Medical-Surgical Nursing and Nursing Care of the Adult
Client
Advanced Pain Management & Nursing
Triage and Perioperative
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HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
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Highly Detailed Multi-System
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1. Which client would be appropriate to assign to a newly graduated RN, who
has recently completed
Choose all that apply.
a. An anxious, chronic pain client who frequently uses the call button
b. A client with HIV who reports headache and abdominal and pleuritic chest
pain
c. A client who is being discharged with a surgically Implanted catheter
d. A client second day post-op who needs pain medication prior to dressing
changes
d. A client second day post-op who needs pain medication prior to dressing changes
2. When titrating an analgesic to manage pain, what is the priority goal?
a. Titrate upward until the client is pain free.
b. Administer smallest dose that provides relief with the fewest side effects.
c. Titrate downwards to prevent toxicity.
d. Ensure that the drug is adequate to meet the client's subjective needs.
b. Administer smallest dose that provides relief with the fewest side effects.
3. For a client who is taking aspirin, which laboratory value should be reported
to the physician?
a. Potassium 3.6 mEq/L
b. PT 14 seconds
c. Hematocrit 41%
d. BUN 20 mg/DI
b. PT 14 seconds
4. In educating clients about non-pharmaceutical alternatives, which topic
could you delegate to an experienced LPN/LVN, who will function under your
continued support and supervision?
a. Therapeutic touch
b. Meditation
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c. Transcutaneous electrical nerve stimulation (TENS)
d. Use of heat and cold applications
d. Use of heat and cold applications
5. A family member asks you, "Why can't you give more medicine? He is still
having a lot of pain." What is your best response?
a. "Please tell him that I will be right there to check of him."
b. "The doctor ordered the medicine to be given every 4 hours."
C. "If the medication is given too frequently he could
suffer ill effects."
d. "Let's wait about 30-40 minutes. If there is no relief I'll call the doctor."
a. "Please tell him that I will be right there to check of him."
6. 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 Affective
b. Cognitive
c. Behavioral
d. Sociocultural
d. Sociocultural
7. 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 trigeminal neuralgia
d. A client with progressive pancreatic cancer
d. A client with progressive pancreatic cancer
8. 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. Corticosteroids