Pain Management NCLEX Practice Quiz

A client with chronic pain reports to you, the charge nurse, that the nurse have not been responding to requests for pain medication. What is your initial action? A. Check the MARs and nurses' notes for the past several days. B. Ask the nurse educator to give an in-service about pain management. C. Perform a complete pain assessment and history on the client. D. Have a conference with the nurses responsible for the care of this client. Family members are encouraging your client to "tough it out" rather than run the risk of becoming addicted to narcotics. The client is stoically abiding by the fami￾ly's wishes. Priority nursing interventions for this client should target which dimen- sion of pain? A. Sensory B. Affective C. Sociocultural D.Behavioral E. Cognitive A client with diabetic neuropathy re- ports a burning, electrical-type in the low- er extremities that is not responding to NSAIDs. You anticipate that the physi- cian will order which adjuvant medication for this type of pain? A. Amitriptyline (Elavil) B. Corticosteroids C. Methylphenidate (Ritalin) D. Lorazepam (Ativan) have a conference with the nurses re- sponsible for the care of this client sociocultural amitriptyline (Elavil) Pain Management NCLEX Practice Quiz (25 Questions) 2 / 8 Which client is most likely to receive opi- oids for extended periods of time? A. A client with fibromyalgia B. A client with phantom limb pain C. A client with progressive pancreatic cancer D.A client with trigeminal neuralgia As the charge nurse, you are reviewing the charts of clients who were assigned to a newly graduated RN. The RN has correctly charted dose and time of medication, but there is no documentation re- garding non-pharmaceutical measures. What action should you take first? A. Make a note in the nurse's file and continue to observe clinical performance B. Refer the new nurse to the in-service education department. C. Quiz the nurse about knowledge of pain management D.Give praise for the correct dose and time and discuss the deficits in charting. In caring for a young child with pain, which assessment tool is the most useful? A.Simple description pain intensity scale B. 0-10 numeric pain scale C. Faces pain-rating scale D. McGill-Melzack pain questionnaire In applying the principles of pain treat- ment, what is the first consideration? A. Treatment is based on client goals. B. A multidisciplinary approach is need- ed. A client with progressive pancreatic can- cer Give praise for the correct dose and time and discuss the deficits in charting C. Faces pain-rating scale C.The client must be believed about per- ceptions of own pain