NR 226 EXAM 2026 UPDATE QUESTIONS AND
CORRECT VERIFIED ANSWERS ALREADY
GRADED A+ (BRAND NEW VISION)
what other side effects of opioids should the nurse monitor and treat? - ANS-urinary retention
constipation
addiction
nausea/vomiting
pruritus
resp distress
when is pain considered MILD on the pain scale 0-10? - ANS-1-3
when is pain considered MODERATE on the pain scale 0-10? - ANS-4-6
when is pain considered SEVERE on the pain scale 0-10? - ANS-7-10
example of the use of the gate control theory? - ANS-transcutaneous electrical nerve
stimulation (TENS) used for chronic pain in arthritis
adjuvant/coanalgesic - ANS-meds that enhance analgesics, they were not originally created to
treat pain but they have pain relieving affects
complications of opioid epidural analgesics - ANS-respiratory distress, urinary retention,
nausea, vomiting, constipation, pruritus
,goals for the care of a patient with epidural infusions - ANS-1- prevent catheter displacement
2- maintain catheter function
3- prevent infection
4- maintain urinary/bowel function
5- monitor for respiratory distress
6- monitor for pruritus/nausea
transdermal fentanyl - ANS-continous analgesic administration topically for 48-72 hours. used
in patients that can't take orally
transmucosal fentanyl - ANS-used for breakthrough pain, opioid swabbed in mouth/gum-
dissolves in mouth, 2 units MAX during breakthrough pain
Breakthrough pain- INCIDENT PAIN - ANS-pain that is predictable and elicited by specific
behavior
ex. wound bandage change
breakthrough pain- END OF DOSE FAILURE PAIN - ANS-pain that occurs toward the end of the
usual dosing interval of a regularly scheduled analgesic
breakthrough pain- SPONTANEOUS PAIN - ANS-pain that is unpredictable and not associated
with any activity/event
examples of PATIENT barriers to effective pain management - ANS--fear of addiction
-worry about side effects
, -fear of tolerance
-takes too many pills already
-fear of injections
-needs to suffer to be cured
examples of HEALTH PROVIDER barriers to effective pain management - ANS--inadequate pain
assessment
-concerns with addiction
-no visible cause of pain
-fear of opioids
-not believing patients pain report
examples of HEALTH CARE SYSTEM BARRIERS to effective pain management - ANS--difficulty in
filling Rx
-concern with "creating addicts"
-mail-order pharmacy restrictions
-extensive documentation required
physical dependence - ANS-a physiological need for a drug, marked by unpleasant withdrawal
symptoms when the drug is discontinued
addiction - ANS-A recurring compulsion to engage in an activity regardless of its bad effects,
constant craving
drug tolerance - ANS-the tendency for larger doses of a drug to be required over time to
achieve the same effect
CORRECT VERIFIED ANSWERS ALREADY
GRADED A+ (BRAND NEW VISION)
what other side effects of opioids should the nurse monitor and treat? - ANS-urinary retention
constipation
addiction
nausea/vomiting
pruritus
resp distress
when is pain considered MILD on the pain scale 0-10? - ANS-1-3
when is pain considered MODERATE on the pain scale 0-10? - ANS-4-6
when is pain considered SEVERE on the pain scale 0-10? - ANS-7-10
example of the use of the gate control theory? - ANS-transcutaneous electrical nerve
stimulation (TENS) used for chronic pain in arthritis
adjuvant/coanalgesic - ANS-meds that enhance analgesics, they were not originally created to
treat pain but they have pain relieving affects
complications of opioid epidural analgesics - ANS-respiratory distress, urinary retention,
nausea, vomiting, constipation, pruritus
,goals for the care of a patient with epidural infusions - ANS-1- prevent catheter displacement
2- maintain catheter function
3- prevent infection
4- maintain urinary/bowel function
5- monitor for respiratory distress
6- monitor for pruritus/nausea
transdermal fentanyl - ANS-continous analgesic administration topically for 48-72 hours. used
in patients that can't take orally
transmucosal fentanyl - ANS-used for breakthrough pain, opioid swabbed in mouth/gum-
dissolves in mouth, 2 units MAX during breakthrough pain
Breakthrough pain- INCIDENT PAIN - ANS-pain that is predictable and elicited by specific
behavior
ex. wound bandage change
breakthrough pain- END OF DOSE FAILURE PAIN - ANS-pain that occurs toward the end of the
usual dosing interval of a regularly scheduled analgesic
breakthrough pain- SPONTANEOUS PAIN - ANS-pain that is unpredictable and not associated
with any activity/event
examples of PATIENT barriers to effective pain management - ANS--fear of addiction
-worry about side effects
, -fear of tolerance
-takes too many pills already
-fear of injections
-needs to suffer to be cured
examples of HEALTH PROVIDER barriers to effective pain management - ANS--inadequate pain
assessment
-concerns with addiction
-no visible cause of pain
-fear of opioids
-not believing patients pain report
examples of HEALTH CARE SYSTEM BARRIERS to effective pain management - ANS--difficulty in
filling Rx
-concern with "creating addicts"
-mail-order pharmacy restrictions
-extensive documentation required
physical dependence - ANS-a physiological need for a drug, marked by unpleasant withdrawal
symptoms when the drug is discontinued
addiction - ANS-A recurring compulsion to engage in an activity regardless of its bad effects,
constant craving
drug tolerance - ANS-the tendency for larger doses of a drug to be required over time to
achieve the same effect
