chapter 5 test bank medsurg
A new nurse asks the precepting nurse "What is the best way to assess a client's pain?" Which
response by the nurse is best?
a. Numeric pain scale
b. Behavioral assessment
c. Client's self-report
d. Objective observation - ANSc. Client's self-report
A new nurse reports to the nurse preceptor that a client requested pain medication, and when
the nurse brought it, the client was sound asleep. The nurse states the client cannot possibly
sleep with the severe pain the client described. Which response by the experienced nurse is
best?
a. "Being able to sleep doesn't mean pain doesn't exist."
b. "Have you ever experienced any type of pain?"
c. "The client should be assessed for drug addiction."
d. "You're right; I would put the medication back." - ANSa. "Being able to sleep doesn't mean
pain doesn't exist."
The nurse in the outpatient surgery clinic is discussing an upcoming surgical procedure with a
client. Which information provided by the nurse is most appropriate for the client's long-term
outcome?
a. "At least you know that the pain after surgery will diminish quickly."
b. "Discuss acceptable pain control after your operation with the surgeon."
c. "Opioids often cause nausea but you won't have to take them for long."
d. "The nursing staff will give you pain medication when you ask them for it. - ANSb. "Discuss
acceptable pain control after your operation with the surgeon."
A nurse is assessing pain on a confused older client who has difficulty with verbal expression.
Which pain assessment tool would the nurse choose for this assessment?
a. Numeric rating scale
b. Verbal Descriptor Scale
c. FACES Pain Scale-Revised
d. Wong-Baker FACES Pain scale - ANSc. FACES Pain Scale-Revised
The nurse is assessing a client's pain and has elicited information on the location, quality,
intensity, effect on functioning, aggravating and relieving factors, and onset and duration.
Which question by the nurse would be best to ask the client for completing a comprehensive
pain assessment?
a. "Are you worried about addiction to pain pills?"
b. "Do you attach any spiritual meaning to pain?"
c. "How high would you say your pain tolerance is?"
, d. "What pain rating would be acceptable to you?" - ANSd. "What pain rating would be
acceptable to you?"
A nurse is assessing pain in an older adult. Which action by the nurse is best?
a. Ask only "yes-or-no" questions so the client doesn't get too tired.
b. Give the client a picture of the pain scale and come back later.
c. Question the client about new pain only, not normal pain from aging.
d. Sit down, ask one question at a time, and allow the client to answer. - ANSd. Sit down, ask
one question at a time, and allow the client to answer.
The nurse receives a hand-off report. One client is described as a drug seeker who is obsessed
with even tiny changes in physical condition and is "on the light constantly" asking for more
pain medication. When assessing this client's pain, which statement or question by the nurse
is most appropriate?
a. "Help me understand how pain is affecting you right now."
b. "I wish I could do more; is there anything I can get for you?"
c. "You cannot have more pain medication for 3 hours."
d. "Why do you - ANSa. "Help me understand how pain is affecting you right now."
A nurse on the medical-surgical unit has received a hand-off report. Which client would the
nurse see first?
a. Client being discharged later on a complicated analgesia regimen.
b. Client with new-onset abdominal pain, rated as an 8 on a 0-10 scale.
c. Postoperative client who received oral opioid analgesia 45 minutes ago.
d. Client who has returned from physical therapy and is resting in the recliner. - ANSb. Client
with new-onset abdominal pain, rated as an 8 on a 0-10 scale.
A nurse uses the Checklist of Nonverbal Pain Indicators to assess pain in a nonverbal client
with advanced dementia but no other medical history except well-controlled hypertension and
high cholesterol. The client scores a zero. Which action by the nurse is best?
a. Assess physiologic indicators and vital signs.
b. Do not give pain medication as no pain is indicated.
c. Document the findings and continue to monitor.
d. Try a small dose of analgesic medication for pain. - ANSa. Assess physiologic indicators and
vital signs.
A nurse asks why several clients are getting more than one type of pain medication instead of
very high doses of one medication. Which response by the charge nurse is best?
a. "A multimodal approach is the preferred method of control."
b. "Clients are consumers and they demand lots of pain medicine."
c. "We are all much more liberal with pain medications now."
d. "Pain is so complex it takes different approaches to control it." - ANSd. "Pain is so complex it
takes different approaches to control it."
A new nurse asks the precepting nurse "What is the best way to assess a client's pain?" Which
response by the nurse is best?
a. Numeric pain scale
b. Behavioral assessment
c. Client's self-report
d. Objective observation - ANSc. Client's self-report
A new nurse reports to the nurse preceptor that a client requested pain medication, and when
the nurse brought it, the client was sound asleep. The nurse states the client cannot possibly
sleep with the severe pain the client described. Which response by the experienced nurse is
best?
a. "Being able to sleep doesn't mean pain doesn't exist."
b. "Have you ever experienced any type of pain?"
c. "The client should be assessed for drug addiction."
d. "You're right; I would put the medication back." - ANSa. "Being able to sleep doesn't mean
pain doesn't exist."
The nurse in the outpatient surgery clinic is discussing an upcoming surgical procedure with a
client. Which information provided by the nurse is most appropriate for the client's long-term
outcome?
a. "At least you know that the pain after surgery will diminish quickly."
b. "Discuss acceptable pain control after your operation with the surgeon."
c. "Opioids often cause nausea but you won't have to take them for long."
d. "The nursing staff will give you pain medication when you ask them for it. - ANSb. "Discuss
acceptable pain control after your operation with the surgeon."
A nurse is assessing pain on a confused older client who has difficulty with verbal expression.
Which pain assessment tool would the nurse choose for this assessment?
a. Numeric rating scale
b. Verbal Descriptor Scale
c. FACES Pain Scale-Revised
d. Wong-Baker FACES Pain scale - ANSc. FACES Pain Scale-Revised
The nurse is assessing a client's pain and has elicited information on the location, quality,
intensity, effect on functioning, aggravating and relieving factors, and onset and duration.
Which question by the nurse would be best to ask the client for completing a comprehensive
pain assessment?
a. "Are you worried about addiction to pain pills?"
b. "Do you attach any spiritual meaning to pain?"
c. "How high would you say your pain tolerance is?"
, d. "What pain rating would be acceptable to you?" - ANSd. "What pain rating would be
acceptable to you?"
A nurse is assessing pain in an older adult. Which action by the nurse is best?
a. Ask only "yes-or-no" questions so the client doesn't get too tired.
b. Give the client a picture of the pain scale and come back later.
c. Question the client about new pain only, not normal pain from aging.
d. Sit down, ask one question at a time, and allow the client to answer. - ANSd. Sit down, ask
one question at a time, and allow the client to answer.
The nurse receives a hand-off report. One client is described as a drug seeker who is obsessed
with even tiny changes in physical condition and is "on the light constantly" asking for more
pain medication. When assessing this client's pain, which statement or question by the nurse
is most appropriate?
a. "Help me understand how pain is affecting you right now."
b. "I wish I could do more; is there anything I can get for you?"
c. "You cannot have more pain medication for 3 hours."
d. "Why do you - ANSa. "Help me understand how pain is affecting you right now."
A nurse on the medical-surgical unit has received a hand-off report. Which client would the
nurse see first?
a. Client being discharged later on a complicated analgesia regimen.
b. Client with new-onset abdominal pain, rated as an 8 on a 0-10 scale.
c. Postoperative client who received oral opioid analgesia 45 minutes ago.
d. Client who has returned from physical therapy and is resting in the recliner. - ANSb. Client
with new-onset abdominal pain, rated as an 8 on a 0-10 scale.
A nurse uses the Checklist of Nonverbal Pain Indicators to assess pain in a nonverbal client
with advanced dementia but no other medical history except well-controlled hypertension and
high cholesterol. The client scores a zero. Which action by the nurse is best?
a. Assess physiologic indicators and vital signs.
b. Do not give pain medication as no pain is indicated.
c. Document the findings and continue to monitor.
d. Try a small dose of analgesic medication for pain. - ANSa. Assess physiologic indicators and
vital signs.
A nurse asks why several clients are getting more than one type of pain medication instead of
very high doses of one medication. Which response by the charge nurse is best?
a. "A multimodal approach is the preferred method of control."
b. "Clients are consumers and they demand lots of pain medicine."
c. "We are all much more liberal with pain medications now."
d. "Pain is so complex it takes different approaches to control it." - ANSd. "Pain is so complex it
takes different approaches to control it."
