NSG 1400 Exam 2 Questions With Complete Solutions
The nurse in an acute care setting is caring for a patient
experiencing pain and a pain management plan of care has been
implemented. What is the minimal interval of time and/or
instance when the nurse should reassess the patient’s pain?
(Select all that apply.)
Daily
Every shift
With each new report of pain
Before and after administration of analgesics
Every 10 minutes
Following the initiation of a pain management plan, pain should
be reassessed and documented on a regular basis as a way to
evaluate the effectiveness of treatments. At a minimum, pain
should be reassessed with each new report of pain and before
and after administration of analgesics.
A woman fell while sweeping her driveway and sustained a
tissue injury. She describes her condition as an aching,
throbbing back. Which term best describes this type of pain?
Chronic pain
Neuropathic pain
Mixed pain syndrome
Nociceptive pain
,Nociceptive pain refers to the normal functioning of
physiological systems that leads to the perception of noxious
stimuli (tissue injury) as being painful. Patients describe this
type of pain as dull or aching, and it is poorly localized.
Neuropathic pain is described as shooting, tingling, burning, or
numbness that is constant in the extremities, as in diabetic
neuropathy. Chronic pain lasts longer than 30 days and is
characterized by a disease affecting brain structure and function,
such as chronic headaches or open wounds. Mixed pain
syndromes are caused by different pathophysiological
mechanisms such as a combination of neuropathic and
nociceptive pain; this occurs in syndromes such as sciatica,
spinal cord injuries, and cervical or lumbar spinal stenosis.
A child is about to be admitted to the pediatric intensive care
unit (PICU) after surgery for removal of a tumor in the
hypothalamic region of the brain. Which action by the nurse
caring for the child requires the nurse manager to intervene?
Obtains electronic equipment for monitoring the vital signs
Adjust the bed to the Trendelenburg position
Secures a pump to administer the ordered IV fluids
Places a hypothermia blanket at the bedside
It is not safe to put the bed in the Trendelenburg position,
because raising the foot increases blood flow to the brain,
thereby increasing intracranial pressure. Temperature elevations
may occur after a craniotomy because of stimulation of the
hypothalamus. A hypothermic blanket should be ready if the
temperature becomes precipitously elevated. Monitoring vital
, signs is a critical component of postoperative care. Intravenous
infusions must be regulated precisely to minimize the possibility
of cerebral edema.
What clinical indicator will the nurse likely identify when
assessing a patient with pyrexia?
Elevated blood pressure
Increased pulse rate
Precordial pain
Dyspnea
Increased pulse rate
A homeless person is brought to the emergency department after
prolonged exposure to cold weather. What clinical manifestation
would the nurse expect?
Rapid respirations
Increased anxiety
Erythema
Stupor
Stupor may occur with hypothermia because of slowed cerebral
metabolic processes. Pallor, not erythema, would be present as a
result of peripheral vasoconstriction. Drowsiness occurs; the
The nurse in an acute care setting is caring for a patient
experiencing pain and a pain management plan of care has been
implemented. What is the minimal interval of time and/or
instance when the nurse should reassess the patient’s pain?
(Select all that apply.)
Daily
Every shift
With each new report of pain
Before and after administration of analgesics
Every 10 minutes
Following the initiation of a pain management plan, pain should
be reassessed and documented on a regular basis as a way to
evaluate the effectiveness of treatments. At a minimum, pain
should be reassessed with each new report of pain and before
and after administration of analgesics.
A woman fell while sweeping her driveway and sustained a
tissue injury. She describes her condition as an aching,
throbbing back. Which term best describes this type of pain?
Chronic pain
Neuropathic pain
Mixed pain syndrome
Nociceptive pain
,Nociceptive pain refers to the normal functioning of
physiological systems that leads to the perception of noxious
stimuli (tissue injury) as being painful. Patients describe this
type of pain as dull or aching, and it is poorly localized.
Neuropathic pain is described as shooting, tingling, burning, or
numbness that is constant in the extremities, as in diabetic
neuropathy. Chronic pain lasts longer than 30 days and is
characterized by a disease affecting brain structure and function,
such as chronic headaches or open wounds. Mixed pain
syndromes are caused by different pathophysiological
mechanisms such as a combination of neuropathic and
nociceptive pain; this occurs in syndromes such as sciatica,
spinal cord injuries, and cervical or lumbar spinal stenosis.
A child is about to be admitted to the pediatric intensive care
unit (PICU) after surgery for removal of a tumor in the
hypothalamic region of the brain. Which action by the nurse
caring for the child requires the nurse manager to intervene?
Obtains electronic equipment for monitoring the vital signs
Adjust the bed to the Trendelenburg position
Secures a pump to administer the ordered IV fluids
Places a hypothermia blanket at the bedside
It is not safe to put the bed in the Trendelenburg position,
because raising the foot increases blood flow to the brain,
thereby increasing intracranial pressure. Temperature elevations
may occur after a craniotomy because of stimulation of the
hypothalamus. A hypothermic blanket should be ready if the
temperature becomes precipitously elevated. Monitoring vital
, signs is a critical component of postoperative care. Intravenous
infusions must be regulated precisely to minimize the possibility
of cerebral edema.
What clinical indicator will the nurse likely identify when
assessing a patient with pyrexia?
Elevated blood pressure
Increased pulse rate
Precordial pain
Dyspnea
Increased pulse rate
A homeless person is brought to the emergency department after
prolonged exposure to cold weather. What clinical manifestation
would the nurse expect?
Rapid respirations
Increased anxiety
Erythema
Stupor
Stupor may occur with hypothermia because of slowed cerebral
metabolic processes. Pallor, not erythema, would be present as a
result of peripheral vasoconstriction. Drowsiness occurs; the
