25 Questions with Correct Answers - Pain Management
NCLEX Practice (Nursing)
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. - Correct Answer- 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 - Correct Answer- 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) - Correct Answer- 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 - Correct Answer- 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.
C. Quiz the nurse about knowledge of pain management
D. Give praise for the correct dose and time and discuss the deficits in charting. - Correct Answer- Give
praise for the correct dose and time and discuss the deficits in charting
In caring for a young child with pain, which assessment tool is the most useful?
A. Simple description pain intensity scale
B. 0-10 numeric pain scale
C. Faces pain-rating scale
D. McGill-Melzack pain questionnaire - Correct Answer- C. Faces pain-rating scale
In applying the principles of pain treatment, what is the first consideration?
NCLEX Practice (Nursing)
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. - Correct Answer- 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 - Correct Answer- 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) - Correct Answer- 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 - Correct Answer- 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.
C. Quiz the nurse about knowledge of pain management
D. Give praise for the correct dose and time and discuss the deficits in charting. - Correct Answer- Give
praise for the correct dose and time and discuss the deficits in charting
In caring for a young child with pain, which assessment tool is the most useful?
A. Simple description pain intensity scale
B. 0-10 numeric pain scale
C. Faces pain-rating scale
D. McGill-Melzack pain questionnaire - Correct Answer- C. Faces pain-rating scale
In applying the principles of pain treatment, what is the first consideration?
