HEC Exam 2 – Questions with Verified Answers
Which anesthetic drug is commonly used for short procedures on pediatric clients? -
- ANSWER: Fentanyl
- For long procedures, in which the pain is anticipated to be present after the procedure
Morphine should be used
An adolescent who has had a leg amputated because of bone cancer begins to experience
phantom limb sensations. How should the nurse respond when the client complains of
pain and requests medication? - - By acknowledging that the pain is real and
administering medication to relieve it
A client is receiving oxycodone postoperatively for pain. The healthcare provider's
prescription indicates that the dose should be administered every 3 hours for eight doses.
What should the nurse assess before administering each dose of oxycodone? - -
Respiratory rate and level of consciousness
A 16-year-old girl with sickle cell anemia is experiencing a painful episode (vaso-occlusive
crisis) and has a patient-controlled analgesia (PCA) pump. She complains of pain (5 on a
scale of 1 to 10) in her right elbow. The nurse observes that the pump is "locked out" for
another 10 minutes. What action should the nurse implement? - - Placing the
prescribed as-needed warm, wet compress on the elbow
A client comes to the emergency department reporting chest pain and difficulty breathing.
A chest x-ray reveals a pneumothorax. Which finding should the nurse expect to identify
when assessing the client? - - Absence of breath sounds over the affected area
A pain scale of 1 to 10 is used by a nurse to assess a client's degree of pain. The client rates
the pain as an 8 before receiving an analgesic and a 7 after being medicated. What
conclusion should the nurse make regarding the client's response to pain medication? -
- Medication is not adequately effective
After becoming incontinent of urine, an older client is admitted to a nursing home. The
client's rheumatoid arthritis contributes to severely painful joints. Which need is the
primary consideration in the care of this client? - - Control the Pain
Which anesthetic drug is commonly used for short procedures on pediatric clients? -
- ANSWER: Fentanyl
- For long procedures, in which the pain is anticipated to be present after the procedure
Morphine should be used
An adolescent who has had a leg amputated because of bone cancer begins to experience
phantom limb sensations. How should the nurse respond when the client complains of
pain and requests medication? - - By acknowledging that the pain is real and
administering medication to relieve it
A client is receiving oxycodone postoperatively for pain. The healthcare provider's
prescription indicates that the dose should be administered every 3 hours for eight doses.
What should the nurse assess before administering each dose of oxycodone? - -
Respiratory rate and level of consciousness
A 16-year-old girl with sickle cell anemia is experiencing a painful episode (vaso-occlusive
crisis) and has a patient-controlled analgesia (PCA) pump. She complains of pain (5 on a
scale of 1 to 10) in her right elbow. The nurse observes that the pump is "locked out" for
another 10 minutes. What action should the nurse implement? - - Placing the
prescribed as-needed warm, wet compress on the elbow
A client comes to the emergency department reporting chest pain and difficulty breathing.
A chest x-ray reveals a pneumothorax. Which finding should the nurse expect to identify
when assessing the client? - - Absence of breath sounds over the affected area
A pain scale of 1 to 10 is used by a nurse to assess a client's degree of pain. The client rates
the pain as an 8 before receiving an analgesic and a 7 after being medicated. What
conclusion should the nurse make regarding the client's response to pain medication? -
- Medication is not adequately effective
After becoming incontinent of urine, an older client is admitted to a nursing home. The
client's rheumatoid arthritis contributes to severely painful joints. Which need is the
primary consideration in the care of this client? - - Control the Pain
