NUR 325 EXAM 1 WITH REAL QUESTIONS
AND VERIFIED ANSWERS ALREADY
GRADED A+
Which of the following is NOT an accurate statement regarding stress?
a. Stress can be an internal or external event
b. Stress is experienced by the individual that is perceived and appraised for
c. Stress is objective
d. Stress can be a demand of life - CorreCt Answers -C (Stress is subjective.
Not everyone feels stress the same way. One thing that may be stressful to
you may not be stressful to someone else.)
Which of the following are nonverbal cues of pain? (Accept all that apply).
a. Vitals
b. Pain scale
c. Grimacing
d. Rigidity
e. Restlessness
f. Tears
g. Wincing - CorreCt Answers -A C D E F
Which assessment is of highest priority for the nurse to complete before
administration of morphine?
,a. Pain rating
b. Blood pressure
c. Respiratory rate
d. Level of consciousness - CorreCt Answers -C (A decreased respiratory
rate below 12 breaths/min is a sign of opioid toxicity. Using the ABC
approach in prioritization of care, a patent airway is always the first priority
and is important to assess as a baseline before and during the
administration of morphine. Although pain rating, blood pressure, and
level of consciousness are important parts of the assessment of a patient
receiving an opioid analgesic, the medication should not be administered if
the respiratory rate is depressed.)
The patient is a documented abuser of opioids and just had surgery. The
nurse is concerned about the high dose of opioid analgesic prescribed for
this patient. What is the best action for the nurse to take?
a. Remember that pain can be observed in patients.
b. Relieve this patient's pain to avoid adverse consequences.
c. Be sure the patient is really in pain before giving the analgesic.
d. This patient has the right to appropriate assessment and management of
pain. - CorreCt Answers -D (Patients with addictive disease and pain have
the right to be treated with dignity, respect, and the same quality of pain
assessment and management as all other patients. For an addict, severe
pain should be treated with a single opioid at much higher doses than those
used with drug-naïve patients. Observation of pain is not always evident.
The stress of unrelieved pain may contribute to increased drug use in the
patient actively abusing drugs.)
,The nurse is caring for a patient receiving morphine sulfate via PCA. Which
patient assessment data demonstrate the most therapeutic effect of this
medication?
a. Pain rating 3/10, awake and alert, respirations 24
b. Pain rating 2/10, awake and alert, respirations 18
c. Pain rating 2/10, drowsy but arousable, respirations 18
d. Pain rating 1/10, drowsy but arousable, respirations 16 - CorreCt
Answers -B (Effective pain management is achieved when there is adequate
pain control (rating of 3 or less on a scale of 0 to 10) with normal
respirations and an absence of sedation. These data exhibit the best
effectiveness of the pain medication in all of these areas.)
Which of the following is not considered a non-pharmacological approach
to reducing pain?
a. Splinting
b. Elevation
c. Opioids
d. Repositioning - CorreCt Answers -C
For a patient with chronic pain, which of the following would most likely be
an acceptable intensity on the pain scale for them?
a. 0 on a scale of 0 to 10
b. 2 on a scale of 0 to 10
c. 4 on a scale of 0 to 10
, d. 6 on a scale of 0 to 10 - CorreCt Answers -B (0 for chronic pain is very
unlikely. An acceptable intensity is usually 1-2 because their pain should be
less than 3. Anything greater than 3 would require further intervention.)
2. A patient is receiving a PCA infusion after surgery to repair a hip
fracture. She is sleeping soundly but awakens when the nurse speaks to her
in a normal tone of voice. Her respirations are 8 breaths/minute. The most
appropriate nursing action in this situation is to
a. stop the PCA infusion.
b. obtain an oxygen saturation level.
c. continue to closely monitor the patient.
d. administer naloxone and contact the physician. - CorreCt Answers -C (8
breaths a minute is not alarming because the patient was sleeping. It is
most appropriate to monitor the patient closely.)
Which words are most likely to be used to describe neuropathic pain (select
all that apply)?
a. Dull
b. Mild
c. Burning
d. Shooting
e. Shock-like - CorreCt Answers -C D E
A cancer patient who reports ongoing, constant moderate pain with short
periods of severe pain during dressing changes is
AND VERIFIED ANSWERS ALREADY
GRADED A+
Which of the following is NOT an accurate statement regarding stress?
a. Stress can be an internal or external event
b. Stress is experienced by the individual that is perceived and appraised for
c. Stress is objective
d. Stress can be a demand of life - CorreCt Answers -C (Stress is subjective.
Not everyone feels stress the same way. One thing that may be stressful to
you may not be stressful to someone else.)
Which of the following are nonverbal cues of pain? (Accept all that apply).
a. Vitals
b. Pain scale
c. Grimacing
d. Rigidity
e. Restlessness
f. Tears
g. Wincing - CorreCt Answers -A C D E F
Which assessment is of highest priority for the nurse to complete before
administration of morphine?
,a. Pain rating
b. Blood pressure
c. Respiratory rate
d. Level of consciousness - CorreCt Answers -C (A decreased respiratory
rate below 12 breaths/min is a sign of opioid toxicity. Using the ABC
approach in prioritization of care, a patent airway is always the first priority
and is important to assess as a baseline before and during the
administration of morphine. Although pain rating, blood pressure, and
level of consciousness are important parts of the assessment of a patient
receiving an opioid analgesic, the medication should not be administered if
the respiratory rate is depressed.)
The patient is a documented abuser of opioids and just had surgery. The
nurse is concerned about the high dose of opioid analgesic prescribed for
this patient. What is the best action for the nurse to take?
a. Remember that pain can be observed in patients.
b. Relieve this patient's pain to avoid adverse consequences.
c. Be sure the patient is really in pain before giving the analgesic.
d. This patient has the right to appropriate assessment and management of
pain. - CorreCt Answers -D (Patients with addictive disease and pain have
the right to be treated with dignity, respect, and the same quality of pain
assessment and management as all other patients. For an addict, severe
pain should be treated with a single opioid at much higher doses than those
used with drug-naïve patients. Observation of pain is not always evident.
The stress of unrelieved pain may contribute to increased drug use in the
patient actively abusing drugs.)
,The nurse is caring for a patient receiving morphine sulfate via PCA. Which
patient assessment data demonstrate the most therapeutic effect of this
medication?
a. Pain rating 3/10, awake and alert, respirations 24
b. Pain rating 2/10, awake and alert, respirations 18
c. Pain rating 2/10, drowsy but arousable, respirations 18
d. Pain rating 1/10, drowsy but arousable, respirations 16 - CorreCt
Answers -B (Effective pain management is achieved when there is adequate
pain control (rating of 3 or less on a scale of 0 to 10) with normal
respirations and an absence of sedation. These data exhibit the best
effectiveness of the pain medication in all of these areas.)
Which of the following is not considered a non-pharmacological approach
to reducing pain?
a. Splinting
b. Elevation
c. Opioids
d. Repositioning - CorreCt Answers -C
For a patient with chronic pain, which of the following would most likely be
an acceptable intensity on the pain scale for them?
a. 0 on a scale of 0 to 10
b. 2 on a scale of 0 to 10
c. 4 on a scale of 0 to 10
, d. 6 on a scale of 0 to 10 - CorreCt Answers -B (0 for chronic pain is very
unlikely. An acceptable intensity is usually 1-2 because their pain should be
less than 3. Anything greater than 3 would require further intervention.)
2. A patient is receiving a PCA infusion after surgery to repair a hip
fracture. She is sleeping soundly but awakens when the nurse speaks to her
in a normal tone of voice. Her respirations are 8 breaths/minute. The most
appropriate nursing action in this situation is to
a. stop the PCA infusion.
b. obtain an oxygen saturation level.
c. continue to closely monitor the patient.
d. administer naloxone and contact the physician. - CorreCt Answers -C (8
breaths a minute is not alarming because the patient was sleeping. It is
most appropriate to monitor the patient closely.)
Which words are most likely to be used to describe neuropathic pain (select
all that apply)?
a. Dull
b. Mild
c. Burning
d. Shooting
e. Shock-like - CorreCt Answers -C D E
A cancer patient who reports ongoing, constant moderate pain with short
periods of severe pain during dressing changes is
