Pedss d Chapters d 30-
s d Pains d Assessments d ands d Managements d ins d Children
1. Kyle,sdagesd6sdmonths,sdissdbroughtsdtosdthesdclinic.sdHissdparentsdsays,sd-
Isdthinksdhesdhurts.sdHesdcriessdandsdrollssdhissdheadsdfromsdsidesdtosdsidesdasdl
ot.sdThissdmostsdlikelysdsuggestssdwhichsdfeaturesdofsdpain?
a.sdTypesdb.sdSeveritysdc.sdDurationsdd.sdLocation:sdd.sdLocation
2. Physiologics d measurementss d ins d children'ss d pains d assessments d are
a. thes d bests d indicators d ofs d pains d ins d childrens d ofsd alls d ages.
b. essentials d tos d determines d whethers d as d childs d iss d tellings d thes d truths d abouts d p
ain.
c. ofs d mosts d values d whens d childrens d alsos d reports d havings d pain.
d. ofsdlimitedsdvaluesdassdthesdsolesdindicatorsdofsdpain.:sdd.sdofsdlimitedsdvaluesdassdthesdsolesdind
icatorsdofsdpain.
3. Thes d pediatrics d nurses d understandss d thats d nonpharmacologics d strategiess d fors
d pains d management
a. mays d reduces d pains d perception.
b. makes d pharmacologics d strategiess d unnecessary.
c. usuallys d takes d toos d longs d tos d implement.
d. tricksdchildrensdintosdbelievingsdtheysddosdnotsdhavesdpain.:sda.sdmaysdreducesdpainsdperc
eption.
4. Whichs d drugs d iss d usuallys d thes d bests d choices d fors d patient-
controlleds d analgesias d (PCA)sdforsdasdchildsdinsdthesdimmediatesdpostoperative
sdperiod?
a. Codeine
b. Morphine
c. Methadone
d. Meperidine:sdb.sdMorphine
5. As d lumbars d punctures d iss d neededs d ons d as d school-
ages d child.s d Thes d mosts d appropriatesdactionsdtosdprovidesdanalgesiasddurings
dthissdproceduresdissdtosdapply
a. 4%s d Liposomals d Lidocaines d (LMX)s d 15s d minutess d befores d thes d procedure.
b. asdtransdermalsdfentanylsd(Duragesic)sdpatchsdimmediatelysdbeforesdthesdprocedur
e.
c. eutectics d mixtures d ofs d locals d anestheticss d (EMLA)s d 1s d hours d befores d thes d proc
edure.
sd s
d
, Pedss d Chapters d 30-
s d Pains d Assessments d ands d Managements d ins d Children
d. EMLAsd30sdminutessdbeforesdthesdprocedure.:sdc.sdeutecticsdmixturesdofsdlocalsdanestheticssd(EMLA
)sd1sdhoursdbeforesdthesdprocedure.
6. Thesdnursesdissdcaringsdforsdasdchildsdreceivingsdintravenoussd(IV)sdmorphinesdfor
sdseveresdpostoperativesdpain.sdThesdnursesdobservessdasdslowersdrespiratorysdrate,sd
andsdthesdchildsdcannotsdbesdaroused.sdThesdmostsdappropriatesdmanagementsdofs
dthissdchildsdissdforsdthesdnursesdto:
sd s
d
, Pedss d Chapters d 30-
s d Pains d Assessments d ands d Managements d ins d Children
a. Administers d naloxones d (Narcan).
b. DiscontinuesdthesdIVsdinfusion.
c. Discontinues d morphines d untils d thes d childs d iss d fullys d awake.
d. Stimulatesdthesdchildsdbysdcallingsdhissdorsdhersdname,sdshakingsdgently,sdan
dsdaskingsdthesdchildsdtosdbreathesddeeply.:sda.sdAdministersdnaloxonesd(Narcan).
7. Whens d pains d iss d assesseds d ins d ans d infant,s d its d iss d inappropriates d fors d thes d n
urses d tos d assesssdfor:
a. Facials d expressionss d ofs d pain.
b. Localizations d ofs d pain.
c. Crying.
d. Thrashingsdofsdextremities.:sdb.sdLocalizationsdofsdpain.
8. Thes d nurses d carings d fors d thes d childs d ins d pains d understandss d thats d distraction
a. cansdgivesdtotalsdpainsdreliefsdtosdthesdchild.
b. issdeffectivesdwhensdthesdchildsdissdinsdseveresdpain.
c. iss d thes d bests d methods d fors d pains d relief.
d. mustsdbesddevelopmentallysdappropriatesdtosdrefocussdattention.:sdd.sdmustsdbesddevelop
men-sdtallysdappropriatesdtosdrefocussdattention.
9. Whichs d medications d iss d thes d mosts d effectives d choices d fors d treatings d pains d
associatedsdwithsdsicklesdcellsdcrisissdinsdasdnewlysdadmittedsd5-year-
oldsdchild?
a.s d Morphines d b.s d Acetaminophens d c.s d Ibuprofens d d.s d Midazolam:s d a.sdMorphine
10. Whichs d assessments d indicatess d tos d as d nurses d thats d as d school-
ageds d childs d iss d ins d needs d ofsdpainsdmedication?
a. Thesdchildsdissdlyingsdrigidlysdinsdbedsdandsdnotsd moving.
b. Thes d child'ss d currents d vitals d signss d ares d consistents d withs d vitals d signss d over
s d thes d pasts d 4sdhours.
c. Thes d childs d becomess d quiets d whens d helds d ands d cuddled.
d. Thesdchildsdhassdjustsdreturnedsdfromsdthesdrecoverysdroom.:sda.sdThesdchildsdissdlyingsdri
gidlysdinsdbedsdandsdnotsdmoving.
11. Asd2-year-
oldsdchildsdhassdbeensdreturnedsdtosdthesdnursingsdunitsdaftersdansdinguinalsdher
nias d repair.s d Whichs d pains d assessments d tools d shoulds d thes d nurses d uses d tos d ass
sd s
d
s d Pains d Assessments d ands d Managements d ins d Children
1. Kyle,sdagesd6sdmonths,sdissdbroughtsdtosdthesdclinic.sdHissdparentsdsays,sd-
Isdthinksdhesdhurts.sdHesdcriessdandsdrollssdhissdheadsdfromsdsidesdtosdsidesdasdl
ot.sdThissdmostsdlikelysdsuggestssdwhichsdfeaturesdofsdpain?
a.sdTypesdb.sdSeveritysdc.sdDurationsdd.sdLocation:sdd.sdLocation
2. Physiologics d measurementss d ins d children'ss d pains d assessments d are
a. thes d bests d indicators d ofs d pains d ins d childrens d ofsd alls d ages.
b. essentials d tos d determines d whethers d as d childs d iss d tellings d thes d truths d abouts d p
ain.
c. ofs d mosts d values d whens d childrens d alsos d reports d havings d pain.
d. ofsdlimitedsdvaluesdassdthesdsolesdindicatorsdofsdpain.:sdd.sdofsdlimitedsdvaluesdassdthesdsolesdind
icatorsdofsdpain.
3. Thes d pediatrics d nurses d understandss d thats d nonpharmacologics d strategiess d fors
d pains d management
a. mays d reduces d pains d perception.
b. makes d pharmacologics d strategiess d unnecessary.
c. usuallys d takes d toos d longs d tos d implement.
d. tricksdchildrensdintosdbelievingsdtheysddosdnotsdhavesdpain.:sda.sdmaysdreducesdpainsdperc
eption.
4. Whichs d drugs d iss d usuallys d thes d bests d choices d fors d patient-
controlleds d analgesias d (PCA)sdforsdasdchildsdinsdthesdimmediatesdpostoperative
sdperiod?
a. Codeine
b. Morphine
c. Methadone
d. Meperidine:sdb.sdMorphine
5. As d lumbars d punctures d iss d neededs d ons d as d school-
ages d child.s d Thes d mosts d appropriatesdactionsdtosdprovidesdanalgesiasddurings
dthissdproceduresdissdtosdapply
a. 4%s d Liposomals d Lidocaines d (LMX)s d 15s d minutess d befores d thes d procedure.
b. asdtransdermalsdfentanylsd(Duragesic)sdpatchsdimmediatelysdbeforesdthesdprocedur
e.
c. eutectics d mixtures d ofs d locals d anestheticss d (EMLA)s d 1s d hours d befores d thes d proc
edure.
sd s
d
, Pedss d Chapters d 30-
s d Pains d Assessments d ands d Managements d ins d Children
d. EMLAsd30sdminutessdbeforesdthesdprocedure.:sdc.sdeutecticsdmixturesdofsdlocalsdanestheticssd(EMLA
)sd1sdhoursdbeforesdthesdprocedure.
6. Thesdnursesdissdcaringsdforsdasdchildsdreceivingsdintravenoussd(IV)sdmorphinesdfor
sdseveresdpostoperativesdpain.sdThesdnursesdobservessdasdslowersdrespiratorysdrate,sd
andsdthesdchildsdcannotsdbesdaroused.sdThesdmostsdappropriatesdmanagementsdofs
dthissdchildsdissdforsdthesdnursesdto:
sd s
d
, Pedss d Chapters d 30-
s d Pains d Assessments d ands d Managements d ins d Children
a. Administers d naloxones d (Narcan).
b. DiscontinuesdthesdIVsdinfusion.
c. Discontinues d morphines d untils d thes d childs d iss d fullys d awake.
d. Stimulatesdthesdchildsdbysdcallingsdhissdorsdhersdname,sdshakingsdgently,sdan
dsdaskingsdthesdchildsdtosdbreathesddeeply.:sda.sdAdministersdnaloxonesd(Narcan).
7. Whens d pains d iss d assesseds d ins d ans d infant,s d its d iss d inappropriates d fors d thes d n
urses d tos d assesssdfor:
a. Facials d expressionss d ofs d pain.
b. Localizations d ofs d pain.
c. Crying.
d. Thrashingsdofsdextremities.:sdb.sdLocalizationsdofsdpain.
8. Thes d nurses d carings d fors d thes d childs d ins d pains d understandss d thats d distraction
a. cansdgivesdtotalsdpainsdreliefsdtosdthesdchild.
b. issdeffectivesdwhensdthesdchildsdissdinsdseveresdpain.
c. iss d thes d bests d methods d fors d pains d relief.
d. mustsdbesddevelopmentallysdappropriatesdtosdrefocussdattention.:sdd.sdmustsdbesddevelop
men-sdtallysdappropriatesdtosdrefocussdattention.
9. Whichs d medications d iss d thes d mosts d effectives d choices d fors d treatings d pains d
associatedsdwithsdsicklesdcellsdcrisissdinsdasdnewlysdadmittedsd5-year-
oldsdchild?
a.s d Morphines d b.s d Acetaminophens d c.s d Ibuprofens d d.s d Midazolam:s d a.sdMorphine
10. Whichs d assessments d indicatess d tos d as d nurses d thats d as d school-
ageds d childs d iss d ins d needs d ofsdpainsdmedication?
a. Thesdchildsdissdlyingsdrigidlysdinsdbedsdandsdnotsd moving.
b. Thes d child'ss d currents d vitals d signss d ares d consistents d withs d vitals d signss d over
s d thes d pasts d 4sdhours.
c. Thes d childs d becomess d quiets d whens d helds d ands d cuddled.
d. Thesdchildsdhassdjustsdreturnedsdfromsdthesdrecoverysdroom.:sda.sdThesdchildsdissdlyingsdri
gidlysdinsdbedsdandsdnotsdmoving.
11. Asd2-year-
oldsdchildsdhassdbeensdreturnedsdtosdthesdnursingsdunitsdaftersdansdinguinalsdher
nias d repair.s d Whichs d pains d assessments d tools d shoulds d thes d nurses d uses d tos d ass
sd s
d
