Question Collection: MS 1Quiz 1 Nov 2020
41 Questions
1.
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.
2.
Two clients have recently returned to the postsurgical unit after knee arthroplasty. One client is
reporting pain of 8 to 9 on a 0-to-10 pain scale, whereas the other client is reporting a pain level of 3
to 4 on the same pain scale. What is the nurse’s most plausible rationale for understanding the clients’
different perceptions of pain?
a. Endorphin levels may vary between clients, affecting the perception of pain.
b. One of the clients is exaggerating the sense of pain.
c. The clients are likely experiencing a variance in vasoconstriction.
d. One of the clients may be experiencing opioid tolerance.
3.
The nurse has been frequently assessing an older adult’s pain after she suffered a humeral fracture in a
fall. When applying the nursing process in pain management for a client of this age, what principle
should the nurse best apply?
a. Monitor for signs of drug toxicity due to a decrease in metabolism.
b. Monitor for an increase in absorption of the drug due to age-related changes.
c. Monitor for a paradoxical increase in pain with opioid administration.
d. Administer analgesics every 4 to 6 hours as prescribed to control pain.
4.
A client has just returned from the postanesthesia care unit (PACU) following left tibia open reduction
internal fixation (ORIF). The client is reporting pain, and the nurse is preparing to administer the
client’s first scheduled dose of hydromorphone. Prior to administering the drug, you would prioritize
what assessment?
, a. Electrolyte levels
b. Blood pressure
c. Allergy status
d. Hydration status
5.
A client is receiving postoperative morphine through a patient-controlled analgesia (PCA) pump and
the client’s prescriptions specify an initial bolus dose. What is the nurse’s priority assessment?
a. Assessment for decreased level of consciousness (LOC)
b. Assessment for respiratory depression
c. Assessment for fluid overload
d. Assessment for paradoxical increase in pain
6.
The nurse is caring for a client with metastatic bone cancer. The client asks the nurse why he has had
to keep getting larger doses of his pain medication, although they do not seem to affect him. What is
the nurse’s best response?
a. “Over time you become more tolerant of the drug.”
b. “You may have become immune to the effects of the drug.”
c. “You may be developing a mild addiction to the drug.”
d. “Your body absorbs less of the drug due to the cancer.”
7.
The home health nurse is caring for a homebound client who is terminally ill and is delivering a
patient-controlled analgesia (PCA) pump at today's visit. The family members will be taking care of the
client. What would the nurse's priority interventions be for this visit?
a. Teach the family the theory of pain management and the use of alternative therapies.
b. Provide psychosocial family support during this emotional experience.
c. Provide client and family teaching regarding the operation of the pump, monitoring the IV site,
and knowing the side effects of the medication.
d. Provide family teaching regarding use of morphine, recognizing morphine overdose, and offering
spiritual guidance.
8.
41 Questions
1.
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.
2.
Two clients have recently returned to the postsurgical unit after knee arthroplasty. One client is
reporting pain of 8 to 9 on a 0-to-10 pain scale, whereas the other client is reporting a pain level of 3
to 4 on the same pain scale. What is the nurse’s most plausible rationale for understanding the clients’
different perceptions of pain?
a. Endorphin levels may vary between clients, affecting the perception of pain.
b. One of the clients is exaggerating the sense of pain.
c. The clients are likely experiencing a variance in vasoconstriction.
d. One of the clients may be experiencing opioid tolerance.
3.
The nurse has been frequently assessing an older adult’s pain after she suffered a humeral fracture in a
fall. When applying the nursing process in pain management for a client of this age, what principle
should the nurse best apply?
a. Monitor for signs of drug toxicity due to a decrease in metabolism.
b. Monitor for an increase in absorption of the drug due to age-related changes.
c. Monitor for a paradoxical increase in pain with opioid administration.
d. Administer analgesics every 4 to 6 hours as prescribed to control pain.
4.
A client has just returned from the postanesthesia care unit (PACU) following left tibia open reduction
internal fixation (ORIF). The client is reporting pain, and the nurse is preparing to administer the
client’s first scheduled dose of hydromorphone. Prior to administering the drug, you would prioritize
what assessment?
, a. Electrolyte levels
b. Blood pressure
c. Allergy status
d. Hydration status
5.
A client is receiving postoperative morphine through a patient-controlled analgesia (PCA) pump and
the client’s prescriptions specify an initial bolus dose. What is the nurse’s priority assessment?
a. Assessment for decreased level of consciousness (LOC)
b. Assessment for respiratory depression
c. Assessment for fluid overload
d. Assessment for paradoxical increase in pain
6.
The nurse is caring for a client with metastatic bone cancer. The client asks the nurse why he has had
to keep getting larger doses of his pain medication, although they do not seem to affect him. What is
the nurse’s best response?
a. “Over time you become more tolerant of the drug.”
b. “You may have become immune to the effects of the drug.”
c. “You may be developing a mild addiction to the drug.”
d. “Your body absorbs less of the drug due to the cancer.”
7.
The home health nurse is caring for a homebound client who is terminally ill and is delivering a
patient-controlled analgesia (PCA) pump at today's visit. The family members will be taking care of the
client. What would the nurse's priority interventions be for this visit?
a. Teach the family the theory of pain management and the use of alternative therapies.
b. Provide psychosocial family support during this emotional experience.
c. Provide client and family teaching regarding the operation of the pump, monitoring the IV site,
and knowing the side effects of the medication.
d. Provide family teaching regarding use of morphine, recognizing morphine overdose, and offering
spiritual guidance.
8.
