Correct Answers Updated
1. Pain is whatever the client says it is. Self-report is the Grimacing
gold standard for assessing pain; however, nurses Rocking
learn when assessing pain to assess the following as Increased heart
rate
well: (Check all that Increased blood
apply.) Increased blood pressureDe- creased
pressure Increased heart urine output
rate Increased urine
output Grimacing
Decreased urine output
Rocking
2. When the nurse is considering the client
outcomes associated with pain if the client is
management, what factors should the nurse demonstrating any
consider? Select all that apply. atypical behaviors since
if the client is demonstrating any atypical beginning the
behaviors since beginning the medication medication
if the client's pain affects the ability for self if the client's pain attects
care the ability for self care
if the client is experiencing
if the client has any allergies that affect the adminis- any adverse
reactions associ-
tration of the medication ated with the medication
if the client is experiencing any adverse if the medication has
reactions associated with the medication lessened the client's
if the medication has lessened the client's pain
pain
3. A young client is experiencing pain and Lack of
uses the FACES scale to rate it. The client appetite
points to the pic- Lack of
sleep
,Nursing 3120 Module 2 Exam Question With All
Correct Answers Updated
ture that signifies "Hurts whole lot." Other expected Depression
assessment findings for this client with this Anxiety
level of pain would be which of the following?
(Check all that apply.)
Lack of appetite
Lack of sleep
Depression
, Nursing 3120 Module 2 Exam Question With All
Correct Answers Updated
Low
pO2
Anxiety
• Listen carefully to
4. A nurse is collecting subjective data from a the client's description of
client with acute appendicitis. Which problem
interventions should the nurse use for this • Maintain a quiet
task? Select all that apply. Observe the environ- ment when
client's posture interviewing
Listen carefully to the client's description of • Maintain the
prob- lem client's privacy and
Suggest words to help describe the pain if ensure confidentiality
the client is unable to express self
Maintain a quiet environment when
interviewing Maintain the client's privacy and
ensure confiden- tiality
5. Why is it important for a nurse to gather information Provides insight
into positive
about a client's past experiences with pain? Pre
Assess how much the pain impacts the g
client's lifestyle n
Provides insight into positive or negative a
expecta- tions for relief n
Understand the course of the pain for clues t
to pat- terns
Identify factors that increase or decrease the w
pain o
m
6. Patients have different levels of tolerance
e
for pain. Research has proven an increased
n
sensitivity to pain in which of the following
groups?
T
, Nursing 3120 Module 2 Exam Question With All
Correct Answers Updated
oddlers negative expectations for
Preterm newborns relief
School-age
children
Pre term