BSN 445 Pain Management Exam Questions
and Answers with Verified Solutions | Latest
Updated 2026
Challenges to Pain Assessment People with delirium still experience pain.
and Delirium is highly prevalent in critically ill
Management in the Critical Care patients.
Setting Uncontrolled pain can lead to chronic
Question 1 of 9 nervous
For which reason is it important to system complications.
assess pain in delirious patients Pain activates the sympathetic nervous
admitted to the critical care unit? system.
Select all that apply. One, some,
or
all responses may be correct.
People with delirium still
experience
pain.
Delirium is highly prevalent in
critically ill patients.
Pain is a nonmodifiable factor for
delirium.
Uncontrolled pain can lead to
chronic nervous system
complications.
Pain activates the sympathetic
nervous system.
,Question 2 of 9 Vertical pain intensity scale
When caring for an older adult Vertical pain intensity scales are more
patient with a mild cognitive easily
impairment, which pain understood and are recommended for
assessment older adults
technique would the nurse use? with mild to moderate cognitive
Verbal 0-to-10 pain scale impairments.
Behavioral observation scale
Monitoring for tachycardia
Vertical pain intensity scale
Question 3 of 9 Inability to communicate
Which barrier impacts effective The most obvious patient barrier to the
pain assessment
assessment the most?Nurse's of pain is an alteration in the ability to
preconceived ideas or communicate.
assumptionsInability to
communicateExcessive
environmental stimuliCultural
differences between the patient
and
the health care team
,Question 4 of 9 "Can I do anything to support you?"
The nurse is caring for a patient This open-ended question demonstrates
who cultural
states, "This pain is a punishment competence and empowers the patient to
from God for my bad deeds." In ask for
which way would the nurse assistance if needed.
respond?
"Nobody should have to feel pain; I
will get you some pain
medications."
"Have you tried praying to fix your
pain?"
"Can I do anything to support
you?"
"That is not true. God does not
want
anyone to feel pain."
Question 5 of 9 Use a 0-to-10 scale translated into the
The nurse is caring for a patient patient's
who language
speaks a language other than that The use of a pain intensity scale in the
of patient's
the health care team members. In language is vital. The 0-to-10 numeric pain
which way would the nurse assess scales
this patient's pain? have been translated into many different
Ask the patient's family about their languages.
perception of the patient's level of
comfort
Use a translation service to speak
about the pain
Communicate using gestures and
motions
Use a 0-to-10 scale translated into
the patient's language
, Question 7 of 9 Opioid naïveté
Which factor increases the risk of Patients who are opioid-naïve are at an
iatrogenic withdrawal syndrome increased
(IWS)? risk of IWS.
A history of long-term narcotic use
in the past
Short-term critical care admission
Opioid naïveté
Use of small opioid doses
Question 8 of 9 Lacrimation
Which assessment finding leads Iatrogenic withdrawal syndrome causes
the lacrimation
nurse to suspect that the patient is and piloerection.
experiencing iatrogenic withdrawal
syndrome (IWS)?
Constipation
Drowsiness
Seizures
Lacrimation
Question 9 of 9 Massage
Which pain method would the Massage has proven pain relief effects and
nurse is a
use to relieve pain as an adjunct to nonpharmacologic pain control method.
pharmacological methods?
Epidural analgesia
Patient-controlled analgesia
Increased environmental
stimulation
Massage
and Answers with Verified Solutions | Latest
Updated 2026
Challenges to Pain Assessment People with delirium still experience pain.
and Delirium is highly prevalent in critically ill
Management in the Critical Care patients.
Setting Uncontrolled pain can lead to chronic
Question 1 of 9 nervous
For which reason is it important to system complications.
assess pain in delirious patients Pain activates the sympathetic nervous
admitted to the critical care unit? system.
Select all that apply. One, some,
or
all responses may be correct.
People with delirium still
experience
pain.
Delirium is highly prevalent in
critically ill patients.
Pain is a nonmodifiable factor for
delirium.
Uncontrolled pain can lead to
chronic nervous system
complications.
Pain activates the sympathetic
nervous system.
,Question 2 of 9 Vertical pain intensity scale
When caring for an older adult Vertical pain intensity scales are more
patient with a mild cognitive easily
impairment, which pain understood and are recommended for
assessment older adults
technique would the nurse use? with mild to moderate cognitive
Verbal 0-to-10 pain scale impairments.
Behavioral observation scale
Monitoring for tachycardia
Vertical pain intensity scale
Question 3 of 9 Inability to communicate
Which barrier impacts effective The most obvious patient barrier to the
pain assessment
assessment the most?Nurse's of pain is an alteration in the ability to
preconceived ideas or communicate.
assumptionsInability to
communicateExcessive
environmental stimuliCultural
differences between the patient
and
the health care team
,Question 4 of 9 "Can I do anything to support you?"
The nurse is caring for a patient This open-ended question demonstrates
who cultural
states, "This pain is a punishment competence and empowers the patient to
from God for my bad deeds." In ask for
which way would the nurse assistance if needed.
respond?
"Nobody should have to feel pain; I
will get you some pain
medications."
"Have you tried praying to fix your
pain?"
"Can I do anything to support
you?"
"That is not true. God does not
want
anyone to feel pain."
Question 5 of 9 Use a 0-to-10 scale translated into the
The nurse is caring for a patient patient's
who language
speaks a language other than that The use of a pain intensity scale in the
of patient's
the health care team members. In language is vital. The 0-to-10 numeric pain
which way would the nurse assess scales
this patient's pain? have been translated into many different
Ask the patient's family about their languages.
perception of the patient's level of
comfort
Use a translation service to speak
about the pain
Communicate using gestures and
motions
Use a 0-to-10 scale translated into
the patient's language
, Question 7 of 9 Opioid naïveté
Which factor increases the risk of Patients who are opioid-naïve are at an
iatrogenic withdrawal syndrome increased
(IWS)? risk of IWS.
A history of long-term narcotic use
in the past
Short-term critical care admission
Opioid naïveté
Use of small opioid doses
Question 8 of 9 Lacrimation
Which assessment finding leads Iatrogenic withdrawal syndrome causes
the lacrimation
nurse to suspect that the patient is and piloerection.
experiencing iatrogenic withdrawal
syndrome (IWS)?
Constipation
Drowsiness
Seizures
Lacrimation
Question 9 of 9 Massage
Which pain method would the Massage has proven pain relief effects and
nurse is a
use to relieve pain as an adjunct to nonpharmacologic pain control method.
pharmacological methods?
Epidural analgesia
Patient-controlled analgesia
Increased environmental
stimulation
Massage
