NURS 404 EXAM 3 QUESTIONS WITH VERIFIED
ANSWERS
which of the following statements is incorrect
a. most patients with end stage cancer will experience some degree of pain that will
influence their quality of life
b. studies of pain in noncancer terminally ill patients demonstrate that pain is a common
and often debilitating symptom
c. surveys of patient with far advanced medical illness demonstrate effective pain
treatment in most patients
d. sleep and mood are common concomitants of poorly managed pain in patients with
chronic, progressive, life limiting illness - Answers - c
which self assessment tool is effective in all patients - Answers - none of the above
(pain thermometer, visual analog scale, FACES)
what is the best way to differentiate nociceptive from neuropathic pain - Answers -
description of pain quality
what neuropathic pain states affect patients with various etiologies of advanced medical
illness at the end of life - Answers - all of the above
(painful peripheral diabetic neuropathy, postherpetic neuralgia, poststroke central pain
syndrome, HIV/AIDS related neuropathy)
which non pharmacologic therapy has NOT been shown to be effective in empirical
trials in the treatment of mild to moderate musculoskeletal pain syndromes - Answers -
incense
which statement is FALSE - Answers - nonpharmacologic therapy should be reserved
for opioid refractory pain states
which opioid has the longest elimination half life - Answers - methadone
which of the following statements about opioid narcotics is a true statement - Answers -
hydromorphone is 8-10 times more potent than morphine
which of the following pain scales is the most likely used pain scale for an adult patient,
who is alert, oriented and has intact cough functioning - Answers - 0-10 verbal scale
you have a physician order to use acetaminophen to relieve pain for a patient with a
laceration resulting from a dog bite on the forearm. as the nurse preceptor you explain
, to the nursing orientee that acetaminophen will control pain because it interferes with
the pain process by decreasing what - Answers - transduction
the nurse orientee is preparing to instruct a patient on the effects of morphine. while
reviewing the action of morphine in the pain process they recall correctly that the
primary pain process altered by morphine is - Answers - perception
morphine 8mg IV every 4-6 hours PRN is ordered for a patient with pancreatic tumor
who has a history of alcoholism. after 4 days of receiving the morphine every 6 hours
the patient tells the nurse that the medication is needed more frequently to control the
pain. the nurse recognizes that - Answers - a tolerance to the morphine is developing
and the patient should receive the drug more frequently
a common side effect to monitor in patients receiving morphine sulfate is - Answers -
urinary retention
chronic pain is now defined as - Answers - pain that lasts beyond the normal healing
period
which type of pain is typically described as burning or tingling - Answers - neuropathic
the nurse would tell a patient switching form oral morphine to a fentanyl patch that -
Answers - the patch takes up to 12 hours to start to work
an option for controlling acute pain includes - Answers - pca pumps and peripheral
nerve catheters
the following classifications for pain are presented in the most recent smeltzer and bare
textbook - Answers - acute, chronic, and cancer pain
pain threshold is best defined as - Answers - the point at which a stimulus is perceived
as painful
harmful effects of acute pain include the following - Answers - fatigue
new approaches to pain treatment for wounded warriors for limb injuries includes the
following - Answers - multimodal approaches to pain
RN barriers to pain management - Answers - misconception related to addiction
pain management is a requirement of michigan state board of nursing and nursing
principles of pain management include all of the following except - Answers - tolerance
and physical dependence are synonymous with addiction
the US military medical system has achieved a less than ___ percent died of wounds
rate - Answers - 10
ANSWERS
which of the following statements is incorrect
a. most patients with end stage cancer will experience some degree of pain that will
influence their quality of life
b. studies of pain in noncancer terminally ill patients demonstrate that pain is a common
and often debilitating symptom
c. surveys of patient with far advanced medical illness demonstrate effective pain
treatment in most patients
d. sleep and mood are common concomitants of poorly managed pain in patients with
chronic, progressive, life limiting illness - Answers - c
which self assessment tool is effective in all patients - Answers - none of the above
(pain thermometer, visual analog scale, FACES)
what is the best way to differentiate nociceptive from neuropathic pain - Answers -
description of pain quality
what neuropathic pain states affect patients with various etiologies of advanced medical
illness at the end of life - Answers - all of the above
(painful peripheral diabetic neuropathy, postherpetic neuralgia, poststroke central pain
syndrome, HIV/AIDS related neuropathy)
which non pharmacologic therapy has NOT been shown to be effective in empirical
trials in the treatment of mild to moderate musculoskeletal pain syndromes - Answers -
incense
which statement is FALSE - Answers - nonpharmacologic therapy should be reserved
for opioid refractory pain states
which opioid has the longest elimination half life - Answers - methadone
which of the following statements about opioid narcotics is a true statement - Answers -
hydromorphone is 8-10 times more potent than morphine
which of the following pain scales is the most likely used pain scale for an adult patient,
who is alert, oriented and has intact cough functioning - Answers - 0-10 verbal scale
you have a physician order to use acetaminophen to relieve pain for a patient with a
laceration resulting from a dog bite on the forearm. as the nurse preceptor you explain
, to the nursing orientee that acetaminophen will control pain because it interferes with
the pain process by decreasing what - Answers - transduction
the nurse orientee is preparing to instruct a patient on the effects of morphine. while
reviewing the action of morphine in the pain process they recall correctly that the
primary pain process altered by morphine is - Answers - perception
morphine 8mg IV every 4-6 hours PRN is ordered for a patient with pancreatic tumor
who has a history of alcoholism. after 4 days of receiving the morphine every 6 hours
the patient tells the nurse that the medication is needed more frequently to control the
pain. the nurse recognizes that - Answers - a tolerance to the morphine is developing
and the patient should receive the drug more frequently
a common side effect to monitor in patients receiving morphine sulfate is - Answers -
urinary retention
chronic pain is now defined as - Answers - pain that lasts beyond the normal healing
period
which type of pain is typically described as burning or tingling - Answers - neuropathic
the nurse would tell a patient switching form oral morphine to a fentanyl patch that -
Answers - the patch takes up to 12 hours to start to work
an option for controlling acute pain includes - Answers - pca pumps and peripheral
nerve catheters
the following classifications for pain are presented in the most recent smeltzer and bare
textbook - Answers - acute, chronic, and cancer pain
pain threshold is best defined as - Answers - the point at which a stimulus is perceived
as painful
harmful effects of acute pain include the following - Answers - fatigue
new approaches to pain treatment for wounded warriors for limb injuries includes the
following - Answers - multimodal approaches to pain
RN barriers to pain management - Answers - misconception related to addiction
pain management is a requirement of michigan state board of nursing and nursing
principles of pain management include all of the following except - Answers - tolerance
and physical dependence are synonymous with addiction
the US military medical system has achieved a less than ___ percent died of wounds
rate - Answers - 10
