ATI Med-Surg Proctored Exam Question Bank ATI Med-Surg Proctored Exam Question Bank ATI Med-Surg Proctored Exam Question Bank Pain Test Bank

ATI Med-Surg Proctored Exam Question Bank ATI Med-Surg Proctored Exam Question Bank ATI Med-Surg Proctored Exam Question Bank Pain Test Bank MULTIPLE CHOICE 1. Which question asked by the nurse will give the most information about the patient’s metastatic bone cancer pain? a. “How long have you had this pain?” b. “How would you describe your pain?” c. “How much medication do you take for the pain?” d. “How many times a day do you take medication for the pain?” ANS: B 2. A patient who uses a fentanyl (Duragesic) patch for chronic cancer pain suddenly complains of rapid onset pain at a level 9 (0 to 10 scale) and requests “something for pain that will work now.” How will the nurse document the type of pain reported by this patient? a. Somatic pain b. Referred pain c. Neuropathic pain d. Breakthrough pain ANS: D 3. The nurse teaches a student nurse about the action of ibuprofen. Which statement, if made by the student, indicates that teaching was effective? a. “The drug decreases pain impulses in the spinal cord.” b. “The drug decreases sensitivity of the brain to painful stimuli.” c. “The drug decreases production of painsensitizing chemicals.” d. “The drug decreases the modulating effect of descending nerves.” ANS: C 4. A nurse assesses a patient with chronic cancer pain who is receiving imipramine (Tofranil) in addition to long-acting morphine. Which statement, if made by the patient, indicates to the nurse that the patient is receiving adequate pain control? a. “I’m not anxious at all.” b. “I sleep 8 hours every night.” ATI Med-Surg Proctored Exam Question Bank ATI Med-Surg Proctored Exam Question Bank c. “I feel much less depressed since I’ve ATI Med-Surg Proctored Exam Question Bank ATI Med-Surg Proctored Exam Question Bank been taking the Tofranil.” d. “The pain is manageable and I can accomplish my desired activities. ANS: D 5. A patient with chronic back pain has learned to control the pain with the use of imagery and hypnosis. The patient’s spouse asks the nurse how these techniques work. Which response by the nurse is best? a. “The strategies work by affecting the perception of pain.” b. “These techniques block the pain pathways of the nerves.” c. “Both strategies prevent transmission of painful stimuli to the brain.” d. “The therapies slow the release of chemicals in the spinal cord that cause pain.” ANS: A 6. A patient who is receiving sustained-release morphine sulfate (MS Contin) every 12 hours for chronic pain experiences level 9 (0 to 10 scale) breakthrough pain and anxiety. Which action by the nurse is best? a. Provide amitriptyline (Elavil) 10 mg orally. b. Administer lorazepam (Ativan) 1 mg orally. c. Offer ibuprofen (Motrin) 400 to 800 mg orally. d. Give immediate-release morphine 30 mg orally. ANS: D 7. A patient with chronic neck pain is seen in the pain clinic for follow-up. In order to evaluate whether the pain management is effective, which question is best for the nurse to ask? a. “Can you describe the quality of your pain?” b. “Has there been a change in the pain location?” c. “How would you rate your pain on a 0 to 10 scale?” d. “Does the pain keep you from doing things you enjoy?” ANS: D