TEXT BANK NUR-2041 WEEK 2(vital signs) QUIZ with
VERIFIED SOLUTIONS
gal principle or case, exploring various perspectives or discussing its implications in practice.2.3. Skills Tested in Law ExamsLegal Analysis and Application: Law exams test a student’s
ability to identify relevant legal issues, apply appropriate laws and precedents, and reach conclusions based on the facts presented. This requires a deep understanding of case law and
MULTIPLE CHOICE
1. To which patient will the nurse plan to provide teaching on managing acute pain?
a. Patient with arthritis
b. Patient with fibromyalgia
c. Patient with kidney stones
d. Patient with low back pain
ANS: C
Acute pain is of short duration and dissipates after the injured tissue has healed, for example, in a patient
with kidney stones. The other conditions are examples of chronic pain during which the pain continues
for 6 months or longer and does not stop even after the injured tissue has healed.
2. The nurse is teaching students about the older adult population and normal aging. Which statement by
a nursing student indicates an understanding of older adults and pain?
a. “Older adults must learn to tolerate pain.”
b. “Pain is a normal process of aging and is to be expected.”
c. “Pain is not a normal process of aging and can indicate injury.”
d. “Older adults perceive pain to a lesser degree compared with younger
individuals.” ANS: C
Pain indicates a pathological condition or an injury and should never be considered something that
an older adult should expect or tolerate. Pain is not a normal part of aging, and no evidence suggests
that pain perception is reduced with aging.
3. A 4-year-old boy is brought to the emergency department by his mother. She says he points to his
stomach and says, “It hurts so bad.” Which pain assessment tool would be the best choice when
assessing this child’s pain?
a. Descriptor Scale
b. Numeric rating scale
c. Brief Pain Inventory
d. Faces Pain Scale—Revised (FPS-R)
,ANS: D
Rating scales can be introduced at age 4 or 5 years. The FPS-R is designed for use with
children and asks the child to choose a face that shows “how much hurt (or pain) you have
now.” Young children should not be asked to rate pain by using numbers.
gal principle or case, exploring various perspectives or discussing its implications in practice.2.3. Skills Tested in Law ExamsLegal Analysis and Application: Law exams test a student’s
ability to identify relevant legal issues, apply appropriate laws and precedents, and reach conclusions based on the facts presented. This requires a deep understanding of case law and
4. A patient states that the pain medication is “not working” and rates his postoperative pain at a 10 on
a 1-to-10 scale. Which of these assessment findings indicates an acute pain response to poorly
controlled pain?
a. Confusion
b. Hyperventilation
c. Increased blood pressure and pulse
d. Depression
ANS: C
Responses to poorly controlled acute pain include tachycardia, elevated blood pressure, and
hypoventilation. Confusion and depression are associated with poorly controlled chronic pain.
5. During assessment, a 68-year-old patient informs the nurse about the analgesics she uses to manage
her arthritis pain. What should the nurse caution the patient about?
a. Use of warm packs
b. Dislike of using ibuprofen
c. Occasional use of a multivitamin
d. Frequent combined use of acetaminophen and prescribed Tylenol
3 ANS: D
Many medications are combined with acetaminophen to achieve a synergistic effect (Percocet, which
contains both acetaminophen and oxycodone; Tylenol 1, 2, and 3, which contain combinations of
acetaminophen with varying amounts of codeine; and Tramacet, which contains paracetamol and
tramadol). Acetaminophen is well tolerated; however, the maximum daily dosage in a healthy patient
should not exceed 4 g per day from all sources combined. The maximum daily dosage is best decreased
for older patients and for those with impaired liver function.
6. When assessing a patient’s pain, the nurse knows that the most reliable indicator of
pain would be the:
a. Patient’s vital signs.
b. Physical examination findings.
,c. Results of a computed tomography (CT) scan.
d. Subjective report by the
patient. ANS: D
The subjective report by the patient is the most reliable indicator of pain. Physical examination findings
can lend support, but the clinician cannot base the diagnosis of pain solely on physical assessment
findings.
7. A patient has had arthritic pain in her hips for several years since she suffered a hip fracture. She is
walking around in her room with no sign of discomfort. However, when asked, she states that her pain
is “bad this morning” and rates it at an 8 on a 1-to-10 scale. What does the nurse suspect? The patient:
a. Is addicted to her pain medications and cannot obtain pain relief.
b. Does not want to trouble the nursing staff with her complaints.
c. Is not in pain but rates it high to receive pain medication.
d. Has experienced chronic pain for years and has adapted to
it. ANS: D
Persons with chronic pain typically try to give little indication that they are in pain and, over time, adapt
to the pain. As a result, they are at risk for underdiagnosis.
gal principle or case, exploring various perspectives or discussing its implications in practice.2.3. Skills Tested in Law ExamsLegal Analysis and Application: Law exams test a student’s
ability to identify relevant legal issues, apply appropriate laws and precedents, and reach conclusions based on the facts presented. This requires a deep understanding of case law and
8. The nurse is reviewing the principles of pain. Which type of pain is caused by an abnormal
processing of the pain impulse through the peripheral or central nervous system?
a. Visceral
b. Referred
c. Cutaneous
d. Neuropathic
ANS: D
Neuropathic pain implies an abnormal processing of the pain message. The other types of pain are named
according to their sources.
9. When assessing the quality of a patient’s pain, which question should the nurse ask?
a. “When did the pain start?”
b. “Is the pain a stabbing pain?”
c. “Is it a sharp pain or dull pain?”
, d. “What does your pain feel
like?” ANS: D
To assess the quality of a person’s pain, the patient should be asked to describe the pain in his or her own
words.
gal principle or case, exploring various perspectives or discussing its implications in practice.2.3. Skills Tested in Law ExamsLegal Analysis and Application: Law exams test a student’s
ability to identify relevant legal issues, apply appropriate laws and precedents, and reach conclusions based on the facts presented. This requires a deep understanding of case law and
10. When assessing a patient’s pain, the nurse knows that an example of visceral pain would be:
a. Hip fracture.
b. Cholecystitis.
c. Second-degree burns.
d. Pain after a leg
amputation. ANS: B
Visceral pain originates from the larger interior organs, such as the gallbladder, liver, or kidneys
11. The nurse is reviewing the principles of nociception. During which phase of nociception does
the conscious awareness of a painful sensation occur?
a. Perception
b. Modulation
c. Transduction
d. Transmission
ANS: A
Perception is the third phase of nociception and indicates the conscious awareness of a painful sensation.
During this phase, the sensation is recognized by higher cortical structures and identified as pain.
12. When assessing the intensity of a patient’s pain, which question by the nurse is appropriate?
a. “What makes your pain better or worse?”
b. “How much pain do you have now?”
c. “How does pain limit your activities?”
d. “What does your pain feel
like?” ANS: B
Asking the patient “How much pain do you have?” is an assessment of the intensity of a patient’s pain;
various intensity scales can be used. Asking what makes one’s pain better or worse assesses alleviating or
VERIFIED SOLUTIONS
gal principle or case, exploring various perspectives or discussing its implications in practice.2.3. Skills Tested in Law ExamsLegal Analysis and Application: Law exams test a student’s
ability to identify relevant legal issues, apply appropriate laws and precedents, and reach conclusions based on the facts presented. This requires a deep understanding of case law and
MULTIPLE CHOICE
1. To which patient will the nurse plan to provide teaching on managing acute pain?
a. Patient with arthritis
b. Patient with fibromyalgia
c. Patient with kidney stones
d. Patient with low back pain
ANS: C
Acute pain is of short duration and dissipates after the injured tissue has healed, for example, in a patient
with kidney stones. The other conditions are examples of chronic pain during which the pain continues
for 6 months or longer and does not stop even after the injured tissue has healed.
2. The nurse is teaching students about the older adult population and normal aging. Which statement by
a nursing student indicates an understanding of older adults and pain?
a. “Older adults must learn to tolerate pain.”
b. “Pain is a normal process of aging and is to be expected.”
c. “Pain is not a normal process of aging and can indicate injury.”
d. “Older adults perceive pain to a lesser degree compared with younger
individuals.” ANS: C
Pain indicates a pathological condition or an injury and should never be considered something that
an older adult should expect or tolerate. Pain is not a normal part of aging, and no evidence suggests
that pain perception is reduced with aging.
3. A 4-year-old boy is brought to the emergency department by his mother. She says he points to his
stomach and says, “It hurts so bad.” Which pain assessment tool would be the best choice when
assessing this child’s pain?
a. Descriptor Scale
b. Numeric rating scale
c. Brief Pain Inventory
d. Faces Pain Scale—Revised (FPS-R)
,ANS: D
Rating scales can be introduced at age 4 or 5 years. The FPS-R is designed for use with
children and asks the child to choose a face that shows “how much hurt (or pain) you have
now.” Young children should not be asked to rate pain by using numbers.
gal principle or case, exploring various perspectives or discussing its implications in practice.2.3. Skills Tested in Law ExamsLegal Analysis and Application: Law exams test a student’s
ability to identify relevant legal issues, apply appropriate laws and precedents, and reach conclusions based on the facts presented. This requires a deep understanding of case law and
4. A patient states that the pain medication is “not working” and rates his postoperative pain at a 10 on
a 1-to-10 scale. Which of these assessment findings indicates an acute pain response to poorly
controlled pain?
a. Confusion
b. Hyperventilation
c. Increased blood pressure and pulse
d. Depression
ANS: C
Responses to poorly controlled acute pain include tachycardia, elevated blood pressure, and
hypoventilation. Confusion and depression are associated with poorly controlled chronic pain.
5. During assessment, a 68-year-old patient informs the nurse about the analgesics she uses to manage
her arthritis pain. What should the nurse caution the patient about?
a. Use of warm packs
b. Dislike of using ibuprofen
c. Occasional use of a multivitamin
d. Frequent combined use of acetaminophen and prescribed Tylenol
3 ANS: D
Many medications are combined with acetaminophen to achieve a synergistic effect (Percocet, which
contains both acetaminophen and oxycodone; Tylenol 1, 2, and 3, which contain combinations of
acetaminophen with varying amounts of codeine; and Tramacet, which contains paracetamol and
tramadol). Acetaminophen is well tolerated; however, the maximum daily dosage in a healthy patient
should not exceed 4 g per day from all sources combined. The maximum daily dosage is best decreased
for older patients and for those with impaired liver function.
6. When assessing a patient’s pain, the nurse knows that the most reliable indicator of
pain would be the:
a. Patient’s vital signs.
b. Physical examination findings.
,c. Results of a computed tomography (CT) scan.
d. Subjective report by the
patient. ANS: D
The subjective report by the patient is the most reliable indicator of pain. Physical examination findings
can lend support, but the clinician cannot base the diagnosis of pain solely on physical assessment
findings.
7. A patient has had arthritic pain in her hips for several years since she suffered a hip fracture. She is
walking around in her room with no sign of discomfort. However, when asked, she states that her pain
is “bad this morning” and rates it at an 8 on a 1-to-10 scale. What does the nurse suspect? The patient:
a. Is addicted to her pain medications and cannot obtain pain relief.
b. Does not want to trouble the nursing staff with her complaints.
c. Is not in pain but rates it high to receive pain medication.
d. Has experienced chronic pain for years and has adapted to
it. ANS: D
Persons with chronic pain typically try to give little indication that they are in pain and, over time, adapt
to the pain. As a result, they are at risk for underdiagnosis.
gal principle or case, exploring various perspectives or discussing its implications in practice.2.3. Skills Tested in Law ExamsLegal Analysis and Application: Law exams test a student’s
ability to identify relevant legal issues, apply appropriate laws and precedents, and reach conclusions based on the facts presented. This requires a deep understanding of case law and
8. The nurse is reviewing the principles of pain. Which type of pain is caused by an abnormal
processing of the pain impulse through the peripheral or central nervous system?
a. Visceral
b. Referred
c. Cutaneous
d. Neuropathic
ANS: D
Neuropathic pain implies an abnormal processing of the pain message. The other types of pain are named
according to their sources.
9. When assessing the quality of a patient’s pain, which question should the nurse ask?
a. “When did the pain start?”
b. “Is the pain a stabbing pain?”
c. “Is it a sharp pain or dull pain?”
, d. “What does your pain feel
like?” ANS: D
To assess the quality of a person’s pain, the patient should be asked to describe the pain in his or her own
words.
gal principle or case, exploring various perspectives or discussing its implications in practice.2.3. Skills Tested in Law ExamsLegal Analysis and Application: Law exams test a student’s
ability to identify relevant legal issues, apply appropriate laws and precedents, and reach conclusions based on the facts presented. This requires a deep understanding of case law and
10. When assessing a patient’s pain, the nurse knows that an example of visceral pain would be:
a. Hip fracture.
b. Cholecystitis.
c. Second-degree burns.
d. Pain after a leg
amputation. ANS: B
Visceral pain originates from the larger interior organs, such as the gallbladder, liver, or kidneys
11. The nurse is reviewing the principles of nociception. During which phase of nociception does
the conscious awareness of a painful sensation occur?
a. Perception
b. Modulation
c. Transduction
d. Transmission
ANS: A
Perception is the third phase of nociception and indicates the conscious awareness of a painful sensation.
During this phase, the sensation is recognized by higher cortical structures and identified as pain.
12. When assessing the intensity of a patient’s pain, which question by the nurse is appropriate?
a. “What makes your pain better or worse?”
b. “How much pain do you have now?”
c. “How does pain limit your activities?”
d. “What does your pain feel
like?” ANS: B
Asking the patient “How much pain do you have?” is an assessment of the intensity of a patient’s pain;
various intensity scales can be used. Asking what makes one’s pain better or worse assesses alleviating or
