ATI Med Surg Test Bank Questions With Correct Solution A+

ATIxMedxSurgxTestxBankxQuestionsxWithxCorrectxSolutionxA+.
Pain;
MULTIPLExCHOICE

1. Whichxquestion.asked.by.thexnursexwillxgivexthexmostxinformationxaboutxthexpatient’sxmetastaticx
bonexcancer.pain?
a. “Howxlongxhavexyouxhadxthisxpain?”
b. “Howxwouldxyouxdescribe.your.pain?”
c. “Howxmuchxmedicationxdo.youxtakexfor.the
pain?”
d. “Howxmanytimesxaxday.do.youxtakexmedica
ti
onxfor.thexpain?”
ANS:x B

2. Axpatientxwhoxusesxaxfentanylx(Duragesic)xpatchxforxchronicxcancerxpainxsuddenly.complainsxof.r
apixdxonsetxpainxatxaxlevelx9.(0xto.10xscale)xandxrequestsx“somethingxfor.painxthatxwillxworkxnow.”x
How.wixllxthexnursexdocumentxthextypexofxpain.reportedxby.thisxpatient?
a. Somaticxpain
b. Referredxpain
c. Neuropathicxpain
d. Breakthroughxpain
ANS:x D

3. Thexnursexteachesxaxstudentxnursexabout.thexactionxofxibuprofen.xWhichxstatement,xifxmadexbyxthex
student,xindicatesxthatxteachingxwasxeffective?
a. “Thexdrug.decreasesxpainximpulsesxinxthexsp
i
nalxcord.”
b. “Thexdrug.decreasesxsensitivity.ofxthexbrai
nxtoxpainfulxstimuli.”
c. “Thexdrug.decreasesxproductionxof.pain-
xsensitizingxchemicals.”
d. “Thexdrug.decreasesxthexmodulating.effectxo
f
descendingxnerves.”
ANS:x C

4. Axnurse.assessesxaxpatientxwithxchronicxcancer.painxwhoxisxreceiving.imipraminex(Tofranil)xinxad
ditxionxto.long-
actingxmorphine.xWhichxstatement,xifxmadexby.thexpatient,xindicatesxto.thexnursexthatxthexpatientxisx
rexceivingxadequatexpain.control?
a. “I’mxnotxanxiousxatxall.”
b. “I.sleepx8xhoursxeveryxnight.”

, c. “I.feelxmuchxlessxdepressedxsince.I’ve
beenxtaking.thexTofranil.”
d. “ThexpainxisxmanageablexandxI.canxaccompli
s
hxmy.desiredxactivities.

ANS:x D

5. Axpatientxwithxchronic.backxpainxhasxlearnedxtoxcontrolxthexpainxwithxthexusexofximagery.and.hypnosi
s.xThexpatient’sxspousexasksxthexnurse.howxthese.techniquesxwork.xWhichxresponsexby.thexnursexisx
bexst?
a. “Thexstrategiesxworkxby.affectingxthexperce
pt
ionxof.pain.”
b. “Thesetechniquesblockxthexpainxpathway
sxofxthexnerves.”
c. “BothxstrategiesxpreventxtrANSmissionxofxp
axinfulxstimulixto.thexbrain.”
d. “Thextherapiesxslowxthexreleasexofxchemic
alsxinxthexspinalxcordxthatxcausexpain.”


ANS:x A

6. Axpatientxwhoxisxreceiving.sustained-
releasexmorphinexsulfatex(MSxContin)xeveryx12xhoursxforxchronic.painxexperiencesxlevelx9x(0xtox10
xsxcale)xbreakthroughxpainxandxanxiety.xWhichxactionxbyxthexnursexisxbest?
a. Provideamitriptylinex(Elavil)x10.mg.orally
.
b. Administerlorazepamx(Ativan)x1xmgxorall
y.
c. Offerxibuprofenx(Motrin)x400xtox800xmgxora
ll
y.
d. Giveimmediate-
releasexmorphinex30xmgxorally.
ANS:x D

7. Axpatientxwithxchronicxneck.painxisxseenxin.thexpainxclinicxfor.follow-
up.xInxorderxtoxevaluatexwhetherxthexpainxmanagement.isxeffective,xwhichxquestionxisxbest.for
xthxexnursextoxask?
a. “Canxyouxdescribexthexquality.ofxyourxpain
?”
b. “Hasxtherexbeenxaxchange.inxthexpainxlocatio
n
?”

,c. “Howxwouldxyouxratexyourxpainxonxax0xtox
1x0xscale?”
d. “Doesxthexpain.keepxyou.fromxdoingxthings
youxenjoy?”
ANS:x D

, 8. Axpatientxwithxsecond-
degreexburnsxhasxbeenxreceivingxhydromorphonexthroughxpatient-
xcontrolledxanalgesiax(PCA)xforxaxweek.xThexpatientxwakesxupxfrequently.duringxthexnig
htxcxomplainingxofxpain.xWhatxactionxby.thexnursexisxmostxappropriate?
a. Administer.axdosexof.morphinexevery.1xtox2x
hoursxfromxthexPCAxmachinexwhilexthexpa
tientxisxsleeping.
b. Consult.withxthe.healthxcarexprovider.abo
uxtxusingaxdifferent.treatmentxprotocolxto
.coxntrolxthexpatient’sxpain.
c. Requestxthatxthexhealthxcareprovider.order.a
xbolusxdosexofxmorphinextoxbexgiven
whenxthexpatientxawakensxwithxpain.
d. Teachxthexpatientxtoxpushxthexbuttonxevery.1
0xminutesxfor.anxhour.beforexgoingxtoxsleep,
xev
enxifxthexpainxisxminimal.
ANS:x B

9. Thexnursexassessesxthatxaxpatientxreceiving.epiduralxmorphinexhasxnotxvoidedxfor.over.10xhours.x
Wxhatxactionxshouldxthexnursextakexinitially?
a. Monitor.for.withdrawalx symptoms.
b. Placexanxindwelling.urinary.catheter.
c. Ask.ifxthe.patientxfeelsxthexneedxtoxvoid.
d. Documentxthisxallergic.reactionxinxthexpatie
nt
’sxchart.
ANS:x C

10. Whenxvisiting.axhospicexpatient,xthexnursexassessesxthatxthexpatientxhasxaxrespiratory.ratexof.11x
brexaths/minutexand.complainsxofxseverexpain.xWhichxactionxisxbestxfor.thexnursextoxtake?
a. Informxthexpatientxthatxincreasingxthexmor
phinexwillxcausexthe.respiratoryxdrivexto.fa
ixl.
b. Tellxthexpatientxthatxadditionalxmorphinexc
axnxbexadministered.whenxthexrespirationsx
are
12.
c. Titratextheprescribed.morphinedose.upwa
xrdxuntilxthexpatient.indicatesxadequate.pai
nxrelief.
d. Administerxaxnonopioidxanalgesic,xsuchxasxa
xnonsteroidalxantiinflammatory.drug.(NSAI
D),xtoximprovexpatient.painxcontrol.
ANS:x C

11. Thexnursexisxcompletingxthexmedicationxreconciliationxform.for.axpatient.admitted.withxchronic