, Prioritization Delegation and Assignment 4th Edition LaCharity Test Bank e e e e e e e e
Chapter 1. Pain MULT e e e
IPLE CHOICE e
1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical attent
e e e e e e e e e e e e e e e e e
ion. The nurse realizes this client understands that pain is important because it:
e e e e e e e e e e e e
1. is a protective system.
e e e
2. includes the automatic withdrawal reflex.
e e e e
3. creates sensitivity to pain. e e e
4. helps with healing. e e
ANS: 1 e
Pain is a protective system that includes protection from unsafe behaviors by use of reflexes, memor
e e e e e e e e e e e e e e e
y, and avoidance. Even though the automatic withdrawal reflex is a part of the pain response, it does
e e e e e e e e e e e e e e e e e e
not explain why pain is important. Pain does not create sensitivity to pain. Pain does not help with he
e e e e e e e e e e e e e e e e e e
aling.
PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
e e e e e e e e e
2.A client complains that the bed sheets touching his skin are extremely painful. The nurse realizes t
e e e e e e e e e e e e e e e e
his client is experiencing:
e e e
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: 1 e
Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as very painf
e e e e e e e e e e e e e e e e
ul. Kinesthesia is the awareness of movement. Proprioception is the awareness of body position. M
e e e e e e e e e e e e e e
odulation is an influencing factor in the perception of pain.
e e e e e e e e e
PTS: 1 DIF: Analyze REF: Peripheral Nervous System
e e e e e e e
3.A client is complaining of severe abdomen pain. The nurse realizes this client is experiencing whic
e e e e e e e e e e e e e e e
h type of pain?
e e e
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: 4 e
Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is pain that
e e e e e e e e e e e e e e e e e
originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
e e e e e e e e e e e
,pathological pain are both types of pain that result from injury to a nerve or malfunction of the neuro
e e e e e e e e e e e e e e e e e e
nal transmission process or due to impaired regulation.
e e e e e e e
PTS:1DIF:AnalyzeREF:Types of Pain e e
4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way for the
e e e e e e e e e e e e e e e
nurse to describe this clients pain would be:
e e e e e e e
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: 4 e
Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mild to se
e e e e e e e e e e e e e e e e e e e e
vere pain that lasts longer than 6 months. Referred pain is the result of the transfer of visceral pain se
e e e e e e e e e e e e e e e e e e e
nsations to a body surface at a distance from the actual origin. Neuropathic pain is paroxysmal pain t
e e e e e e e e e e e e e e e e e
hat occurs along the branches of a nerve.
e e e e e e e
PTS:1DIF:ApplyREF:Types of Pain e e
5.A client is observed holding a pillow over the abdominal region with both knees flexed in a sid
e e e e e e e e e e e e e e e e e
e-
lying position. Vital signs assessment reveals an elevated blood pressure and heart rate. Which o
e e e e e e e e e e e e e e
f the following should the nurse say to this client?
e e e e e e e e e
1. Can I get you anything? e e e e
2. Would you like something for pain? e e e e e
3. You look comfortable. e e
4. Your blood pressure is up. e e e e
ANS: 2 e
Sympathetic responses to pain include elevated blood pressure and heart rate. And since the client is
e e e e e e e e e e e e e e e e
hugging a pillow over the abdominal region with both knees flexed in a side-
e e e e e e e e e e e e e
lying position, the best thing for the nurse to say to this client is Would you like something for pain?
e e e e e e e e e e e e e e e e e e e e
The other responses are incorrect because they do not acknowledge that the client is experiencing pai
e e e e e e e e e e e e e e e
n.
PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
e e e e e e e e e e
6.A client experiencing chronic pain asks the nurse why she is not prescribed Demerol like she recei
e e e e e e e e e e e e e e e e
ved when she had a total knee replacement. Which of the following should the nurse respond to this
e e e e e e e e e e e e e e e e e e
client?
1. You dont need something that strong.
e e e e e
2. That medication does not exist anymore.
e e e e e
3. That medication does not last very long.
e e e e e e
4. It can cause you have high blood pressure.
e e e e e e e
, ANS: 3 e
Meperidine is no longer a major drug for acute or chronic pain due to its short analgesic duration of 2
e e e e e e e e e e e e e e e e e e e e
to 3 hours and the potential for accumulative toxic effects of its metabolite, normeperidine. The best
e e e e e e e e e e e e e e e
eresponse for the nurse to make to the client would be that medication does not last very long. The ot
e e e e e e e e e e e e e e e e e e e
her responses are inaccurate.
e e e
PTS:1DIF:ApplyREF:Opioid Analgesics e
7.A client is informed that a tricyclic antidepressant medication is going to help control his chronic p
e e e e e e e e e e e e e e e e
ain. The nurse would expect the physician to prescribe:
e e e e e e e e
1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
ANS: 1 e
Amitriptyline is an antidepressant. Gabapentin is an anticonvulsant. Baclofen is a muscle relaxant.
e e e e e e e e e e e e e
Diazepam is a benzodiazepine. e e e
PTS: 1 DIF: Analyze REF: Adjuvant Medications
e e e e e e
8.A client receiving around-the-
e e e
clock medication for terminal cancer experiences additional pain when performing activities of dail
e e e e e e e e e e e e
y living. The nurse realizes this client is experiencing:
e e e e e e e e
1. breakthrough pain. e
2. intractable pain. e
3. psychosomatic pain. e
4. acute pain. e
ANS: 1 e
Breakthrough pain is commonly seen in the advanced stages of cancer. It is spontaneous, unpredicta
e e e e e e e e e e e e e e
ble, and can be initiated by certain activities such as during activities of daily living. Intractable pain
e e e e e e e e e e e e e e e e e
is resistant to some or all forms of therapy. Psychosomatic pain is that which has a psychological orig
e e e e e e e e e e e e e e e e e
in. The client is diagnosed with terminal cancer. Acute pain has a sudden onset and resolves within 6
e e e e e e e e e e e e e e e e e e
months.
PTS:1DIF:AnalyzeREF:Breakthrough Pain e
9.A client recovering from surgery tells the nurse that she is nauseated and is experiencing an increas
e e e e e e e e e e e e e e e e
e in pain. Which of the following does this clients symptoms suggest to the nurse?
e e e e e e e e e e e e e e
1 The client is becoming dependent upon the pain medication.
e e e e e e e e
.
2 The clients pain threshold is lower when experiencing nausea.
e e e e e e e e
.
3 The client is experiencing withdrawal symptoms from pain medication.
e e e e e e e e
.
Chapter 1. Pain MULT e e e
IPLE CHOICE e
1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical attent
e e e e e e e e e e e e e e e e e
ion. The nurse realizes this client understands that pain is important because it:
e e e e e e e e e e e e
1. is a protective system.
e e e
2. includes the automatic withdrawal reflex.
e e e e
3. creates sensitivity to pain. e e e
4. helps with healing. e e
ANS: 1 e
Pain is a protective system that includes protection from unsafe behaviors by use of reflexes, memor
e e e e e e e e e e e e e e e
y, and avoidance. Even though the automatic withdrawal reflex is a part of the pain response, it does
e e e e e e e e e e e e e e e e e e
not explain why pain is important. Pain does not create sensitivity to pain. Pain does not help with he
e e e e e e e e e e e e e e e e e e
aling.
PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
e e e e e e e e e
2.A client complains that the bed sheets touching his skin are extremely painful. The nurse realizes t
e e e e e e e e e e e e e e e e
his client is experiencing:
e e e
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
ANS: 1 e
Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as very painf
e e e e e e e e e e e e e e e e
ul. Kinesthesia is the awareness of movement. Proprioception is the awareness of body position. M
e e e e e e e e e e e e e e
odulation is an influencing factor in the perception of pain.
e e e e e e e e e
PTS: 1 DIF: Analyze REF: Peripheral Nervous System
e e e e e e e
3.A client is complaining of severe abdomen pain. The nurse realizes this client is experiencing whic
e e e e e e e e e e e e e e e
h type of pain?
e e e
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
ANS: 4 e
Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is pain that
e e e e e e e e e e e e e e e e e
originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
e e e e e e e e e e e
,pathological pain are both types of pain that result from injury to a nerve or malfunction of the neuro
e e e e e e e e e e e e e e e e e e
nal transmission process or due to impaired regulation.
e e e e e e e
PTS:1DIF:AnalyzeREF:Types of Pain e e
4.A client, diagnosed with acute appendicitis, is experiencing abdominal pain. The best way for the
e e e e e e e e e e e e e e e
nurse to describe this clients pain would be:
e e e e e e e
1. chronic.
2. neuropathic.
3. referred.
4. acute.
ANS: 4 e
Acute pain onset is sudden and of short duration. Chronic pain is a sudden or slow onset of mild to se
e e e e e e e e e e e e e e e e e e e e
vere pain that lasts longer than 6 months. Referred pain is the result of the transfer of visceral pain se
e e e e e e e e e e e e e e e e e e e
nsations to a body surface at a distance from the actual origin. Neuropathic pain is paroxysmal pain t
e e e e e e e e e e e e e e e e e
hat occurs along the branches of a nerve.
e e e e e e e
PTS:1DIF:ApplyREF:Types of Pain e e
5.A client is observed holding a pillow over the abdominal region with both knees flexed in a sid
e e e e e e e e e e e e e e e e e
e-
lying position. Vital signs assessment reveals an elevated blood pressure and heart rate. Which o
e e e e e e e e e e e e e e
f the following should the nurse say to this client?
e e e e e e e e e
1. Can I get you anything? e e e e
2. Would you like something for pain? e e e e e
3. You look comfortable. e e
4. Your blood pressure is up. e e e e
ANS: 2 e
Sympathetic responses to pain include elevated blood pressure and heart rate. And since the client is
e e e e e e e e e e e e e e e e
hugging a pillow over the abdominal region with both knees flexed in a side-
e e e e e e e e e e e e e
lying position, the best thing for the nurse to say to this client is Would you like something for pain?
e e e e e e e e e e e e e e e e e e e e
The other responses are incorrect because they do not acknowledge that the client is experiencing pai
e e e e e e e e e e e e e e e
n.
PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
e e e e e e e e e e
6.A client experiencing chronic pain asks the nurse why she is not prescribed Demerol like she recei
e e e e e e e e e e e e e e e e
ved when she had a total knee replacement. Which of the following should the nurse respond to this
e e e e e e e e e e e e e e e e e e
client?
1. You dont need something that strong.
e e e e e
2. That medication does not exist anymore.
e e e e e
3. That medication does not last very long.
e e e e e e
4. It can cause you have high blood pressure.
e e e e e e e
, ANS: 3 e
Meperidine is no longer a major drug for acute or chronic pain due to its short analgesic duration of 2
e e e e e e e e e e e e e e e e e e e e
to 3 hours and the potential for accumulative toxic effects of its metabolite, normeperidine. The best
e e e e e e e e e e e e e e e
eresponse for the nurse to make to the client would be that medication does not last very long. The ot
e e e e e e e e e e e e e e e e e e e
her responses are inaccurate.
e e e
PTS:1DIF:ApplyREF:Opioid Analgesics e
7.A client is informed that a tricyclic antidepressant medication is going to help control his chronic p
e e e e e e e e e e e e e e e e
ain. The nurse would expect the physician to prescribe:
e e e e e e e e
1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
ANS: 1 e
Amitriptyline is an antidepressant. Gabapentin is an anticonvulsant. Baclofen is a muscle relaxant.
e e e e e e e e e e e e e
Diazepam is a benzodiazepine. e e e
PTS: 1 DIF: Analyze REF: Adjuvant Medications
e e e e e e
8.A client receiving around-the-
e e e
clock medication for terminal cancer experiences additional pain when performing activities of dail
e e e e e e e e e e e e
y living. The nurse realizes this client is experiencing:
e e e e e e e e
1. breakthrough pain. e
2. intractable pain. e
3. psychosomatic pain. e
4. acute pain. e
ANS: 1 e
Breakthrough pain is commonly seen in the advanced stages of cancer. It is spontaneous, unpredicta
e e e e e e e e e e e e e e
ble, and can be initiated by certain activities such as during activities of daily living. Intractable pain
e e e e e e e e e e e e e e e e e
is resistant to some or all forms of therapy. Psychosomatic pain is that which has a psychological orig
e e e e e e e e e e e e e e e e e
in. The client is diagnosed with terminal cancer. Acute pain has a sudden onset and resolves within 6
e e e e e e e e e e e e e e e e e e
months.
PTS:1DIF:AnalyzeREF:Breakthrough Pain e
9.A client recovering from surgery tells the nurse that she is nauseated and is experiencing an increas
e e e e e e e e e e e e e e e e
e in pain. Which of the following does this clients symptoms suggest to the nurse?
e e e e e e e e e e e e e e
1 The client is becoming dependent upon the pain medication.
e e e e e e e e
.
2 The clients pain threshold is lower when experiencing nausea.
e e e e e e e e
.
3 The client is experiencing withdrawal symptoms from pain medication.
e e e e e e e e
.
