GERI TEST 2 QUESTIONS AND
ANSWERS
You are caring for Mrs. H who rates her pain as 9/10. She has an order for MS Contin
15 mg twice a day. The last dose was at 9:00 am and it is now 2:00 pm. Mrs. H is
asking for more pain medication. What should you do?
A. Administer the MS Contin early
B. Contact the prescriber to recommend a different pain medication for Mrs. H.
C. Employ nonpharmacologic methods of pain control such as a backrub
D. Explain to Mrs. H that the next dose of medication is not due until 9:00 pm - Correct
Answers -C.Employ nonpharmacologic methods of pain control such as a backrub
Which of the following are valid ways to assess pain in a cognitively intact person?
A) Ask the person to rate their pain using a pain scale
B) Ask the person to rate the pain on a pain scale, knowing that all people commonly
overestimate their pain
C) Use both a pain scale combined with your nursing judgement about what is an
appropriate level of pain should be for a given disease or condition in order to determine
the person's actual pain level
D) Use your nursing judgement only to determine the level of pain - Correct Answers -
C) Use both a pain scale combined with your nursing judgement about what is an
appropriate level of pain should be for a given disease or condition in order to determine
the person's actual pain level
You are preparing to conduct a pain assessment on an older adult who can
communicate effectively. Which of the following assessment tools is applicable? (Select
all that apply)
A. FACES pain scale
B. Numeric rating scale
C. Wrong FACES scale
D. Verbal descriptor scale - Correct Answers -B,D
The nursing assistant reports to the charge nurse that the older adult is complaining of
"severe pain in both lower extremities." On review of the EHR the nurse notes that the
older adult has not received pain medication in the last 18 hours. The older adult has
, severe osteoporosis and often has severe lower extremity pain. Previously this
individual received pain medication every 6 hours. The nurse interprets the current pain
as increased pain as a result of which of the following?
A) Dependency on narcotics
B) Untreated pain resulting in a lowered pain threshold
C) A need to alternate measures for pain relief
D) Inaccuracy of the nursing assistance report - Correct Answers -B) Untreated pain
resulting in a lowered pain threshold
An 82 year old man is dying of cancer. He is receiving analgesics for pain control, but is
requiring increasingly higher doses. He has morphine 10 mg prescribed every 4 hours.
The previous dose of 10 mg was given 2 hours ago. What intervention should the nurse
perform to address this individual's pain?
A.Wait 2 hours and give the next dose of morphine
B. Give morphine again now even though it is before the schedule
C. Contact the primary care provider for an adjustment of the pain treatment
D. Give 5 mg of morphine every 2 hours instead of 10 mg every 4 hours - Correct
Answers -C. Contact the primary care provider for an adjustment of the pain treatment
The main purpose of the Epworth Sleepiness scale is to:
A) Diagnose a sleep disorder
B) Measure amount of REM sleep
C) Measure average daytime sleepiness
D) Measure average night time sleepiness - Correct Answers -C) Measure average
daytime sleepiness
Loss of vision in older adults contributes to which of the following (Select all that apply)?
a. Improved family relationships
b. Social Isolation
c. Loss of Independence
d. Decreased quality of life - Correct Answers -B,C,D
Mrs. Frye is complaining of problems sleeping and requests a sleep agent. Which of the
following medications would be unsafe to give her (Select all that apply)?
a. Benadryl
b. Ambien
c. Halcion
d. Melatonin - Correct Answers -A,B,C
The main purpose of the PSQI is to?
a. Identify sleep problem
b. Measure the amount of REM sleep
c. Measure daytime sleepiness - Correct Answers -a. Identify sleep problem
Mrs. Frye is complaining of problems sleeping and says she needs assistance. Which of
the following interventions would be helpful for her (select all that apply)?
ANSWERS
You are caring for Mrs. H who rates her pain as 9/10. She has an order for MS Contin
15 mg twice a day. The last dose was at 9:00 am and it is now 2:00 pm. Mrs. H is
asking for more pain medication. What should you do?
A. Administer the MS Contin early
B. Contact the prescriber to recommend a different pain medication for Mrs. H.
C. Employ nonpharmacologic methods of pain control such as a backrub
D. Explain to Mrs. H that the next dose of medication is not due until 9:00 pm - Correct
Answers -C.Employ nonpharmacologic methods of pain control such as a backrub
Which of the following are valid ways to assess pain in a cognitively intact person?
A) Ask the person to rate their pain using a pain scale
B) Ask the person to rate the pain on a pain scale, knowing that all people commonly
overestimate their pain
C) Use both a pain scale combined with your nursing judgement about what is an
appropriate level of pain should be for a given disease or condition in order to determine
the person's actual pain level
D) Use your nursing judgement only to determine the level of pain - Correct Answers -
C) Use both a pain scale combined with your nursing judgement about what is an
appropriate level of pain should be for a given disease or condition in order to determine
the person's actual pain level
You are preparing to conduct a pain assessment on an older adult who can
communicate effectively. Which of the following assessment tools is applicable? (Select
all that apply)
A. FACES pain scale
B. Numeric rating scale
C. Wrong FACES scale
D. Verbal descriptor scale - Correct Answers -B,D
The nursing assistant reports to the charge nurse that the older adult is complaining of
"severe pain in both lower extremities." On review of the EHR the nurse notes that the
older adult has not received pain medication in the last 18 hours. The older adult has
, severe osteoporosis and often has severe lower extremity pain. Previously this
individual received pain medication every 6 hours. The nurse interprets the current pain
as increased pain as a result of which of the following?
A) Dependency on narcotics
B) Untreated pain resulting in a lowered pain threshold
C) A need to alternate measures for pain relief
D) Inaccuracy of the nursing assistance report - Correct Answers -B) Untreated pain
resulting in a lowered pain threshold
An 82 year old man is dying of cancer. He is receiving analgesics for pain control, but is
requiring increasingly higher doses. He has morphine 10 mg prescribed every 4 hours.
The previous dose of 10 mg was given 2 hours ago. What intervention should the nurse
perform to address this individual's pain?
A.Wait 2 hours and give the next dose of morphine
B. Give morphine again now even though it is before the schedule
C. Contact the primary care provider for an adjustment of the pain treatment
D. Give 5 mg of morphine every 2 hours instead of 10 mg every 4 hours - Correct
Answers -C. Contact the primary care provider for an adjustment of the pain treatment
The main purpose of the Epworth Sleepiness scale is to:
A) Diagnose a sleep disorder
B) Measure amount of REM sleep
C) Measure average daytime sleepiness
D) Measure average night time sleepiness - Correct Answers -C) Measure average
daytime sleepiness
Loss of vision in older adults contributes to which of the following (Select all that apply)?
a. Improved family relationships
b. Social Isolation
c. Loss of Independence
d. Decreased quality of life - Correct Answers -B,C,D
Mrs. Frye is complaining of problems sleeping and requests a sleep agent. Which of the
following medications would be unsafe to give her (Select all that apply)?
a. Benadryl
b. Ambien
c. Halcion
d. Melatonin - Correct Answers -A,B,C
The main purpose of the PSQI is to?
a. Identify sleep problem
b. Measure the amount of REM sleep
c. Measure daytime sleepiness - Correct Answers -a. Identify sleep problem
Mrs. Frye is complaining of problems sleeping and says she needs assistance. Which of
the following interventions would be helpful for her (select all that apply)?
