CHAPTER 34: PAIN MANAGEMENT EXAM 2- TEST BANK QUESTIONS
|VERIFIED QUESTIONS AND ANSWERS|GRADED A+ |LATEST
2026/2027
Which is the highest priority nursing diagnosis for a patient with a spinal cord injury and no pain
sensation below the waist?
A. Potential for injury related to lack of sensation and protective reflexes
B. Disturbed body image related to loss of body function and sensation
C. Readiness for enhanced self-care related to desire for increased independence
D. Risk for loneliness related to discomfort in social situations due to disability - ANSWER✔ A.
Potential for injury related to lack of sensation and protective reflexes
The patient is at high risk of injury to the lower body due to the inability to feel pain or other sensations.
The patient will not be able to tell when a body part is being pinched or burned before significant
damage occurs. Risk for injury is higher priority than the patient's psychosocial needs for body image,
self-care, or loneliness
Why is acute pain particularly dangerous for a patient having a heart attack?
A. Release of endorphins causes dangerous elevation of blood pressure.
B. Release of substance P narrows the airways and leads to hypoxemia.
C. Release of prostaglandins lowers the patient's heart rate and blood pressure.
D. Stimulation of the sympathetic nervous system will increase cardiac workload. - ANSWER✔ D.
Stimulation of the sympathetic nervous system will increase cardiac workload.
Acute pain of low-to-moderate intensity and superficial pain cause the fight-or-flight response from the
sympathetic branch of the autonomic nervous system and elevates pulse. Endorphins are natural
morphine-like substances that decrease pain. Substance P helps transmit pain impulses from periphery
to higher brain centers and causes vasodilation and edema. Prostaglandins increase sensitivity to pain
Which is an example of nociceptive pain?
A. Neuropathy due to uncontrolled diabetes
B. Phantom pain after amputation of a limb
, C. Pain from rheumatoid arthritis joint damage
D. Chronic nerve pain after shingles infection - ANSWER✔ C. Pain from rheumatoid arthritis joint
damage
Nociceptive pain is due to damaged tissues such as bones, skin, and organs. An example of nociceptive
pain would be pain resulting from rheumatoid arthritis joint damage. Neuropathy, phantom pain, and
chronic nerve pain are all examples of neuropathic pain.
The nurse is caring for a patient who continues to have severe pain at the site of a fracture long after it
healed. The patient's physicians can find no rationale for the pain. What is the most likely cause of the
patient's discomfort?
A. The patient is trying to obtain unneeded pain medications.
B. The patient has developed a complex regional pain syndrome.
C. The patient is in denial that the fracture has healed completely.
D. The patient is experiencing referred pain from a fracture elsewhere. - ANSWER✔ B. The patient
has developed a complex regional pain syndrome.
An example of idiopathic pain is complex regional pain syndrome. Idiopathic pain is chronic pain in the
absence of an identifiable physical or psychological cause or pain perceived as excessive for the extent
of an organic pathological condition. There is no evidence that the patient is trying to obtain unneeded
pain medications, is in denial, or is experiencing referred pain from another fracture.
Which medication order will provide the most consistent control of the patient's chronic pain?
A. Fentanyl transdermal patch 25 mcg
B. Hydromorphone 0.5 mg IV
C. Fentanyl oral lozenge 200 mcg
D. Morphine sulfate liquid 10 mg - ANSWER✔ A. Fentanyl transdermal patch 25 mcg
The fentanyl transdermal patch provides consistent release of the medication for 3 days. IV
administration of pain medication works quickly but also wears off quickly. Morphine sulfate liquid and
the fentanyl oral lozenge are used to treat breakthrough pain as they are short-acting medications.
|VERIFIED QUESTIONS AND ANSWERS|GRADED A+ |LATEST
2026/2027
Which is the highest priority nursing diagnosis for a patient with a spinal cord injury and no pain
sensation below the waist?
A. Potential for injury related to lack of sensation and protective reflexes
B. Disturbed body image related to loss of body function and sensation
C. Readiness for enhanced self-care related to desire for increased independence
D. Risk for loneliness related to discomfort in social situations due to disability - ANSWER✔ A.
Potential for injury related to lack of sensation and protective reflexes
The patient is at high risk of injury to the lower body due to the inability to feel pain or other sensations.
The patient will not be able to tell when a body part is being pinched or burned before significant
damage occurs. Risk for injury is higher priority than the patient's psychosocial needs for body image,
self-care, or loneliness
Why is acute pain particularly dangerous for a patient having a heart attack?
A. Release of endorphins causes dangerous elevation of blood pressure.
B. Release of substance P narrows the airways and leads to hypoxemia.
C. Release of prostaglandins lowers the patient's heart rate and blood pressure.
D. Stimulation of the sympathetic nervous system will increase cardiac workload. - ANSWER✔ D.
Stimulation of the sympathetic nervous system will increase cardiac workload.
Acute pain of low-to-moderate intensity and superficial pain cause the fight-or-flight response from the
sympathetic branch of the autonomic nervous system and elevates pulse. Endorphins are natural
morphine-like substances that decrease pain. Substance P helps transmit pain impulses from periphery
to higher brain centers and causes vasodilation and edema. Prostaglandins increase sensitivity to pain
Which is an example of nociceptive pain?
A. Neuropathy due to uncontrolled diabetes
B. Phantom pain after amputation of a limb
, C. Pain from rheumatoid arthritis joint damage
D. Chronic nerve pain after shingles infection - ANSWER✔ C. Pain from rheumatoid arthritis joint
damage
Nociceptive pain is due to damaged tissues such as bones, skin, and organs. An example of nociceptive
pain would be pain resulting from rheumatoid arthritis joint damage. Neuropathy, phantom pain, and
chronic nerve pain are all examples of neuropathic pain.
The nurse is caring for a patient who continues to have severe pain at the site of a fracture long after it
healed. The patient's physicians can find no rationale for the pain. What is the most likely cause of the
patient's discomfort?
A. The patient is trying to obtain unneeded pain medications.
B. The patient has developed a complex regional pain syndrome.
C. The patient is in denial that the fracture has healed completely.
D. The patient is experiencing referred pain from a fracture elsewhere. - ANSWER✔ B. The patient
has developed a complex regional pain syndrome.
An example of idiopathic pain is complex regional pain syndrome. Idiopathic pain is chronic pain in the
absence of an identifiable physical or psychological cause or pain perceived as excessive for the extent
of an organic pathological condition. There is no evidence that the patient is trying to obtain unneeded
pain medications, is in denial, or is experiencing referred pain from another fracture.
Which medication order will provide the most consistent control of the patient's chronic pain?
A. Fentanyl transdermal patch 25 mcg
B. Hydromorphone 0.5 mg IV
C. Fentanyl oral lozenge 200 mcg
D. Morphine sulfate liquid 10 mg - ANSWER✔ A. Fentanyl transdermal patch 25 mcg
The fentanyl transdermal patch provides consistent release of the medication for 3 days. IV
administration of pain medication works quickly but also wears off quickly. Morphine sulfate liquid and
the fentanyl oral lozenge are used to treat breakthrough pain as they are short-acting medications.
