PAIN MANAGEMENT NCLEX
PRACTICE QUIZ (25 QUESTIONS AND
CORRECT 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. - ANS -
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 - ANS -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)
B. Corticosteroids
C. Methylphenidate (Ritalin)
D. Lorazepam (Ativan) - ANS -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 - ANS -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.
PRACTICE QUIZ (25 QUESTIONS AND
CORRECT 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. - ANS -
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 - ANS -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)
B. Corticosteroids
C. Methylphenidate (Ritalin)
D. Lorazepam (Ativan) - ANS -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 - ANS -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.
