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1. A group of clients on the pediatric unit. For which of A 3 year old toddler who
the following clients should the nurse use the FLACC has a fractured femur
pain scale to assess their pain level? A 14 year old client who
has severe cognitive and
developmental delays.
A 5 year old preschooler
who is experiencing dur-
ing a sickle cell crisis.
Rationale: FLACC is used
for patients who is 6
months to 7 years old.
2. A nurse is caring for a client who has severe pain and Negligence
repeatedly asks for pain medication. The nurse is busy Rationale: Negligence
and forgets to assess the clients's pain and administer means failure to perform
prescribed pain medication. Which of the following can in a manner that a reason-
the nurse be charged with? able person would have.
By failing to assess the
client's pain and adminis-
ter the client's pain med-
ication, the nurse was
negligent.
3. A nurse is caring for a client who report muscle pain to Chronic pain
the lower back that has persisted for over a year after Rationale: chronic pain is
a motor-vehicle crash. Which way should the nurse paint that has present usu-
categorize this client's pain. ally for 3 to 6 months or
longer after the injury or
damage has healed. Ex-
amples of chronic pain are
arthritis pain or pain from
a back injury. Chronic pain
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, ATI RN Pain Assessment 2.0
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can physically and emo-
tionally debilitate a client.
4. A nurse is assisting with a staff in-service regarding A client's religious beliefs
pain control. Which of the following statements by a might affect the way they
staff member indicates an understanding of the infor- respond to pain
mation? A client's past pain expe-
riences are not related to
their current pain and pain
management.
Pain control might be
harder to achieve if the
nurse and the client speak
different languages.
5. A nurse is caring for a client who is postoperative fol- Naloxone
lowing abdominal surgery and has a morphine PCA Rationale: Naloxone is a
pump. Which of the following medications should the reversal agent for respira-
nurse ensure is available in case the client develops tory depression caused by
respiratory depression? opiods.
6. The nurse is reviewing factors that can affect a client's Stress
perception of pain with a newly licensed nurse. Which culture
of the following should the charge nurse include? social support
disease severity
7. A nurse is discussing end of life pain management with Fear of addiction.
a group of coworkers. Which of the following should Belief that pain is an ex-
the nurse include as barriers to end of life pain man- pected part of their illness
agment? is correct.
Inadequate pain assess-
ment is correct.
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