NUR 304 Exam 1 Testbank questions |\ |\ |\ |\ |\ |\
with answers |\
A new nurse reports to the nurse preceptor that a client
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
requested pain medication, and when |\ |\ |\ |\
the nurse brought it, the client was sound asleep. The nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
states the client cannot possibly
|\ |\ |\ |\
sleep with the severe pain the client described. Which response
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
by the experienced nurse is
|\ |\ |\ |\
best?
a. "Being able to sleep doesn't mean pain doesn't exist."
|\ |\ |\ |\ |\ |\ |\ |\ |\
b. "Have you ever experienced any type of pain?"
|\ |\ |\ |\ |\ |\ |\ |\
c. "The client should be assessed for drug addiction."
|\ |\ |\ |\ |\ |\ |\ |\
d. "You're right; I would put the medication back."` - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔ANS: A |\ |\
A client's description is the most accurate assessment of pain.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
The nurse would believe the
|\ |\ |\ |\
client and provide pain relief. Physiologic changes due to pain
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
vary from client to client, and
|\ |\ |\ |\ |\
assessments of them would not supersede the client's |\ |\ |\ |\ |\ |\ |\ |\
descriptions, especially if the pain is |\ |\ |\ |\ |\
chronic in nature. Asking if the new nurse has had pain is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
judgmental and flippant and does |\ |\ |\ |\
not provide useful information. This amount of information does
|\ |\ |\ |\ |\ |\ |\ |\ |\
not warrant an assessment
|\ |\ |\
,for drug addiction. Putting the medication back and ignoring the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client's report of pain serves|\ |\ |\ |\
no useful purpose and is unethical.
|\ |\ |\ |\ |\
The nurse in the outpatient surgery clinic is discussing an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
upcoming surgical procedure with a |\ |\ |\ |\
client. Which information provided by the nurse is most
|\ |\ |\ |\ |\ |\ |\ |\ |\
appropriate for the client's long-term |\ |\ |\ |\
outcome?
a. "At least you know that the pain after surgery will diminish
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
quickly."
b. "Discuss acceptable pain control after your operation with the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
surgeon."
c. "Opioids often cause nausea but you won't have to take them
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
for long."
|\
d. "The nursing staff will give you pain medication when you ask
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
them for it." - CORRECT ANSWERS ✔✔ANS: B
|\ |\ |\ |\ |\ |\ |\
The best outcome after a surgical procedure is timely and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
satisfactory pain control, which |\ |\ |\
diminishes the likelihood of chronic pain afterward. The nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\
suggests that the client |\ |\ |\
advocate for himself or herself and discuss acceptable pain
|\ |\ |\ |\ |\ |\ |\ |\ |\
control with the surgeon. Stating
|\ |\ |\ |\
that pain after surgery is usually short lived does not provide the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client with options to have
|\ |\ |\ |\
personalized pain control. To prevent or reduce nausea and other |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
side effects from opioids, a
|\ |\ |\ |\
,multimodal pain approach is desired. For acute pain after |\ |\ |\ |\ |\ |\ |\ |\ |\
surgery, giving pain medications |\ |\ |\
around the clock instead of waiting until the client requests it is a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
better approach.
|\ |\
A nurse is assessing pain on a confused older client who has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
difficulty with verbal expression. |\ |\ |\
Which pain assessment tool would the nurse choose for this
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessment?
a. Numeric rating scale
|\ |\ |\
b. Verbal Descriptor Scale
|\ |\ |\
c. FACES Pain Scale-Revised
|\ |\ |\
d. Wong-Baker FACES Pain Scale - CORRECT ANSWERS ✔✔ANS: C
|\ |\ |\ |\ |\ |\ |\ |\ |\
All are valid pain rating scales; however, some research has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
shown that the FACES Pain |\ |\ |\ |\
Scale-Revised is preferred by both cognitively intact and |\ |\ |\ |\ |\ |\ |\ |\
cognitively impaired adults. A |\ |\ |\
confused client with difficulty speaking would not be a good |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
candidate for the numeric rating |\ |\ |\ |\
scale or the verbal descriptor scale. The cartoon images on the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Wong-Baker FACES Pain |\ |\
Scale may not be appropriate for an adult client.
|\ |\ |\ |\ |\ |\ |\ |\
The nurse is assessing a client's pain and has elicited information
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on the location, quality,
|\ |\ |\ |\
intensity, effect on functioning, aggravating and relieving factors,
|\ |\ |\ |\ |\ |\ |\
and onset and duration.
|\ |\ |\ |\
, Which question by the nurse would be best to ask the client for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
completing a comprehensive |\ |\
pain assessment? |\
a. "Are you worried about addiction to pain pills?"
|\ |\ |\ |\ |\ |\ |\ |\
b. "Do you attach any spiritual meaning to pain?"
|\ |\ |\ |\ |\ |\ |\ |\
c. "How high would you say your pain tolerance is?"
|\ |\ |\ |\ |\ |\ |\ |\ |\
d. "What pain rating would be acceptable to you?" - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔ANS: D |\ |\
A comprehensive pain assessment includes the items listed in
|\ |\ |\ |\ |\ |\ |\ |\ |\
the question plus the client's
|\ |\ |\ |\
opinion on a comfort-function outcome, such as what pain rating
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
would be acceptable to him |\ |\ |\ |\
or her. Asking about addiction is not warranted in an initial pain
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessment. Asking about |\ |\
spiritual meanings for pain may give the nurse important
|\ |\ |\ |\ |\ |\ |\ |\ |\
information, but getting the basics |\ |\ |\ |\
first is more important. Asking about pain tolerance may give the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client the idea that pain
|\ |\ |\ |\ |\
tolerance is being judged. |\ |\ |\
A nurse is assessing pain in an older adult. Which action by the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse is best? |\ |\
a. Ask only "yes-or-no" questions so the client doesn't get too
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
tired.
b. Give the client a picture of the pain scale and come back later.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
c. Question the client about new pain only, not normal pain from
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
aging.
with answers |\
A new nurse reports to the nurse preceptor that a client
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
requested pain medication, and when |\ |\ |\ |\
the nurse brought it, the client was sound asleep. The nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
states the client cannot possibly
|\ |\ |\ |\
sleep with the severe pain the client described. Which response
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
by the experienced nurse is
|\ |\ |\ |\
best?
a. "Being able to sleep doesn't mean pain doesn't exist."
|\ |\ |\ |\ |\ |\ |\ |\ |\
b. "Have you ever experienced any type of pain?"
|\ |\ |\ |\ |\ |\ |\ |\
c. "The client should be assessed for drug addiction."
|\ |\ |\ |\ |\ |\ |\ |\
d. "You're right; I would put the medication back."` - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔ANS: A |\ |\
A client's description is the most accurate assessment of pain.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
The nurse would believe the
|\ |\ |\ |\
client and provide pain relief. Physiologic changes due to pain
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
vary from client to client, and
|\ |\ |\ |\ |\
assessments of them would not supersede the client's |\ |\ |\ |\ |\ |\ |\ |\
descriptions, especially if the pain is |\ |\ |\ |\ |\
chronic in nature. Asking if the new nurse has had pain is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
judgmental and flippant and does |\ |\ |\ |\
not provide useful information. This amount of information does
|\ |\ |\ |\ |\ |\ |\ |\ |\
not warrant an assessment
|\ |\ |\
,for drug addiction. Putting the medication back and ignoring the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client's report of pain serves|\ |\ |\ |\
no useful purpose and is unethical.
|\ |\ |\ |\ |\
The nurse in the outpatient surgery clinic is discussing an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
upcoming surgical procedure with a |\ |\ |\ |\
client. Which information provided by the nurse is most
|\ |\ |\ |\ |\ |\ |\ |\ |\
appropriate for the client's long-term |\ |\ |\ |\
outcome?
a. "At least you know that the pain after surgery will diminish
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
quickly."
b. "Discuss acceptable pain control after your operation with the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
surgeon."
c. "Opioids often cause nausea but you won't have to take them
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
for long."
|\
d. "The nursing staff will give you pain medication when you ask
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
them for it." - CORRECT ANSWERS ✔✔ANS: B
|\ |\ |\ |\ |\ |\ |\
The best outcome after a surgical procedure is timely and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
satisfactory pain control, which |\ |\ |\
diminishes the likelihood of chronic pain afterward. The nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\
suggests that the client |\ |\ |\
advocate for himself or herself and discuss acceptable pain
|\ |\ |\ |\ |\ |\ |\ |\ |\
control with the surgeon. Stating
|\ |\ |\ |\
that pain after surgery is usually short lived does not provide the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client with options to have
|\ |\ |\ |\
personalized pain control. To prevent or reduce nausea and other |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
side effects from opioids, a
|\ |\ |\ |\
,multimodal pain approach is desired. For acute pain after |\ |\ |\ |\ |\ |\ |\ |\ |\
surgery, giving pain medications |\ |\ |\
around the clock instead of waiting until the client requests it is a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
better approach.
|\ |\
A nurse is assessing pain on a confused older client who has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
difficulty with verbal expression. |\ |\ |\
Which pain assessment tool would the nurse choose for this
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessment?
a. Numeric rating scale
|\ |\ |\
b. Verbal Descriptor Scale
|\ |\ |\
c. FACES Pain Scale-Revised
|\ |\ |\
d. Wong-Baker FACES Pain Scale - CORRECT ANSWERS ✔✔ANS: C
|\ |\ |\ |\ |\ |\ |\ |\ |\
All are valid pain rating scales; however, some research has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
shown that the FACES Pain |\ |\ |\ |\
Scale-Revised is preferred by both cognitively intact and |\ |\ |\ |\ |\ |\ |\ |\
cognitively impaired adults. A |\ |\ |\
confused client with difficulty speaking would not be a good |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
candidate for the numeric rating |\ |\ |\ |\
scale or the verbal descriptor scale. The cartoon images on the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Wong-Baker FACES Pain |\ |\
Scale may not be appropriate for an adult client.
|\ |\ |\ |\ |\ |\ |\ |\
The nurse is assessing a client's pain and has elicited information
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on the location, quality,
|\ |\ |\ |\
intensity, effect on functioning, aggravating and relieving factors,
|\ |\ |\ |\ |\ |\ |\
and onset and duration.
|\ |\ |\ |\
, Which question by the nurse would be best to ask the client for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
completing a comprehensive |\ |\
pain assessment? |\
a. "Are you worried about addiction to pain pills?"
|\ |\ |\ |\ |\ |\ |\ |\
b. "Do you attach any spiritual meaning to pain?"
|\ |\ |\ |\ |\ |\ |\ |\
c. "How high would you say your pain tolerance is?"
|\ |\ |\ |\ |\ |\ |\ |\ |\
d. "What pain rating would be acceptable to you?" - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔ANS: D |\ |\
A comprehensive pain assessment includes the items listed in
|\ |\ |\ |\ |\ |\ |\ |\ |\
the question plus the client's
|\ |\ |\ |\
opinion on a comfort-function outcome, such as what pain rating
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
would be acceptable to him |\ |\ |\ |\
or her. Asking about addiction is not warranted in an initial pain
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessment. Asking about |\ |\
spiritual meanings for pain may give the nurse important
|\ |\ |\ |\ |\ |\ |\ |\ |\
information, but getting the basics |\ |\ |\ |\
first is more important. Asking about pain tolerance may give the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client the idea that pain
|\ |\ |\ |\ |\
tolerance is being judged. |\ |\ |\
A nurse is assessing pain in an older adult. Which action by the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse is best? |\ |\
a. Ask only "yes-or-no" questions so the client doesn't get too
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
tired.
b. Give the client a picture of the pain scale and come back later.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
c. Question the client about new pain only, not normal pain from
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
aging.
