NSG 2421 Lab Quiz 1 Latest Updated
What movement increases chance for injury? - ANSWER Moving your joints far from a
neutral posture as it increases the tension on soft tissue.
What are the eight principles of good body mechanics? - ANSWER 1. Use your brain
not your back
2. Listen to your body
3. Maintain three natural curves
4. Use strong thigh muscles
5. Hands in a safe effective grip
6. Keep the load close
7. Maintain a proper stance
8. Use a weight transfer
The common causes of acute pain in pediatric patients include? - ANSWER invasive
medical and surgical procedures, underlying illness, and injuries such as fractures and
falls
How does Pediatric pain pharmacotherapy differ from adult pain management -
ANSWER dosing, pharmacokinetics, and choice of agents.
What age is best for pediatric patients to self-report pain? - ANSWER children 5 years
of age or older
What pain scales can be used for pediatric patients with cognitive impairments? -
ANSWER revised Face, Legs, Activity, Cry, Consolability (r-FLACC) scale, Pediatric
Pain Profile (PPP) rating scale, and Individualized Numeric Rating Scale (INRS).1
Why does the WHO 2 step ladder change to a 3 step ladder for pediatric patients? -
ANSWER due to the removal of codeine as a "weak" opioid option in pediatric patients
WHO first step for pain management in pediatrics - ANSWER nonopioid pharmacologic
agents, acetaminophen and ibuprofen, for patients older than 3 months of age. For
patients under 3 months of age, only acetaminophen is generally recommended
Faces, Legs, Activity, Cry, Consolability (FLACC) scale - ANSWER Nonverbal patients
2 months -7 yr of age
, Facial expression, body movements, crying, caregiver ability to console
Assessment of postoperative pain
Neonatal Pain, Agitation and Sedation Scale (N-PASS) - ANSWER Newborns and
infants 0-100 days of age; score adjusted for age
Heart rate, respiratory rate, blood pressure, oxygen saturation, behavior, crying, muscle
tone, irritability
Assessment of acute pain and sedation, and in mechanically ventilated patients
CRIES (cry, requires oxygen, increased vital signs, ex-pression, sleeplessness) scale -
ANSWER Infants with gestational age of 32-36 wk
Oxygen requirement, increased vital signs, crying, facial expression, sleeplessness
Assessment of postoperative pain
COMFORT scale - ANSWER Infants with gestational age of 28-37 wk
Heart rate, blood pressure, movement, calmness, facial tension, alertness, respiration
rate, muscle tone
Assessment of postoperative pain, and in mechanically ventilated patients
Premature Infant Pain Profile (PIPP) - ANSWER Infants with gestational age of 28-40
wk; score adjusted for gestational age
Heart rate, oxygen saturation, facial expressions
Assessment of procedural and postoperative pain
Neonatal Infant Pain Score (NIPS) - ANSWER Newborns and infants with gestational
age of 28-38 wk
Respiratory patterns, crying, movements, alertness
Assessment of procedural pain
Visual analog scale - ANSWER 3-18 yr
Horizontal line depicting pain; patient draws intersecting vertical line to indicate level of
pain
Oucher Scale - ANSWER 3-12 yr Faces scale with 6 photographed faces indicating
varying levels of pain (from "no hurt" to "biggest hurt you could ever have"); older
children can use Oucher numerical scale
Wong-Baker Faces Pain Rating Scale - ANSWER 3-18 yr Faces scale with 6
expressive face drawings indicating varying levels of pain (from "no hurt" to "hurts like
the worst pain imaginable")
Faces Pain Scale-Revised - ANSWER 4-12 yr Faces scale with 6 face diagrams
representing varying pain intensity (from "no pain" to "very much pain"); absence of
expressions syn-onymous with happy or sad (e.g., smiles, tears) may be advantageous
with very young children
What movement increases chance for injury? - ANSWER Moving your joints far from a
neutral posture as it increases the tension on soft tissue.
What are the eight principles of good body mechanics? - ANSWER 1. Use your brain
not your back
2. Listen to your body
3. Maintain three natural curves
4. Use strong thigh muscles
5. Hands in a safe effective grip
6. Keep the load close
7. Maintain a proper stance
8. Use a weight transfer
The common causes of acute pain in pediatric patients include? - ANSWER invasive
medical and surgical procedures, underlying illness, and injuries such as fractures and
falls
How does Pediatric pain pharmacotherapy differ from adult pain management -
ANSWER dosing, pharmacokinetics, and choice of agents.
What age is best for pediatric patients to self-report pain? - ANSWER children 5 years
of age or older
What pain scales can be used for pediatric patients with cognitive impairments? -
ANSWER revised Face, Legs, Activity, Cry, Consolability (r-FLACC) scale, Pediatric
Pain Profile (PPP) rating scale, and Individualized Numeric Rating Scale (INRS).1
Why does the WHO 2 step ladder change to a 3 step ladder for pediatric patients? -
ANSWER due to the removal of codeine as a "weak" opioid option in pediatric patients
WHO first step for pain management in pediatrics - ANSWER nonopioid pharmacologic
agents, acetaminophen and ibuprofen, for patients older than 3 months of age. For
patients under 3 months of age, only acetaminophen is generally recommended
Faces, Legs, Activity, Cry, Consolability (FLACC) scale - ANSWER Nonverbal patients
2 months -7 yr of age
, Facial expression, body movements, crying, caregiver ability to console
Assessment of postoperative pain
Neonatal Pain, Agitation and Sedation Scale (N-PASS) - ANSWER Newborns and
infants 0-100 days of age; score adjusted for age
Heart rate, respiratory rate, blood pressure, oxygen saturation, behavior, crying, muscle
tone, irritability
Assessment of acute pain and sedation, and in mechanically ventilated patients
CRIES (cry, requires oxygen, increased vital signs, ex-pression, sleeplessness) scale -
ANSWER Infants with gestational age of 32-36 wk
Oxygen requirement, increased vital signs, crying, facial expression, sleeplessness
Assessment of postoperative pain
COMFORT scale - ANSWER Infants with gestational age of 28-37 wk
Heart rate, blood pressure, movement, calmness, facial tension, alertness, respiration
rate, muscle tone
Assessment of postoperative pain, and in mechanically ventilated patients
Premature Infant Pain Profile (PIPP) - ANSWER Infants with gestational age of 28-40
wk; score adjusted for gestational age
Heart rate, oxygen saturation, facial expressions
Assessment of procedural and postoperative pain
Neonatal Infant Pain Score (NIPS) - ANSWER Newborns and infants with gestational
age of 28-38 wk
Respiratory patterns, crying, movements, alertness
Assessment of procedural pain
Visual analog scale - ANSWER 3-18 yr
Horizontal line depicting pain; patient draws intersecting vertical line to indicate level of
pain
Oucher Scale - ANSWER 3-12 yr Faces scale with 6 photographed faces indicating
varying levels of pain (from "no hurt" to "biggest hurt you could ever have"); older
children can use Oucher numerical scale
Wong-Baker Faces Pain Rating Scale - ANSWER 3-18 yr Faces scale with 6
expressive face drawings indicating varying levels of pain (from "no hurt" to "hurts like
the worst pain imaginable")
Faces Pain Scale-Revised - ANSWER 4-12 yr Faces scale with 6 face diagrams
representing varying pain intensity (from "no pain" to "very much pain"); absence of
expressions syn-onymous with happy or sad (e.g., smiles, tears) may be advantageous
with very young children
