ENA Pain Study Guide 2026 | Emergency Nursing Pain Management Review &
Exam Prep
Which area of the brain may be involved in the discrimination and cognition of pain?
A. Thalamus
B. Parietal lobe
C. Brainstem
D. Midbrain - ANS ✔✔b
Which consequence can result from unrelieved pain?
A. Vasodilation
B. Immune system suppression
C. Endorphin release
D. Antinociception response - ANS ✔✔b
According to the World Health Organization pain ladder, which medication is indicated for a
patient with mild to moderate pain?
A. Morphine sulfate
B. Codeine
C. Hydromorphone (Dilaudid)
, D. Acetaminophen (Tylenol) - ANS ✔✔b
A patient states. "If I stand up straight, it hurts." This statement reflects which aspect of the pain
assessment?
A. Palliative factor
B. Precipitating factor
C. Severity
D. Radiation - ANS ✔✔b
Which procedural sedation medication can increase bronchial and salivary secretions?
A. Ketamine (Ketalar)
B. Etomidate (Amidate)
C. Midazolam (Versed)
D. Propofol (Diprivan) - ANS ✔✔a
Which drug produces the fewest cardiac effects?
A. Morphine sulfate
B. Fentanyl (Duragesic)
C. Hydromorphone (Dilaudid)
D. Meperidine (Demerol) - ANS ✔✔b
Exam Prep
Which area of the brain may be involved in the discrimination and cognition of pain?
A. Thalamus
B. Parietal lobe
C. Brainstem
D. Midbrain - ANS ✔✔b
Which consequence can result from unrelieved pain?
A. Vasodilation
B. Immune system suppression
C. Endorphin release
D. Antinociception response - ANS ✔✔b
According to the World Health Organization pain ladder, which medication is indicated for a
patient with mild to moderate pain?
A. Morphine sulfate
B. Codeine
C. Hydromorphone (Dilaudid)
, D. Acetaminophen (Tylenol) - ANS ✔✔b
A patient states. "If I stand up straight, it hurts." This statement reflects which aspect of the pain
assessment?
A. Palliative factor
B. Precipitating factor
C. Severity
D. Radiation - ANS ✔✔b
Which procedural sedation medication can increase bronchial and salivary secretions?
A. Ketamine (Ketalar)
B. Etomidate (Amidate)
C. Midazolam (Versed)
D. Propofol (Diprivan) - ANS ✔✔a
Which drug produces the fewest cardiac effects?
A. Morphine sulfate
B. Fentanyl (Duragesic)
C. Hydromorphone (Dilaudid)
D. Meperidine (Demerol) - ANS ✔✔b
