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1. A nurse is assessing a client prior to the administration of morphine. The nurse should
recognize that which of the following assessments is the priority?
A. Pupil reaction
B. Urine output
C. Bowel sounds
D. Respiratory rate - Correct Answer: D. Respiratory rate
2. A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain
relief. The client reports that he had to increase the dose of morphine this week to obtain pain
relief. Which of the following scenarios should the nurse document as the explanation for this
situation?
A. The client not been taking the medication properly
B. The client is experiencing episodes of confusion
C. The client has become addicted to the medication
D. The client developed a tolerance to the medication - Correct Answer: D. The client
developed a tolerance to the medication
3. A nurse is preparing to administer nalbuphine to a postoperative client who is experiencing
pain. The nurse should monitor the client for which of the following potential adverse effects of
this medication?
A. Miosis
B. Joint pain
,C. Diarrhea
D. Oliguria - Correct Answer: A. Miosis
4. A nurse is teaching a client who has a new prescription for ibuprofen to treat hip pain. Which
of the following instructions should the nurse include in the teaching?
A. Expect ringing in your ears
B. Take the medication with food
C. Store the medication in the refrigerator
D. Monitor for weight loss - Correct Answer: B. Take the medication with food
5. A nurse is performing a pain assessment for a client who is alert. The nurse should recognize
that which of the following measures is the most reliable indicator of pain?
A. Vital signs
B. Self report of pain
C. Severity of the condition
D. Nonverbal behavior - Correct Answer: B. Self report of pain
6. A nurse is caring for a 6 month old infant. Which of the following findings should indicate to
the nurse that the client is experiencing pain following a procedure?
A. Decreased heart rate
B. Decreased respiratory rate
C. Increased formula consumption
D. Increased crying episodes - Correct Answer: D. Increased crying episodes
7. A nurse is monitoring a client who is postoperative and unable to respond to questions.
Which of the following nonverbal behaviors should the nurse identify as an indication that the
client has pain? (SATA)
, A. Restlessness
B. Grimacing
C. Moaning
D. Clenching
E. Drowsiness - Correct Answer: A, B, D
8. A nurse is assessing a client who reports acute pain. The nurse should anticipate which of the
following findings?
A. Increased heart rate
B. Decreased respiratory rate
C. Hyperactive bowel sounds
D. Decreased blood pressure - Correct Answer: A. Increased heart rate
9. A nurse at an ophthalmology clinic is providing teaching to a client who has open angle
glaucoma and a new prescription for timolol eye drops. Which of the following instructions
should the nurse provide?
A. The medication is to be applied when the client is experiencing eye pain
B. The medication will be used until the clients intraocular pressure returns to normal
C. The medication should be applied in a regular schedule for the rest of the clients life
D. The medication is to be used for approximately 10 days, followed by a gradual tapering off -
Correct Answer: C. The medication should be applied in a regular schedule for the rest of
the clients life
10. A home health nurse is assessing an older adult client in the home who has decreased vision
due to a history of glaucoma. Which of the following findings should the nurse identify as a
safety risk?
A. Electrical cords are placed along the walls