurate?
Escherichia coli
