test bank exam questions from
fundamentals book latest update
The nurse is caring for a patient and is focusing on modifiable factors that contribute
to pain. Which areas does the nurse focus on with this patient?
a. Age and gender
b. Anxiety and fear
c. Culture and ethnicity
d. Previous pain experiences and cognitive abilities - Answer-b. Anxiety and fear
The nurse is evaluating the effectiveness of guided imagery for pain management as
used for a patient who has second- and third-degree burns and needs extensive
dressing changes. Which finding best indicates the effectiveness of guided imagery?
a. The patient's facial expressions are stoic during the procedure.
b. The patient rates pain during the dressing change as a 6 on a scale of 0 to 10.
c. The patient's need for analgesic medication decreases during the dressing
changes.
d. The patient asks for pain medication during the dressing changes only once
throughout the procedure. - Answer-c. The patient's need for analgesic medication
decreases during the dressing changes.
A nurse is providing medication education to a patient who just started been
prescribed ibuprofen. Which information will the nurse include in the teaching
session?
a. Ibuprofen helps to depress the central nervous system to decrease pain
perception.
b. Ibuprofen reduces anxiety, which will help you cope with your pain.
c. Ibuprofen binds with opiate receptors to reduce your pain.
d. Ibuprofen inhibits the development of inflammation. - Answer-d. Ibuprofen inhibits
the development of inflammation.
The nurse has brought a patient the scheduled pain medication. The patient asks the
nurse to wait to give pain medication until the time for the dressing change, which is
2 hours away. Which response by the nurse is most therapeutic?
a. ―This medication will still be providing you relief at the time of your dressing
change.‖
b. ―OK, swallow this pain pill, and I will return in a minute to change your dressing.‖
c. ―Would you like medication to be given for dressing changes in addition to your
regularly scheduled medication?‖
d. ―Your medication is scheduled for this time, and I can't adjust the time for you.
I'm sorry, but you must take your pill right now.‖ - Answer-c. ―Would you like
medication to be given for dressing changes in addition to your
regularly scheduled medication?‖
A nurse receives an order from a health care provider to administer hydrocodone
and acetaminophen to a patient who is experiencing 8/10 postsurgical pain. The
order is to give 2 tablets every 6 hours by mouth as needed for pain. What is the
nurse's next best action?
,a. Give the medication to the patient immediately because the patient is experiencing
severe pain.
b. Ask the health care provider for a non-steroidal anti-inflammatory drug (NSAID)
order.
c. Ask the health care provider to verify the dosage and frequency of the medication.
d. Give the medication in addition to playing soothing music for the patient. - Answer-
c. Ask the health care provider to verify the dosage and frequency of the medication.
The nurse is caring for a 4-year-old child who is demonstrating signs of pain. Which
technique will the nurse use to best assess pain in this child?
a. Use the FACES scale.
b. Check to see what previous nurses have charted.
c. Ask the parents if they think their child is in pain.
d. Have the child rate the level of pain on a 0 to 10 pain scale - Answer-a. Use the
FACES scale.
A nurse is caring for a group of patients. Which patient will the nurse see first to best
manage patient needs?
a. A patient who received morphine and has a pulse of 62 beats/min, respirations 10
breaths/min, and blood pressure 110/60 mm Hg.
b. A patient lying very still in bed who reports no pain but is pale with warm, dry skin.
c. A patient with severe pain who is nauseated and feels like he or she is about to
vomit.
d. A patient writhing and moaning from abdominal pain after abdominal surgery. -
Answer-a. A patient who received morphine and has a pulse of 62 beats/min,
respirations 10 breaths/min, and blood pressure 110/60 mm Hg.
A nurse is caring for a patient diagnosed with chronic pain. Which statement by the
nurse indicates an understanding of pain management?
a. ―This patient says the pain is a 5 but is not acting like it. I am not going to give
any
pain medication.‖
b. ―I need to reassess the patient's pain 1 hour after administering oral pain
medication.‖
c. ―It wasn't time for the patient's medication, so when it was requested, I gave a
placebo.‖
d. ―The patient is sleeping, so I pushed the PCA button.‖ - Answer-b. ―I need to
reassess the patient's pain 1 hour after administering oral pain medication.‖
The nurse is assessing how a patient's pain is affecting mobility. Which assessment
question is most appropriate?
a. ―Have you considered working with a physical therapist?‖
b. ―What activities, if any, has your pain prevented you from doing?‖
c. ―Would you please rate your pain on a scale from 0 to 10 for me?‖
d. ―When does your pain medication typically take effect on your pain?‖ - Answer-b.
―What activities, if any, has your pain prevented you from doing?‖
The nurse is teaching a student nurse about pain assessment scales. Which
statement by the student indicates effective teaching?
a. ―You cannot use a pain scale to compare the pain of my patient with the pain of
, your patient.‖
b. ―When patients say they don't need pain medication, they aren't in pain.‖
c. ―A patient's behavior is more reliable than the patient's report of pain.‖
d. ―Pain assessment scales determine the quality of a patient's pain.‖ - Answer-a.
―You cannot use a pain scale to compare the pain of my patient with the pain of
your patient.‖
The nurse is administering pain medication for several patients. Which patient does
the nurse administer medication to first?
a. The patient who needs to be pre-medicated before walking.
b. The patient who has a PCA running that needs the syringe replaced.
c. The patient who needs to take a scheduled dose of maintenance pain medication.
d. The patient who is experiencing 8/10 pain and has an immediate order for pain
medication. - Answer-d. The patient who is experiencing 8/10 pain and has an
immediate order for pain medication.
The nurse is assessing a patient for opioid tolerance. Which finding supports the
nurse's assessment?
a. The patient needed a substantial dose of naloxone.
b. The patient needs increasingly higher doses of opioid to control pain.
c. The patient no longer experiences sedation from the usual dose of opioid.
d. The patient asks for pain medication close to the time it is due around the clock. -
Answer-b. The patient needs increasingly higher doses of opioid to control pain.
A nurse is caring for a patient with rheumatoid arthritis who is now going to be taking
2 acetaminophen tablets every 6 hours to control pain. Which part of the patient's
social history is the nurse most concerned about?
a. Patient drinks 1 to 2 glasses of wine every night.
b. Patient smokes 2 packs of cigarettes a day.
c. Patient occasionally uses marijuana.
d. Patient takes anti-anxiety medications. - Answer-a. Patient drinks 1 to 2 glasses of
wine every night.
The nurse is caring for a patient who suddenly experiences chest pain. What is the
nurse's first priority?
a. Call the rapid response team.
b. Start an intravenous (IV) line.
c. Administer pain-relief medications.
d. Ask the patient to rate and describe the pain. - Answer-d. Ask the patient to rate
and describe the pain.
The nurse is caring for a group of patients. Which task may the nurse delegate to the
unlicensed assistive personnel (UAP)?
a. Administer a back massage to a patient with pain.
b. Assessment of pain for a patient reporting abdominal pain.
c. Administer patient-controlled analgesia for a postoperative patient.
d. Assessment of vital signs in a patient receiving epidural analgesia. - Answer-a.
Administer a back massage to a patient with pain.
fundamentals book latest update
The nurse is caring for a patient and is focusing on modifiable factors that contribute
to pain. Which areas does the nurse focus on with this patient?
a. Age and gender
b. Anxiety and fear
c. Culture and ethnicity
d. Previous pain experiences and cognitive abilities - Answer-b. Anxiety and fear
The nurse is evaluating the effectiveness of guided imagery for pain management as
used for a patient who has second- and third-degree burns and needs extensive
dressing changes. Which finding best indicates the effectiveness of guided imagery?
a. The patient's facial expressions are stoic during the procedure.
b. The patient rates pain during the dressing change as a 6 on a scale of 0 to 10.
c. The patient's need for analgesic medication decreases during the dressing
changes.
d. The patient asks for pain medication during the dressing changes only once
throughout the procedure. - Answer-c. The patient's need for analgesic medication
decreases during the dressing changes.
A nurse is providing medication education to a patient who just started been
prescribed ibuprofen. Which information will the nurse include in the teaching
session?
a. Ibuprofen helps to depress the central nervous system to decrease pain
perception.
b. Ibuprofen reduces anxiety, which will help you cope with your pain.
c. Ibuprofen binds with opiate receptors to reduce your pain.
d. Ibuprofen inhibits the development of inflammation. - Answer-d. Ibuprofen inhibits
the development of inflammation.
The nurse has brought a patient the scheduled pain medication. The patient asks the
nurse to wait to give pain medication until the time for the dressing change, which is
2 hours away. Which response by the nurse is most therapeutic?
a. ―This medication will still be providing you relief at the time of your dressing
change.‖
b. ―OK, swallow this pain pill, and I will return in a minute to change your dressing.‖
c. ―Would you like medication to be given for dressing changes in addition to your
regularly scheduled medication?‖
d. ―Your medication is scheduled for this time, and I can't adjust the time for you.
I'm sorry, but you must take your pill right now.‖ - Answer-c. ―Would you like
medication to be given for dressing changes in addition to your
regularly scheduled medication?‖
A nurse receives an order from a health care provider to administer hydrocodone
and acetaminophen to a patient who is experiencing 8/10 postsurgical pain. The
order is to give 2 tablets every 6 hours by mouth as needed for pain. What is the
nurse's next best action?
,a. Give the medication to the patient immediately because the patient is experiencing
severe pain.
b. Ask the health care provider for a non-steroidal anti-inflammatory drug (NSAID)
order.
c. Ask the health care provider to verify the dosage and frequency of the medication.
d. Give the medication in addition to playing soothing music for the patient. - Answer-
c. Ask the health care provider to verify the dosage and frequency of the medication.
The nurse is caring for a 4-year-old child who is demonstrating signs of pain. Which
technique will the nurse use to best assess pain in this child?
a. Use the FACES scale.
b. Check to see what previous nurses have charted.
c. Ask the parents if they think their child is in pain.
d. Have the child rate the level of pain on a 0 to 10 pain scale - Answer-a. Use the
FACES scale.
A nurse is caring for a group of patients. Which patient will the nurse see first to best
manage patient needs?
a. A patient who received morphine and has a pulse of 62 beats/min, respirations 10
breaths/min, and blood pressure 110/60 mm Hg.
b. A patient lying very still in bed who reports no pain but is pale with warm, dry skin.
c. A patient with severe pain who is nauseated and feels like he or she is about to
vomit.
d. A patient writhing and moaning from abdominal pain after abdominal surgery. -
Answer-a. A patient who received morphine and has a pulse of 62 beats/min,
respirations 10 breaths/min, and blood pressure 110/60 mm Hg.
A nurse is caring for a patient diagnosed with chronic pain. Which statement by the
nurse indicates an understanding of pain management?
a. ―This patient says the pain is a 5 but is not acting like it. I am not going to give
any
pain medication.‖
b. ―I need to reassess the patient's pain 1 hour after administering oral pain
medication.‖
c. ―It wasn't time for the patient's medication, so when it was requested, I gave a
placebo.‖
d. ―The patient is sleeping, so I pushed the PCA button.‖ - Answer-b. ―I need to
reassess the patient's pain 1 hour after administering oral pain medication.‖
The nurse is assessing how a patient's pain is affecting mobility. Which assessment
question is most appropriate?
a. ―Have you considered working with a physical therapist?‖
b. ―What activities, if any, has your pain prevented you from doing?‖
c. ―Would you please rate your pain on a scale from 0 to 10 for me?‖
d. ―When does your pain medication typically take effect on your pain?‖ - Answer-b.
―What activities, if any, has your pain prevented you from doing?‖
The nurse is teaching a student nurse about pain assessment scales. Which
statement by the student indicates effective teaching?
a. ―You cannot use a pain scale to compare the pain of my patient with the pain of
, your patient.‖
b. ―When patients say they don't need pain medication, they aren't in pain.‖
c. ―A patient's behavior is more reliable than the patient's report of pain.‖
d. ―Pain assessment scales determine the quality of a patient's pain.‖ - Answer-a.
―You cannot use a pain scale to compare the pain of my patient with the pain of
your patient.‖
The nurse is administering pain medication for several patients. Which patient does
the nurse administer medication to first?
a. The patient who needs to be pre-medicated before walking.
b. The patient who has a PCA running that needs the syringe replaced.
c. The patient who needs to take a scheduled dose of maintenance pain medication.
d. The patient who is experiencing 8/10 pain and has an immediate order for pain
medication. - Answer-d. The patient who is experiencing 8/10 pain and has an
immediate order for pain medication.
The nurse is assessing a patient for opioid tolerance. Which finding supports the
nurse's assessment?
a. The patient needed a substantial dose of naloxone.
b. The patient needs increasingly higher doses of opioid to control pain.
c. The patient no longer experiences sedation from the usual dose of opioid.
d. The patient asks for pain medication close to the time it is due around the clock. -
Answer-b. The patient needs increasingly higher doses of opioid to control pain.
A nurse is caring for a patient with rheumatoid arthritis who is now going to be taking
2 acetaminophen tablets every 6 hours to control pain. Which part of the patient's
social history is the nurse most concerned about?
a. Patient drinks 1 to 2 glasses of wine every night.
b. Patient smokes 2 packs of cigarettes a day.
c. Patient occasionally uses marijuana.
d. Patient takes anti-anxiety medications. - Answer-a. Patient drinks 1 to 2 glasses of
wine every night.
The nurse is caring for a patient who suddenly experiences chest pain. What is the
nurse's first priority?
a. Call the rapid response team.
b. Start an intravenous (IV) line.
c. Administer pain-relief medications.
d. Ask the patient to rate and describe the pain. - Answer-d. Ask the patient to rate
and describe the pain.
The nurse is caring for a group of patients. Which task may the nurse delegate to the
unlicensed assistive personnel (UAP)?
a. Administer a back massage to a patient with pain.
b. Assessment of pain for a patient reporting abdominal pain.
c. Administer patient-controlled analgesia for a postoperative patient.
d. Assessment of vital signs in a patient receiving epidural analgesia. - Answer-a.
Administer a back massage to a patient with pain.
