NR304 Exam 1 V2 | Health
Assessment I | Verified Questions
& Answers | 2026-2027
A new nurse rep0rts t0 the nurse precept0r that a client requested pain medicati0n, and when
the nurse br0ught it, the client was s0und asleep. The nurse states the client cann0t p0ssibly
sleep with the severe pain the client described. Which resp0nse by the experienced nurse is
best?
a. "Being able t0 sleep d0esn't mean pain d0esn't exist."
b. "Have y0u ever experienced any type 0f pain?"
c. "The client sh0uld be assessed f0r drug addicti0n."
d. "Y0u're right; I w0uld put the medicati0n back."`
ANS: A
A client's descripti0n is the m0st accurate assessment 0f pain. The nurse w0uld believe the
client and pr0vide pain relief. Physi0l0gic changes due t0 pain vary fr0m client t0 client, and
assessments 0f them w0uld n0t supersede the client's descripti0ns, especially if the pain is
chr0nic in nature. Asking if the new nurse has had pain is judgmental and flippant and d0es
n0t pr0vide useful inf0rmati0n. This am0unt 0f inf0rmati0n d0es n0t warrant an assessment
f0r drug addicti0n. Putting the medicati0n back and ign0ring the client's rep0rt 0f pain serves n0
useful purp0se and is unethical.
The nurse in the 0utpatient surgery clinic is discussing an upc0ming surgical pr0cedure with a
client. Which inf0rmati0n pr0vided by the nurse is m0st appr0priate f0r the client's l0ng-term
0utc0me?
a. "At least y0u kn0w that the pain after surgery will diminish quickly."
, NR304 / NR 304 Exam 1 V2 (New Update)
Health Assessment I | Questi0ns and Answers | 100%
C0rrect Elab0rati0ns| Grade A - Chamberlain
b. "Discuss acceptable pain c0ntr0l after y0ur 0perati0n with the surge0n."
c. "0pi0ids 0ften cause nausea but y0u w0n't have t0 take them f0r l0ng."
d. "The nursing staff will give y0u pain medicati0n when y0u ask them f0r it."
ANS: B
The best 0utc0me after a surgical pr0cedure is timely and satisfact0ry pain c0ntr0l, which
diminishes the likelih00d 0f chr0nic pain afterward. The nurse suggests that the client
adv0cate f0r himself 0r herself and discuss acceptable pain c0ntr0l with the surge0n. Stating
that pain after surgery is usually sh0rt lived d0es n0t pr0vide the client with 0pti0ns t0 have
pers0nalized pain c0ntr0l. T0 prevent 0r reduce nausea and 0ther side effects fr0m 0pi0ids, a
multim0dal pain appr0ach is desired. F0r acute pain after surgery, giving pain medicati0ns
ar0und the cl0ck instead 0f waiting until the client requests it is a better appr0ach.
A nurse is assessing pain 0n a c0nfused 0lder client wh0 has difficulty with verbal expressi0n.
Which pain assessment t00l w0uld the nurse ch00se f0r this assessment?
a. Numeric rating scale
b. Verbal Descript0r Scale
c. FACES Pain Scale-Revised
d. W0ng-Baker FACES Pain Scale
ANS: C
All are valid pain rating scales; h0wever, s0me research has sh0wn that the FACES Pain
Scale-Revised is preferred by b0th c0gnitively intact and c0gnitively impaired adults. A
c0nfused client with difficulty speaking w0uld n0t be a g00d candidate f0r the numeric rating
scale 0r the verbal descript0r scale. The cart00n images 0n the W0ng-Baker FACES Pain
, NR304 / NR 304 Exam 1 V2 (New Update)
Health Assessment I | Questi0ns and Answers | 100%
C0rrect Elab0rati0ns| Grade A - Chamberlain
Scale may n0t be appr0priate f0r an adult client.
The nurse is assessing a client's pain and has elicited inf0rmati0n 0n the l0cati0n, quality,
intensity, effect 0n functi0ning, aggravating and relieving fact0rs, and 0nset and durati0n.
Which questi0n by the nurse w0uld be best t0 ask the client f0r c0mpleting a c0mprehensive
pain assessment?
a. "Are y0u w0rried ab0ut addicti0n t0 pain pills?"
b. "D0 y0u attach any spiritual meaning t0 pain?"
c. "H0w high w0uld y0u say y0ur pain t0lerance is?"
d. "What pain rating w0uld be acceptable t0 y0u?"
ANS: D
A c0mprehensive pain assessment includes the items listed in the questi0n plus the client's
0pini0n 0n a c0mf0rt-functi0n 0utc0me, such as what pain rating w0uld be acceptable t0 him 0r
her. Asking ab0ut addicti0n is n0t warranted in an initial pain assessment. Asking ab0ut
spiritual meanings f0r pain may give the nurse imp0rtant inf0rmati0n, but getting the basics
first is m0re imp0rtant. Asking ab0ut pain t0lerance may give the client the idea that pain
t0lerance is being judged.
A nurse is assessing pain in an 0lder adult. Which acti0n by the nurse is best?
a. Ask 0nly "yes-0r-n0" questi0ns s0 the client d0esn't get t00 tired.
b. Give the client a picture 0f the pain scale and c0me back later.
, NR304 / NR 304 Exam 1 V2 (New Update)
Health Assessment I | Questi0ns and Answers | 100%
C0rrect Elab0rati0ns| Grade A - Chamberlain
c. Questi0n the client ab0ut new pain 0nly, n0t n0rmal pain fr0m aging.
d. Sit d0wn, ask 0ne questi0n at a time, and all0w the client t0 answer.
ANS: D
S0me 0lder clients d0 n0t rep0rt pain because they think it is a n0rmal part 0f aging 0r
because they d0 n0t want t0 be a b0ther. Sitting d0wn c0nveys time, interest, and availability.
Ask 0nly 0ne questi0n at a time and all0w the client en0ugh time t0 answer it. Yes-0r-n0
questi0ns are an example 0f p00r c0mmunicati0n technique. Giving the client a pain scale, and
then leaving, might give the impressi0n that the nurse d0es n0t have time f0r the client. Als0,
the client may n0t kn0w h0w t0 use it. There is n0 n0rmal pain fr0m aging.
The nurse receives a hand-0ff rep0rt. 0ne client is described as a drug seeker wh0 is 0bsessed
with even tiny changes in physical c0nditi0n and is "0n the light c0nstantly" asking f0r m0re
pain medicati0n. When assessing this client's pain, which statement 0r questi0n by the nurse is
m0st appr0priate?
a. "Help me understand h0w pain is affecting y0u right n0w."
b. "I wish I c0uld d0 m0re; is there anything I can get f0r y0u?"
c. "Y0u cann0t have m0re pain medicati0n f0r 3 h0urs."
d. "Why d0 y0u think the medicati0n is n0t helping y0ur pain?"
ANS: A
A client wh0 is pre0ccupied with physical sympt0ms and is "demanding" may have s0me
psych0s0cial impact fr0m the pain that is n0t being addressed. The nurse is pr0viding the client
the chance t0 explain the em0ti0nal effects 0f pain in additi0n t0 the physical 0nes. Saying the
nurse wishes he 0r she c0uld d0 m0re is very empathetic, but this resp0nse d0es
Assessment I | Verified Questions
& Answers | 2026-2027
A new nurse rep0rts t0 the nurse precept0r that a client requested pain medicati0n, and when
the nurse br0ught it, the client was s0und asleep. The nurse states the client cann0t p0ssibly
sleep with the severe pain the client described. Which resp0nse by the experienced nurse is
best?
a. "Being able t0 sleep d0esn't mean pain d0esn't exist."
b. "Have y0u ever experienced any type 0f pain?"
c. "The client sh0uld be assessed f0r drug addicti0n."
d. "Y0u're right; I w0uld put the medicati0n back."`
ANS: A
A client's descripti0n is the m0st accurate assessment 0f pain. The nurse w0uld believe the
client and pr0vide pain relief. Physi0l0gic changes due t0 pain vary fr0m client t0 client, and
assessments 0f them w0uld n0t supersede the client's descripti0ns, especially if the pain is
chr0nic in nature. Asking if the new nurse has had pain is judgmental and flippant and d0es
n0t pr0vide useful inf0rmati0n. This am0unt 0f inf0rmati0n d0es n0t warrant an assessment
f0r drug addicti0n. Putting the medicati0n back and ign0ring the client's rep0rt 0f pain serves n0
useful purp0se and is unethical.
The nurse in the 0utpatient surgery clinic is discussing an upc0ming surgical pr0cedure with a
client. Which inf0rmati0n pr0vided by the nurse is m0st appr0priate f0r the client's l0ng-term
0utc0me?
a. "At least y0u kn0w that the pain after surgery will diminish quickly."
, NR304 / NR 304 Exam 1 V2 (New Update)
Health Assessment I | Questi0ns and Answers | 100%
C0rrect Elab0rati0ns| Grade A - Chamberlain
b. "Discuss acceptable pain c0ntr0l after y0ur 0perati0n with the surge0n."
c. "0pi0ids 0ften cause nausea but y0u w0n't have t0 take them f0r l0ng."
d. "The nursing staff will give y0u pain medicati0n when y0u ask them f0r it."
ANS: B
The best 0utc0me after a surgical pr0cedure is timely and satisfact0ry pain c0ntr0l, which
diminishes the likelih00d 0f chr0nic pain afterward. The nurse suggests that the client
adv0cate f0r himself 0r herself and discuss acceptable pain c0ntr0l with the surge0n. Stating
that pain after surgery is usually sh0rt lived d0es n0t pr0vide the client with 0pti0ns t0 have
pers0nalized pain c0ntr0l. T0 prevent 0r reduce nausea and 0ther side effects fr0m 0pi0ids, a
multim0dal pain appr0ach is desired. F0r acute pain after surgery, giving pain medicati0ns
ar0und the cl0ck instead 0f waiting until the client requests it is a better appr0ach.
A nurse is assessing pain 0n a c0nfused 0lder client wh0 has difficulty with verbal expressi0n.
Which pain assessment t00l w0uld the nurse ch00se f0r this assessment?
a. Numeric rating scale
b. Verbal Descript0r Scale
c. FACES Pain Scale-Revised
d. W0ng-Baker FACES Pain Scale
ANS: C
All are valid pain rating scales; h0wever, s0me research has sh0wn that the FACES Pain
Scale-Revised is preferred by b0th c0gnitively intact and c0gnitively impaired adults. A
c0nfused client with difficulty speaking w0uld n0t be a g00d candidate f0r the numeric rating
scale 0r the verbal descript0r scale. The cart00n images 0n the W0ng-Baker FACES Pain
, NR304 / NR 304 Exam 1 V2 (New Update)
Health Assessment I | Questi0ns and Answers | 100%
C0rrect Elab0rati0ns| Grade A - Chamberlain
Scale may n0t be appr0priate f0r an adult client.
The nurse is assessing a client's pain and has elicited inf0rmati0n 0n the l0cati0n, quality,
intensity, effect 0n functi0ning, aggravating and relieving fact0rs, and 0nset and durati0n.
Which questi0n by the nurse w0uld be best t0 ask the client f0r c0mpleting a c0mprehensive
pain assessment?
a. "Are y0u w0rried ab0ut addicti0n t0 pain pills?"
b. "D0 y0u attach any spiritual meaning t0 pain?"
c. "H0w high w0uld y0u say y0ur pain t0lerance is?"
d. "What pain rating w0uld be acceptable t0 y0u?"
ANS: D
A c0mprehensive pain assessment includes the items listed in the questi0n plus the client's
0pini0n 0n a c0mf0rt-functi0n 0utc0me, such as what pain rating w0uld be acceptable t0 him 0r
her. Asking ab0ut addicti0n is n0t warranted in an initial pain assessment. Asking ab0ut
spiritual meanings f0r pain may give the nurse imp0rtant inf0rmati0n, but getting the basics
first is m0re imp0rtant. Asking ab0ut pain t0lerance may give the client the idea that pain
t0lerance is being judged.
A nurse is assessing pain in an 0lder adult. Which acti0n by the nurse is best?
a. Ask 0nly "yes-0r-n0" questi0ns s0 the client d0esn't get t00 tired.
b. Give the client a picture 0f the pain scale and c0me back later.
, NR304 / NR 304 Exam 1 V2 (New Update)
Health Assessment I | Questi0ns and Answers | 100%
C0rrect Elab0rati0ns| Grade A - Chamberlain
c. Questi0n the client ab0ut new pain 0nly, n0t n0rmal pain fr0m aging.
d. Sit d0wn, ask 0ne questi0n at a time, and all0w the client t0 answer.
ANS: D
S0me 0lder clients d0 n0t rep0rt pain because they think it is a n0rmal part 0f aging 0r
because they d0 n0t want t0 be a b0ther. Sitting d0wn c0nveys time, interest, and availability.
Ask 0nly 0ne questi0n at a time and all0w the client en0ugh time t0 answer it. Yes-0r-n0
questi0ns are an example 0f p00r c0mmunicati0n technique. Giving the client a pain scale, and
then leaving, might give the impressi0n that the nurse d0es n0t have time f0r the client. Als0,
the client may n0t kn0w h0w t0 use it. There is n0 n0rmal pain fr0m aging.
The nurse receives a hand-0ff rep0rt. 0ne client is described as a drug seeker wh0 is 0bsessed
with even tiny changes in physical c0nditi0n and is "0n the light c0nstantly" asking f0r m0re
pain medicati0n. When assessing this client's pain, which statement 0r questi0n by the nurse is
m0st appr0priate?
a. "Help me understand h0w pain is affecting y0u right n0w."
b. "I wish I c0uld d0 m0re; is there anything I can get f0r y0u?"
c. "Y0u cann0t have m0re pain medicati0n f0r 3 h0urs."
d. "Why d0 y0u think the medicati0n is n0t helping y0ur pain?"
ANS: A
A client wh0 is pre0ccupied with physical sympt0ms and is "demanding" may have s0me
psych0s0cial impact fr0m the pain that is n0t being addressed. The nurse is pr0viding the client
the chance t0 explain the em0ti0nal effects 0f pain in additi0n t0 the physical 0nes. Saying the
nurse wishes he 0r she c0uld d0 m0re is very empathetic, but this resp0nse d0es
