FOUNDATIONS OF NURSING GUIDE | MEDICATIONS, CULTURAL
COMPETENCE, PAIN, AND SKILLS | QUESTIONS & ANSWERS
| NEW 2026/ 2027 UPDATE | GRADED A+| 100% CORRECT (VERIFIED
SOLUTIONS)
A client reports abdominal pain as "8" on a pain intensity scale of 0-10 thirty minutes after receiving
an opioid intravenously. Her past medical history includes partial-thickness burns to approximately
60% of her body several years ago. The nurse assesses
A.That the client's past experiences with pain may influence her perception of current pain
B.That based on her past experiences the client's perception of pain should be less
C.That the client has become dependent on drugs from her previous experience of burns
D.That the client is experiencing pain relating to the burn injuries from several years ago -
CORRECT|ANSWER
A.That the client's past experiences with pain may influence her perception of current pain
You are the emergency department (ED) nurse caring for a 9-year-old who was in a motor vehicle
accident. The mother arrives at the ED, and you explain that the child is in pain from a broken arm,
which will need surgical intervention to set the bones. You ask the mother to comfort the child. What
type of pain are you dealing with in this patient?
A.Chronic
B.Acute
C.Intermittent
D.Phantom -
CORRECT|ANSWER
B.Acute
A new surgical patient has been prescribed an opioid analgesic intravenously for pain control. The
nurse should be aware of which most serious adverse effect of this medication?
A.Respiratory depression
B.Nausea and vomiting
C.Constipation
D.Pruritus -
CORRECT|ANSWER
A.Respiratory depression
,A patient with a spirally fractured femur had surgical repair of the bone. After surgery, the client
reports a pain rating of 7 (on a 0 to 10 scale). How would the nurse expect the client to describe the
characteristics of the pain?
A.local, sharp, intense
B.generalized, dull, aching
C.burning, sharp discomfort
D.dull intermittent ache -
CORRECT|ANSWER
A.local, sharp, intense
A client's physician prescribes opiate pain medication to manage post-surgical pain. Which
contraindication applies to opiate analgesics?
A.Do not administer if respirations are less than 12 breaths/minute.
B.Do not administer if the client is a smoker.
C.Do not administer if blood pressure is higher than 120/80 mm Hg.
D.Do not administer if the client consumes only a vegetarian diet. -
CORRECT|ANSWER
A.Do not administer if respirations are less than 12 breaths/minute.
The nurse who is a member of the palliative care team is assessing a client. The client indicates that
he has been saving his PRN analgesics until the pain is intense because his pain control has been
inadequate. What teaching should the nurse do with this client?
A.Medication should be taken when pain levels are low so the pain is easier to reduce.
B.Pain medication can be increased when the pain becomes intense.
C.It is difficult to control chronic pain, so this is an inevitable part of the disease process.
D.The client will likely benefit more from distraction than pharmacologic interventions. -
CORRECT|ANSWER
A.Medication should be taken when pain levels are low so the pain is easier to reduce.
The nurse is creating a nursing care plan for a client with a primary diagnosis of cellulitis and a
secondary diagnosis of chronic pain. What common trait of clients who live with chronic pain should
be integrated into care planning?
A.They are typically more comfortable with underlying pain than clients without chronic pain.
,B.They often have a lower pain threshold than clients without chronic pain.
C.They often have an increased tolerance of pain.
D.They can experience acute pain in addition to chronic pain. -
CORRECT|ANSWER
D.They can experience acute pain in addition to chronic pain.
The emergency department (ED) nurse is caring for an adult client who was in a motor vehicle
accident. Radiography reveals an ulnar fracture. What type of pain is the nurse addressing with this
client?
A.Chronic
B.Acute
C.Intermittent
D.Osteopenic -
CORRECT|ANSWER
B.Acute
The nurse on a rehabilitation unit receives report about a new client who has fibromyalgia and has
difficulty with her ADLs. The off-going nurse also reports that the client is withdrawn, refusing
visitors, and has been vacillating between tears and anger all afternoon. What aspect of chronic pain
syndromes could account for this client's behavior?
A.Fibromyalgia is not a chronic pain syndrome, so further assessment is necessary.
B.The client is likely frustrated because she has to be in the hospital.
C.The client likely has an underlying psychiatric disorder.
D.Chronic pain can cause intense emotional responses. -
CORRECT|ANSWER
D.Chronic pain can cause intense emotional responses.
A client's intractable neuropathic pain is being treated using a multimodal approach to analgesia.
After administering a recently increased dose of IV morphine to the client, the nurse has returned to
assess the client and finds the client unresponsive to verbal and physical stimulation with a
respiratory rate of five breaths per minute. The nurse has called a code blue and should anticipate
the administration of what drug?
A.Acetylcysteine
B.Naloxone
, C.Celecoxib
D.Acetylsalicylic acid -
CORRECT|ANSWER
B.Naloxone
The nurse caring for an older adult client with osteoarthritis is reviewing the client's chart. This client
is on a variety of medications prescribed by different care providers in the community. In light of the
QSEN competency of safety, what is the nurse most concerned about with this client?
A.Depression
B.Chronic illness
C.Inadequate pain control
D.Drug interactions -
CORRECT|ANSWER
D.Drug interactions
The nurse, as a member of the patient's health care team, obtains pain assessment information to
identify goals for pain management. Select the most important factor that the nurse would use for
goal setting:
A.Severity of the pain as judged by the patient
B.Anticipated harmful effects of the pain experience
C.Anticipated duration of the pain
D.Medical interventions for pain management -
CORRECT|ANSWER
A.Severity of the pain as judged by the patient
A patient who is postoperative day 1 following a discectomy has lit his call light and requested a dose
of hydromorphone, which he receives on a p.r.n. basis for breakthrough pain. What should the nurse
first do in response to the patient's request?
A.Assess the characteristics of the patient's pain.
B.Draw up the prescribed dose of hydromorphone.
C.Propose the use of nonpharmacologic interventions.
D.Discuss the use of NSAIDs as an alternative to opioids. -
CORRECT|ANSWER
COMPETENCE, PAIN, AND SKILLS | QUESTIONS & ANSWERS
| NEW 2026/ 2027 UPDATE | GRADED A+| 100% CORRECT (VERIFIED
SOLUTIONS)
A client reports abdominal pain as "8" on a pain intensity scale of 0-10 thirty minutes after receiving
an opioid intravenously. Her past medical history includes partial-thickness burns to approximately
60% of her body several years ago. The nurse assesses
A.That the client's past experiences with pain may influence her perception of current pain
B.That based on her past experiences the client's perception of pain should be less
C.That the client has become dependent on drugs from her previous experience of burns
D.That the client is experiencing pain relating to the burn injuries from several years ago -
CORRECT|ANSWER
A.That the client's past experiences with pain may influence her perception of current pain
You are the emergency department (ED) nurse caring for a 9-year-old who was in a motor vehicle
accident. The mother arrives at the ED, and you explain that the child is in pain from a broken arm,
which will need surgical intervention to set the bones. You ask the mother to comfort the child. What
type of pain are you dealing with in this patient?
A.Chronic
B.Acute
C.Intermittent
D.Phantom -
CORRECT|ANSWER
B.Acute
A new surgical patient has been prescribed an opioid analgesic intravenously for pain control. The
nurse should be aware of which most serious adverse effect of this medication?
A.Respiratory depression
B.Nausea and vomiting
C.Constipation
D.Pruritus -
CORRECT|ANSWER
A.Respiratory depression
,A patient with a spirally fractured femur had surgical repair of the bone. After surgery, the client
reports a pain rating of 7 (on a 0 to 10 scale). How would the nurse expect the client to describe the
characteristics of the pain?
A.local, sharp, intense
B.generalized, dull, aching
C.burning, sharp discomfort
D.dull intermittent ache -
CORRECT|ANSWER
A.local, sharp, intense
A client's physician prescribes opiate pain medication to manage post-surgical pain. Which
contraindication applies to opiate analgesics?
A.Do not administer if respirations are less than 12 breaths/minute.
B.Do not administer if the client is a smoker.
C.Do not administer if blood pressure is higher than 120/80 mm Hg.
D.Do not administer if the client consumes only a vegetarian diet. -
CORRECT|ANSWER
A.Do not administer if respirations are less than 12 breaths/minute.
The nurse who is a member of the palliative care team is assessing a client. The client indicates that
he has been saving his PRN analgesics until the pain is intense because his pain control has been
inadequate. What teaching should the nurse do with this client?
A.Medication should be taken when pain levels are low so the pain is easier to reduce.
B.Pain medication can be increased when the pain becomes intense.
C.It is difficult to control chronic pain, so this is an inevitable part of the disease process.
D.The client will likely benefit more from distraction than pharmacologic interventions. -
CORRECT|ANSWER
A.Medication should be taken when pain levels are low so the pain is easier to reduce.
The nurse is creating a nursing care plan for a client with a primary diagnosis of cellulitis and a
secondary diagnosis of chronic pain. What common trait of clients who live with chronic pain should
be integrated into care planning?
A.They are typically more comfortable with underlying pain than clients without chronic pain.
,B.They often have a lower pain threshold than clients without chronic pain.
C.They often have an increased tolerance of pain.
D.They can experience acute pain in addition to chronic pain. -
CORRECT|ANSWER
D.They can experience acute pain in addition to chronic pain.
The emergency department (ED) nurse is caring for an adult client who was in a motor vehicle
accident. Radiography reveals an ulnar fracture. What type of pain is the nurse addressing with this
client?
A.Chronic
B.Acute
C.Intermittent
D.Osteopenic -
CORRECT|ANSWER
B.Acute
The nurse on a rehabilitation unit receives report about a new client who has fibromyalgia and has
difficulty with her ADLs. The off-going nurse also reports that the client is withdrawn, refusing
visitors, and has been vacillating between tears and anger all afternoon. What aspect of chronic pain
syndromes could account for this client's behavior?
A.Fibromyalgia is not a chronic pain syndrome, so further assessment is necessary.
B.The client is likely frustrated because she has to be in the hospital.
C.The client likely has an underlying psychiatric disorder.
D.Chronic pain can cause intense emotional responses. -
CORRECT|ANSWER
D.Chronic pain can cause intense emotional responses.
A client's intractable neuropathic pain is being treated using a multimodal approach to analgesia.
After administering a recently increased dose of IV morphine to the client, the nurse has returned to
assess the client and finds the client unresponsive to verbal and physical stimulation with a
respiratory rate of five breaths per minute. The nurse has called a code blue and should anticipate
the administration of what drug?
A.Acetylcysteine
B.Naloxone
, C.Celecoxib
D.Acetylsalicylic acid -
CORRECT|ANSWER
B.Naloxone
The nurse caring for an older adult client with osteoarthritis is reviewing the client's chart. This client
is on a variety of medications prescribed by different care providers in the community. In light of the
QSEN competency of safety, what is the nurse most concerned about with this client?
A.Depression
B.Chronic illness
C.Inadequate pain control
D.Drug interactions -
CORRECT|ANSWER
D.Drug interactions
The nurse, as a member of the patient's health care team, obtains pain assessment information to
identify goals for pain management. Select the most important factor that the nurse would use for
goal setting:
A.Severity of the pain as judged by the patient
B.Anticipated harmful effects of the pain experience
C.Anticipated duration of the pain
D.Medical interventions for pain management -
CORRECT|ANSWER
A.Severity of the pain as judged by the patient
A patient who is postoperative day 1 following a discectomy has lit his call light and requested a dose
of hydromorphone, which he receives on a p.r.n. basis for breakthrough pain. What should the nurse
first do in response to the patient's request?
A.Assess the characteristics of the patient's pain.
B.Draw up the prescribed dose of hydromorphone.
C.Propose the use of nonpharmacologic interventions.
D.Discuss the use of NSAIDs as an alternative to opioids. -
CORRECT|ANSWER
