, NUR 257 Exam 4 – Concepts of Aging &
Chronic Illness –Actual Questions & Answers
(GCN) 100% Guarantee Pass
Q1. A nurse is educating a group of nursing students
about misconceptions regarding pain in older adults.
Which statement by a student indicates a correct
understanding?
A) "Chronic pain patients have a higher tolerance to
pain."
B) "Clients with chronic pain are often manipulative or
exaggerative."
C) "Depression and/or stress are the primary cause of
pain in older adults."
D) "Older adults have a higher incidence of chronic illness
and are more susceptible to respiratory depression from
analgesics."
Correct Answer: D
Rationale: Older adults have a higher incidence of
chronic illness and alterations in ability to absorb and
metabolize medications (due to decreased liver, renal,
and GI functions), leading to higher susceptibility to
,respiratory and nervous system depression. Common
misconceptions include that chronic pain patients have
higher pain tolerance, that pain is related to
psychological disease, that clients with chronic pain are
manipulative, and that they are addicted to pain
medications .
Q2. A patient with a long history of arthritis pain has a
pulse of 115 bpm and BP of 170/80 mmHg. What should
the nurse do first?
A) Administer analgesics
B) Assess for pain
C) Notify the provider
D) Apply oxygen
Correct Answer: B
Rationale: Acute pain triggers sympathetic nervous
system activation (tachycardia, hypertension).
Assessment determines if vital sign abnormalities are
pain-related or indicate cardiovascular compromise.
Treating pain may normalize vital signs without additional
interventions .
, Q3. The nurse understands that "sensitization" in pain
management refers to:
A) A patient becoming addicted to pain medications
B) An increased and prolonged pain experience due to
heightened nervous system response after exposure to a
noxious stimulus
C) A patient developing tolerance to opioids
D) A patient developing an allergic reaction to pain
medication
Correct Answer: B
Rationale: Sensitization occurs when a patient waits too
long to report pain or obtain pain relief measures. Pain
becomes so intense that it is difficult to relieve. It results
from a heightened nervous system response after
exposure to a noxious (pain) stimulus. When providers
assess and treat pain before it becomes severe,
sensitization is diminished or avoided, and less
medication is needed .
Chronic Illness –Actual Questions & Answers
(GCN) 100% Guarantee Pass
Q1. A nurse is educating a group of nursing students
about misconceptions regarding pain in older adults.
Which statement by a student indicates a correct
understanding?
A) "Chronic pain patients have a higher tolerance to
pain."
B) "Clients with chronic pain are often manipulative or
exaggerative."
C) "Depression and/or stress are the primary cause of
pain in older adults."
D) "Older adults have a higher incidence of chronic illness
and are more susceptible to respiratory depression from
analgesics."
Correct Answer: D
Rationale: Older adults have a higher incidence of
chronic illness and alterations in ability to absorb and
metabolize medications (due to decreased liver, renal,
and GI functions), leading to higher susceptibility to
,respiratory and nervous system depression. Common
misconceptions include that chronic pain patients have
higher pain tolerance, that pain is related to
psychological disease, that clients with chronic pain are
manipulative, and that they are addicted to pain
medications .
Q2. A patient with a long history of arthritis pain has a
pulse of 115 bpm and BP of 170/80 mmHg. What should
the nurse do first?
A) Administer analgesics
B) Assess for pain
C) Notify the provider
D) Apply oxygen
Correct Answer: B
Rationale: Acute pain triggers sympathetic nervous
system activation (tachycardia, hypertension).
Assessment determines if vital sign abnormalities are
pain-related or indicate cardiovascular compromise.
Treating pain may normalize vital signs without additional
interventions .
, Q3. The nurse understands that "sensitization" in pain
management refers to:
A) A patient becoming addicted to pain medications
B) An increased and prolonged pain experience due to
heightened nervous system response after exposure to a
noxious stimulus
C) A patient developing tolerance to opioids
D) A patient developing an allergic reaction to pain
medication
Correct Answer: B
Rationale: Sensitization occurs when a patient waits too
long to report pain or obtain pain relief measures. Pain
becomes so intense that it is difficult to relieve. It results
from a heightened nervous system response after
exposure to a noxious (pain) stimulus. When providers
assess and treat pain before it becomes severe,
sensitization is diminished or avoided, and less
medication is needed .
