NRSG 2220-Exam 1 (Mod 1-5) Questions
With Correct Answers
General bSurvey: b- bcorrect banswer b✔✔-Provides bclues bto boverall bhealth
-Begins bthe bmoment bof bcontact
-First bimpressions
-Challenges byour bobservational bskills
-Usually bincludes bvital bsigns, bheight band bweight. bWe bare bfocusing bon bskillful
bobservations
What bdo byou blook bfor bin bskilled bobservation b(general bsurvey)? b- bcorrect banswer
b✔✔-Signs bof bdistress
-Stature/Build
-Dressing/Grooming
-Posture/Gait/Coordination
-Eye bcontact
-Level bof bconsciousness, bmood
- bSpeech bpatterns
-Vision bor bhearing bproblems
-Nutritional bstate
-Significant bothers baccompanying bpatient
Healthy bhair=
(general bsurvey) b- bcorrect banswer b✔✔Healthy bprotein bstores bin bbody
Pain bis ba bsubjective bor bobjective bexperience? b- bcorrect banswer b✔✔Subjective
-highly bindividual
-ethnocultural bconsiderations
Expression bof bpain bdoes bnot b= b- bcorrect banswer b✔✔degree bof bpain
5th bvital bsign? b- bcorrect banswer b✔✔Pain
How bdo byou bcare bfor bthe bpatient bin bpain? b- bcorrect banswer b✔✔-Important bto
bbelieve bthe bpain bis breal
,-Your bgoal bis bto breduce/eliminate bpain band bmanage bpain bso bthat bpatient bcan
bresume bnormal blifestyle
Best bindicator bof bpain? b- bcorrect banswer b✔✔Patient breporting btheir bpain bto byou
Standards bto btreat/manage bpain bas bput bin bplace bby bthe bJoint bCommission b-
bcorrect banswer b✔✔These bstandards buphold bthe bidea bthat bthe bpatient bhas bthe
bright bto bhave btheir bpain bmanaged beffectively.
One bimportant bstandard bis bto bdetermine ba bpain brating bgoal bwith byour bpatient.
Their bplan bof bcare bis bset bon bmutually bset bgoals
Characteristics bof bPain b- bcorrect banswer b✔✔COLD bERA
COLD bERA b- bcorrect banswer b✔✔C:haracter bof bthe bcompaint
O:nset bof bthe bsymptom
L:ocation bof bthe bcomplaint
D:uration bof bthe bproblem
E:xacerbated bby bwhat?
R:elieved bby bwhat?
A:ssociated bsymptoms bproblem
OLD bCARTS b- bcorrect banswer b✔✔O:nset
L:ocation
D:uration
C:haracter
A:ggravating bfactors/associated bfactors
R:elieving bfactors
T:emporal bfactors
S:everity
Duration bof bpain b(3) b- bcorrect banswer b✔✔Acute
-rapid bonset, bvaries bwith bintensity, bprotective bin bnature
Chronic
-can bbe bintermittent bor bpersistent, blong-standing bpain band bit binterferes bwith bability
bto bfunction
Acute bon bchronic
-someone bwho bhas bchronic bpain band bthen bhas bacute bexacerbation bof bpain bon btop
bof bchronic bpain
Remission bof bpain b- bcorrect banswer b✔✔No bsymptoms bof bpain bat bthe btime
Exacerbation b- bcorrect banswer b✔✔Symptoms bmay breappear band bget bworse
Source bof bPain b(3) b- bcorrect banswer b✔✔Cutaneous/Superficial:
, -Pain bat bskin blevel, btend bto bbe bpainful bbecause bof ball bnerve bendings b
Somatic: b
-Pain bthat bcomes bfrom btendons, bligaments, bbones, bvessels, bpain btends bto bbe
bmore bdiffuse, bhard bto bpinpoint
Visceral:
-pain boriginates bfrom borgans, bpoorly blocalized
Etiology bof bPain b- bcorrect banswer b✔✔-Referred bPain: bPain bperceived bin ban barea
bdistant bfrom bwhere bpain bis bactually boriginating. b(MI, bpain bin barm bnot bin bheart)
-Neuropathic bPain: bInjury bor bperipheral bor bcentral bnerves b(crushed bvertebrae bin
bneck bmay bresult bin bpain bin bhands bor bwherever bthose bnerves binnervate)
-Intractable bPain: bPain bthat bis bresistant bto binterventions, bregardless bof bwhat bwe bdo
bwe bcannot bget bto bgoal bpain
-Phantom bPain: bPain bin ba blimb bthat bis bno blonger bthere, bcommon bin bamputation
bpatients, bsensory binformation bis bstill bin bbrain beven bthough bno blimb
-Psychogenic bPain: bno bphysical bcause, bmay bbe bpain bfrom bsignificant bmental bevent
How bdo bpatients brespond bto bpain? b(3) b- bcorrect banswer b✔✔-Voluntary bBehavioral
bResponses: bMoving baway bfrom bpainful bstimuli b(pull baway bfrom byou),
bgrimacing/moaning, brestless, btrying bto bguard bthe bpainful barea
-Involuntary bPhysiological bResponses: bsympathetic bresponses b(BP, bpulse, bRR
bincrease, bpupils bdilate, bmuscles btense, bsweating) bIf bpain bis bsustained bfor blong
bamounts bof btime bthe bparasympathetic bwill bkick bin band byou'll bsee bopposite b
-Psychological bResponses: bPatient bmight bwithdraw, banxious, bfearful, banorexia, btired
band bdepressed, bhopeless
What btools bdo bI buse bto bassess bpain? b(4) b- bcorrect banswer b✔✔-Wong bBaker:
bFaces bPain bRating bScale: bHelpful bwith bchildren, bolder badults, bthose bwho bcan't
bread bor bhave blanguage bbarrier b(based bon bsmiley bfaces) bAlso bhas bmultiple
bdifferent blanguages. bAlso bincludes bhow bmuch bpain binterferes bwith bdaily blife
-0-10 bNumeric bPain bDistress bscale: bIn baddition bto bnumbers, bincludes bcolor b(red-
yellow-green)
-Visual bAnalogue bScale: bNo bnumbers, bcontinuous bline bfrom bno bpain bto
bexcruciating bpain. bGiven ba bpen/pencil bto bmark bwhere btheir bpain bis band bthen
breassess bafter binterventions. bNot bwidely bused
-Abbey bpain bscale: bUsed bwith bpatients bwho bhave bdementia bor bcannot bverbalize,
bfilled bout bby bclinician bwho banswers bspecific bquestions, bassesses b6 baspects bthen
badded bup bto ba bfinal bscore.
Pain bRating bScales bassess bwhat baspect bof bpain? b- bcorrect banswer b✔✔Severity bof
bpain
How bdo bI brelieve bpain? b(2) b- bcorrect banswer b✔✔Pharmacologic- banalgesics bOR
bnon bpharmacological
With Correct Answers
General bSurvey: b- bcorrect banswer b✔✔-Provides bclues bto boverall bhealth
-Begins bthe bmoment bof bcontact
-First bimpressions
-Challenges byour bobservational bskills
-Usually bincludes bvital bsigns, bheight band bweight. bWe bare bfocusing bon bskillful
bobservations
What bdo byou blook bfor bin bskilled bobservation b(general bsurvey)? b- bcorrect banswer
b✔✔-Signs bof bdistress
-Stature/Build
-Dressing/Grooming
-Posture/Gait/Coordination
-Eye bcontact
-Level bof bconsciousness, bmood
- bSpeech bpatterns
-Vision bor bhearing bproblems
-Nutritional bstate
-Significant bothers baccompanying bpatient
Healthy bhair=
(general bsurvey) b- bcorrect banswer b✔✔Healthy bprotein bstores bin bbody
Pain bis ba bsubjective bor bobjective bexperience? b- bcorrect banswer b✔✔Subjective
-highly bindividual
-ethnocultural bconsiderations
Expression bof bpain bdoes bnot b= b- bcorrect banswer b✔✔degree bof bpain
5th bvital bsign? b- bcorrect banswer b✔✔Pain
How bdo byou bcare bfor bthe bpatient bin bpain? b- bcorrect banswer b✔✔-Important bto
bbelieve bthe bpain bis breal
,-Your bgoal bis bto breduce/eliminate bpain band bmanage bpain bso bthat bpatient bcan
bresume bnormal blifestyle
Best bindicator bof bpain? b- bcorrect banswer b✔✔Patient breporting btheir bpain bto byou
Standards bto btreat/manage bpain bas bput bin bplace bby bthe bJoint bCommission b-
bcorrect banswer b✔✔These bstandards buphold bthe bidea bthat bthe bpatient bhas bthe
bright bto bhave btheir bpain bmanaged beffectively.
One bimportant bstandard bis bto bdetermine ba bpain brating bgoal bwith byour bpatient.
Their bplan bof bcare bis bset bon bmutually bset bgoals
Characteristics bof bPain b- bcorrect banswer b✔✔COLD bERA
COLD bERA b- bcorrect banswer b✔✔C:haracter bof bthe bcompaint
O:nset bof bthe bsymptom
L:ocation bof bthe bcomplaint
D:uration bof bthe bproblem
E:xacerbated bby bwhat?
R:elieved bby bwhat?
A:ssociated bsymptoms bproblem
OLD bCARTS b- bcorrect banswer b✔✔O:nset
L:ocation
D:uration
C:haracter
A:ggravating bfactors/associated bfactors
R:elieving bfactors
T:emporal bfactors
S:everity
Duration bof bpain b(3) b- bcorrect banswer b✔✔Acute
-rapid bonset, bvaries bwith bintensity, bprotective bin bnature
Chronic
-can bbe bintermittent bor bpersistent, blong-standing bpain band bit binterferes bwith bability
bto bfunction
Acute bon bchronic
-someone bwho bhas bchronic bpain band bthen bhas bacute bexacerbation bof bpain bon btop
bof bchronic bpain
Remission bof bpain b- bcorrect banswer b✔✔No bsymptoms bof bpain bat bthe btime
Exacerbation b- bcorrect banswer b✔✔Symptoms bmay breappear band bget bworse
Source bof bPain b(3) b- bcorrect banswer b✔✔Cutaneous/Superficial:
, -Pain bat bskin blevel, btend bto bbe bpainful bbecause bof ball bnerve bendings b
Somatic: b
-Pain bthat bcomes bfrom btendons, bligaments, bbones, bvessels, bpain btends bto bbe
bmore bdiffuse, bhard bto bpinpoint
Visceral:
-pain boriginates bfrom borgans, bpoorly blocalized
Etiology bof bPain b- bcorrect banswer b✔✔-Referred bPain: bPain bperceived bin ban barea
bdistant bfrom bwhere bpain bis bactually boriginating. b(MI, bpain bin barm bnot bin bheart)
-Neuropathic bPain: bInjury bor bperipheral bor bcentral bnerves b(crushed bvertebrae bin
bneck bmay bresult bin bpain bin bhands bor bwherever bthose bnerves binnervate)
-Intractable bPain: bPain bthat bis bresistant bto binterventions, bregardless bof bwhat bwe bdo
bwe bcannot bget bto bgoal bpain
-Phantom bPain: bPain bin ba blimb bthat bis bno blonger bthere, bcommon bin bamputation
bpatients, bsensory binformation bis bstill bin bbrain beven bthough bno blimb
-Psychogenic bPain: bno bphysical bcause, bmay bbe bpain bfrom bsignificant bmental bevent
How bdo bpatients brespond bto bpain? b(3) b- bcorrect banswer b✔✔-Voluntary bBehavioral
bResponses: bMoving baway bfrom bpainful bstimuli b(pull baway bfrom byou),
bgrimacing/moaning, brestless, btrying bto bguard bthe bpainful barea
-Involuntary bPhysiological bResponses: bsympathetic bresponses b(BP, bpulse, bRR
bincrease, bpupils bdilate, bmuscles btense, bsweating) bIf bpain bis bsustained bfor blong
bamounts bof btime bthe bparasympathetic bwill bkick bin band byou'll bsee bopposite b
-Psychological bResponses: bPatient bmight bwithdraw, banxious, bfearful, banorexia, btired
band bdepressed, bhopeless
What btools bdo bI buse bto bassess bpain? b(4) b- bcorrect banswer b✔✔-Wong bBaker:
bFaces bPain bRating bScale: bHelpful bwith bchildren, bolder badults, bthose bwho bcan't
bread bor bhave blanguage bbarrier b(based bon bsmiley bfaces) bAlso bhas bmultiple
bdifferent blanguages. bAlso bincludes bhow bmuch bpain binterferes bwith bdaily blife
-0-10 bNumeric bPain bDistress bscale: bIn baddition bto bnumbers, bincludes bcolor b(red-
yellow-green)
-Visual bAnalogue bScale: bNo bnumbers, bcontinuous bline bfrom bno bpain bto
bexcruciating bpain. bGiven ba bpen/pencil bto bmark bwhere btheir bpain bis band bthen
breassess bafter binterventions. bNot bwidely bused
-Abbey bpain bscale: bUsed bwith bpatients bwho bhave bdementia bor bcannot bverbalize,
bfilled bout bby bclinician bwho banswers bspecific bquestions, bassesses b6 baspects bthen
badded bup bto ba bfinal bscore.
Pain bRating bScales bassess bwhat baspect bof bpain? b- bcorrect banswer b✔✔Severity bof
bpain
How bdo bI brelieve bpain? b(2) b- bcorrect banswer b✔✔Pharmacologic- banalgesics bOR
bnon bpharmacological
