NURS 302 Midterm questions with correct answers
Examples of symptoms (subjective) Correct Answer-1) Pain
2) Nausea
3) Vertigo
4) Itching
5) Faintness
6) Feeling hot/cold
7) Fatigue
8) Sleepiness
9) Anxiousness
10) Depressed mood
11) Dyspnea
12) Tinnitus
13) Dry mouth
14) Bloating
15) Heartburn
16) Double vison
Sx Correct Answer-pt's sensations (subjective)
Examples of signs (observable) Correct Answer-1) Confusion
2) Cramping
3) Weakness
,4) Palpitations
5) Vital signs
6) Labs
Symptom Dimensions:
PQRST Correct Answer-1) Provocative/Palliative Factors - what causes
it or relieves it.
2) Quality or Quantity - What does it feel like?
3) Region or Radiation- Location of the pain
4) Severity Scale - How severe is it Many pain scales
5) Timing - When does it occur? How long does it last?
Pain Correct Answer-Pain is whatever the patient says it is, occurring
whenever he or she says it does
Nociceotive Pain Correct Answer-When functioning and intact nerve
fibers from the periphery and CNS are stimulated by actual or potential
tissue damage
Nociceptive Pain
1) Transduction
2) Transmission
3) Perception
4) Modulation Correct Answer-1) Transduction (injury - tissue level)
,2) Transmission (signal to CNS)
3) Perception (conscious recognition)
4) Modulation (descending influence on pain signal)
Neuropathic pain Correct Answer-pain caused by a lesion or disease of
the somatosensory nerves
Common causes of nerve damage? Correct Answer-Trauma or diabetes
How dos nociceptive pain become neuropathic? Correct Answer-1)
Wind-up = pain causes the nervous system to become more efficient at
transmitting pain.
2) Allodynia - non-painful stimulus is painful
Is neuropathic pain difficult or easy to treat? Correct Answer-Difficult
What is referred pain? Correct Answer-Pain felt in the body other than
actual source
Rating pain
1) Do you always have to ask the pt?
2) How ask a pt to rate pain when they have a developmental condition?
3) What scale works the best?
4) What scale works well for children?
, 5) What do older adults prefer? Correct Answer-1) always ask the
patient
2) Use an appropriate approach (developmental level and cognition)
3) 0 - 10 scale works well
4) Faces scale works well for kids
5) older adults may prefer categories
Medications for acute pain? Correct Answer-1) NSAIDs
2) Opioids
Medications for chronic pain? Correct Answer-1) acetaminophen (1st
line)
2) start with non - opioid
3) long acting opioid
Medications for neuropathic pain? Correct Answer-1) Opioids don't well
except methadone
2) Antidepressants, anticonvulsants
Medications for cancer? Correct Answer-If it is terminal it is okay to use
really high opioids
Do children experience pain? Correct Answer-Yes, they need analgesia
(circumcision)
Examples of symptoms (subjective) Correct Answer-1) Pain
2) Nausea
3) Vertigo
4) Itching
5) Faintness
6) Feeling hot/cold
7) Fatigue
8) Sleepiness
9) Anxiousness
10) Depressed mood
11) Dyspnea
12) Tinnitus
13) Dry mouth
14) Bloating
15) Heartburn
16) Double vison
Sx Correct Answer-pt's sensations (subjective)
Examples of signs (observable) Correct Answer-1) Confusion
2) Cramping
3) Weakness
,4) Palpitations
5) Vital signs
6) Labs
Symptom Dimensions:
PQRST Correct Answer-1) Provocative/Palliative Factors - what causes
it or relieves it.
2) Quality or Quantity - What does it feel like?
3) Region or Radiation- Location of the pain
4) Severity Scale - How severe is it Many pain scales
5) Timing - When does it occur? How long does it last?
Pain Correct Answer-Pain is whatever the patient says it is, occurring
whenever he or she says it does
Nociceotive Pain Correct Answer-When functioning and intact nerve
fibers from the periphery and CNS are stimulated by actual or potential
tissue damage
Nociceptive Pain
1) Transduction
2) Transmission
3) Perception
4) Modulation Correct Answer-1) Transduction (injury - tissue level)
,2) Transmission (signal to CNS)
3) Perception (conscious recognition)
4) Modulation (descending influence on pain signal)
Neuropathic pain Correct Answer-pain caused by a lesion or disease of
the somatosensory nerves
Common causes of nerve damage? Correct Answer-Trauma or diabetes
How dos nociceptive pain become neuropathic? Correct Answer-1)
Wind-up = pain causes the nervous system to become more efficient at
transmitting pain.
2) Allodynia - non-painful stimulus is painful
Is neuropathic pain difficult or easy to treat? Correct Answer-Difficult
What is referred pain? Correct Answer-Pain felt in the body other than
actual source
Rating pain
1) Do you always have to ask the pt?
2) How ask a pt to rate pain when they have a developmental condition?
3) What scale works the best?
4) What scale works well for children?
, 5) What do older adults prefer? Correct Answer-1) always ask the
patient
2) Use an appropriate approach (developmental level and cognition)
3) 0 - 10 scale works well
4) Faces scale works well for kids
5) older adults may prefer categories
Medications for acute pain? Correct Answer-1) NSAIDs
2) Opioids
Medications for chronic pain? Correct Answer-1) acetaminophen (1st
line)
2) start with non - opioid
3) long acting opioid
Medications for neuropathic pain? Correct Answer-1) Opioids don't well
except methadone
2) Antidepressants, anticonvulsants
Medications for cancer? Correct Answer-If it is terminal it is okay to use
really high opioids
Do children experience pain? Correct Answer-Yes, they need analgesia
(circumcision)
