NURS 309 Quiz #4 UPDATED ACTUAL Questions and
CORRECT Answers
1. The nurse is working at a walk-in clinic and has just b
interviewed several PTs. Which patient represents the
most common reason for seeking medical care?
a. Has a family Hx of cardiac disease
b. Has a personal Hx of chronic pain
c. Has annual appointment for cancer screening
d. Has a desire to lose weight and improve health
2. Which factors affect pain and its management? SATA a, b, c, d, e
a. Age
b. Disease process
c. Gender
d. Sociocultural background
e. Absence of physiologic response
f. Genetics
3. The PT reports that he has chronic lower back pain that c
is not relieved by the prescribed medication and that the
primary care provider is unwilling to prescribe anything
stronger. Who should the nurse consult first?
a. Pharmicist
b. PT
c. Pain resource nurse
d. An alternate health care provider
4. Which PT has the highest risk for inadequate pain b
management?
a. 56 yo man who had a major abdominal surgery for a
stab wound
b. 78 yo woman who was txed to a nursing home after hip
surgery
c. 10 yo child who had a tonsillectomy and his parents
can't speak English
d. 24 yo postpartum woman with a hx of drug abuse
5. The nurse is taking a health Hx of a PT who has c
persistent pain related to interstitial cystitis. How does the
nurse categorize this pain?
a. Acute
b. Chronic
c. Chronic noncancer
d. Somatic
,6. A PT with chronic leg pain reports pain level at 7/10, so c
the nurse administers a prn med. Which observation best
suggests the goal of the therapy has been met?
a. PT appears relaxed while talking with family members.
b. Pulse, BP, and resp. are not elevated.
c. PT ambulates ind. Down the hall without distress
d. PT asks for additional food between lunch and dinner
7. Despite the nurse's best efforts, the PT's wife d
continuously asks the nurse to reassess her husband's
pain and to give him additional meds. What is the best
rationale for using the concept of "self-report"?
a. The wife's behavior indicates that she is overly anxious
b. The concerns of the wife make accurate pain
assessment very difficult
c. The health care provider needs to be contacted for a
dosage increase
d. The PT is the only one who can describe his experience
of pain.
8. Which PT is most likely to report pain that would be a
considered acute?
a. Has a Hx of PVD, foot is suddenly cold and blue
b. Has a Hx of diabetic neuropathy, reports burning
sensation in lower leg.
c. Has a Hx of old ankle Fx, reports recent Dx of
osteoarthritis
d. Has a Hx of osteosarcoma in the femurs with tumor
growth and expansion
9. In assessing pain in an older adult PT, what is a major a
barrier to accurate assessment?
a. Many older adults are reluctant to report pain
b. Pain perception increases with age
c. Pain scales are inaccurate for older adults
d. Most older adults have some cognitive impairment
10. The nurse is caring for a PT in on the first post op day. c
The PT denies pain, but his BP and pulse are elevated and
he is diaphoretic and anxious. What should the nurse do
first?
a. Believe and document the PT's self-report of "denies
pain"
b. Call the health care provider and report the VS,
diaphoresis, and anxiety
c. Assess the PT for postop. Complications or barriers to
reporting pain
d. Ask a family member if the PT would typically be stoic
during pain or discomfort.
, 11. A PT reports a deep, poorly localized cramping type of d
pain. These assessment findings indicate which type of
pain?
a. Somatic
b. Psychosomatic
c. Neuropathic
d. Visceral
12. The nurse knows that acute pain serves a biologic a
purpose. How does the nurse apply this knowledge in
caring for a PT with a Hx of cardiac problems, who now
reports sever chest pain?
a. Immediately administers supplemental O2
b. Reassures that acute pain is usually temporary
c. Assesses for anxiety, restlessness, or apprehension
d. Obtains prn pain meds
13. A PT with rheumatoid arthtitis reports having chronic c
pain for years with an exacerbation that started in the
morning. Which observation indicates the PT has a
physiologic adaption to pain?
a. Pupils are dilated
b. Breathing is shallow
c. Pulse rate is 70 bpm
d. Temp is 98.6 f
14. The nurse is caring for several PT's who will receive b
pain medication. Which PT is most likely to receive around
the clock oral opiods?
a. PT with fibromyalgia
b. PT with chronic cancer pain
c. PT with Crohn's
d. PT who had a stroke
15. A PT reports a constant "achy: type of pain after a
abdominal surgery. This is an indication of which type of
pain?
a. Somatic
b. Visceral
c. Neuropathic
d. Psychosomatic
16. Nociception involves the normal function of c
physiologic systems and four processes. When the nurse
suggests listening to music as a distraction, which process
is the target of the intervention?
a. Transduction
b. Transmission
c. Sensory perception
d. Modulation
CORRECT Answers
1. The nurse is working at a walk-in clinic and has just b
interviewed several PTs. Which patient represents the
most common reason for seeking medical care?
a. Has a family Hx of cardiac disease
b. Has a personal Hx of chronic pain
c. Has annual appointment for cancer screening
d. Has a desire to lose weight and improve health
2. Which factors affect pain and its management? SATA a, b, c, d, e
a. Age
b. Disease process
c. Gender
d. Sociocultural background
e. Absence of physiologic response
f. Genetics
3. The PT reports that he has chronic lower back pain that c
is not relieved by the prescribed medication and that the
primary care provider is unwilling to prescribe anything
stronger. Who should the nurse consult first?
a. Pharmicist
b. PT
c. Pain resource nurse
d. An alternate health care provider
4. Which PT has the highest risk for inadequate pain b
management?
a. 56 yo man who had a major abdominal surgery for a
stab wound
b. 78 yo woman who was txed to a nursing home after hip
surgery
c. 10 yo child who had a tonsillectomy and his parents
can't speak English
d. 24 yo postpartum woman with a hx of drug abuse
5. The nurse is taking a health Hx of a PT who has c
persistent pain related to interstitial cystitis. How does the
nurse categorize this pain?
a. Acute
b. Chronic
c. Chronic noncancer
d. Somatic
,6. A PT with chronic leg pain reports pain level at 7/10, so c
the nurse administers a prn med. Which observation best
suggests the goal of the therapy has been met?
a. PT appears relaxed while talking with family members.
b. Pulse, BP, and resp. are not elevated.
c. PT ambulates ind. Down the hall without distress
d. PT asks for additional food between lunch and dinner
7. Despite the nurse's best efforts, the PT's wife d
continuously asks the nurse to reassess her husband's
pain and to give him additional meds. What is the best
rationale for using the concept of "self-report"?
a. The wife's behavior indicates that she is overly anxious
b. The concerns of the wife make accurate pain
assessment very difficult
c. The health care provider needs to be contacted for a
dosage increase
d. The PT is the only one who can describe his experience
of pain.
8. Which PT is most likely to report pain that would be a
considered acute?
a. Has a Hx of PVD, foot is suddenly cold and blue
b. Has a Hx of diabetic neuropathy, reports burning
sensation in lower leg.
c. Has a Hx of old ankle Fx, reports recent Dx of
osteoarthritis
d. Has a Hx of osteosarcoma in the femurs with tumor
growth and expansion
9. In assessing pain in an older adult PT, what is a major a
barrier to accurate assessment?
a. Many older adults are reluctant to report pain
b. Pain perception increases with age
c. Pain scales are inaccurate for older adults
d. Most older adults have some cognitive impairment
10. The nurse is caring for a PT in on the first post op day. c
The PT denies pain, but his BP and pulse are elevated and
he is diaphoretic and anxious. What should the nurse do
first?
a. Believe and document the PT's self-report of "denies
pain"
b. Call the health care provider and report the VS,
diaphoresis, and anxiety
c. Assess the PT for postop. Complications or barriers to
reporting pain
d. Ask a family member if the PT would typically be stoic
during pain or discomfort.
, 11. A PT reports a deep, poorly localized cramping type of d
pain. These assessment findings indicate which type of
pain?
a. Somatic
b. Psychosomatic
c. Neuropathic
d. Visceral
12. The nurse knows that acute pain serves a biologic a
purpose. How does the nurse apply this knowledge in
caring for a PT with a Hx of cardiac problems, who now
reports sever chest pain?
a. Immediately administers supplemental O2
b. Reassures that acute pain is usually temporary
c. Assesses for anxiety, restlessness, or apprehension
d. Obtains prn pain meds
13. A PT with rheumatoid arthtitis reports having chronic c
pain for years with an exacerbation that started in the
morning. Which observation indicates the PT has a
physiologic adaption to pain?
a. Pupils are dilated
b. Breathing is shallow
c. Pulse rate is 70 bpm
d. Temp is 98.6 f
14. The nurse is caring for several PT's who will receive b
pain medication. Which PT is most likely to receive around
the clock oral opiods?
a. PT with fibromyalgia
b. PT with chronic cancer pain
c. PT with Crohn's
d. PT who had a stroke
15. A PT reports a constant "achy: type of pain after a
abdominal surgery. This is an indication of which type of
pain?
a. Somatic
b. Visceral
c. Neuropathic
d. Psychosomatic
16. Nociception involves the normal function of c
physiologic systems and four processes. When the nurse
suggests listening to music as a distraction, which process
is the target of the intervention?
a. Transduction
b. Transmission
c. Sensory perception
d. Modulation
