MULTIPLE CHOICE
1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical
attention. The nurse realizes this client understands that pain is important because it:
1. is a protective system.
2. includes the automatic withdrawal reflex.
3. creates sensitivity to pain.
4. helps with healing.
SOLUTION: 1
Pain is a protective system that includes protection from unsafe behaviors by use of reflexes,
memory, and avoidance. Even though the automatic withdrawal reflex is a part of the pain
response, it does not explain why pain is important. Pain does not create sensitivity to pain. Pain
does not help with healing.
PTS: 1 DIF: Analyze REFERENCE: Definitions and Implications of Pain
2.A client complains that the bed sheets touching his skin are extremely painful. The nurse
realizes this client is experiencing:
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
SOLUTION: 1
Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as very
,painful. Kinesthesia is the awareness of movement. Proprioception is the awareness of body
position. Modulation is an influencing factor in the perception of pain.
PTS: 1 DIF: Analyze REFERENCE: Peripheral Nervous System
3.A client is complaining of severe abdomen pain. The nurse realizes this client is experiencing
which type of pain?
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
SOLUTION: 4
Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is pain
that originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
,pathologicaly3painy3arey3bothy3typesy3ofy3painy3thaty3resulty3fromy3injuryy3toy3ay3nervey3ory3malfunc
tiony3ofy3they3neuronaly3transmissiony3processy3ory3duey3toy3impairedy3regulation.
PTS:1DIF:AnalyzeREFERENCE:Typesy3 ofy3Pain
4.Ay3client,y3diagnosedy3withy3acutey3appendicitis,y3isy3experiencingy3abdominaly3pain.y3They3be
sty3wayy3fory3they3nursey3toy3describey3thisy3clientsy3painy3wouldy3be:
1. chronic.
2. neuropathic.
3. referred.
4. acute.
SOLUTION:y 3 4
Acutey3painy3onsety3isy3suddeny3andy3ofy3shorty3duration.y3Chronicy3painy3isy3ay3suddeny3ory3slo
wy3onsety3ofy3mildy3toy3severey3painy3thaty3lastsy3longery3thany36y3months.y3Referredy3painy3isy
3they3resulty3ofy3they3transfery3ofy3visceraly3painy3sensationsy3toy3ay3bodyy3surfacey3aty3ay3distan
cey3fromy3they3actualy3origin.y3Neuropathicy3painy3isy3paroxysmaly3painy3thaty3occursy3alongy3t
hey3branchesy3ofy3ay 3 nerve.
PTS:1DIF:ApplyREFERENCE:Typesy3 ofy3Pain
5.Ay3clienty3isy3observedy3holdingy3ay3pillowy3overy3they3abdominaly3regiony3withy3bothy3kne
esy3flexedy3iny3ay3side-
lyingy3position.y3Vitaly3signsy3assessmenty3revealsy3any3elevatedy3bloody3pressurey3andy3he
arty3rate.y3Whichy3ofy3they3followingy3shouldy3they3nursey3sayy3toy3thisy3client?
1. Cany3Iy3gety3youy3anything?
2. Wouldy3youy3likey3somethingy3fory3pain?
3. Youy3looky3comfortable.
4. Youry3bloody3pressurey3isy3up.
SOLUTION:y 3 2
Sympatheticy3responsesy3toy3painy3includey3elevatedy3bloody3pressurey3andy3hearty3rate.y3Andy3
sincey3they3clienty3isy3huggingy3ay3pillowy3overy3they3abdominaly3regiony3withy3bothy3kneesy3fl
exedy3iny3ay3side-
lyingy3position,y3they3besty3thingy3fory3they3nursey3toy3sayy3toy3thisy3clienty3isy3Wouldy3youy3lik
ey3somethingy3fory3pain?y3They3othery3responsesy3arey3incorrecty3becausey3theyy3doy3noty3ackno
wledgey3thaty3they3clienty3isy3experiencingy3pain.
PTS:y31y3DIF:y3Applyy3REFERENCE:y3Assessingy3they3Clinicaly3Manifestationsy3ofy3Pain
6.Ay3clienty3experiencingy3chronicy3painy3asksy3they3nursey3whyy3shey3isy3noty3prescribedy3Deme
roly3likey3shey3receivedy3wheny3shey3hady3ay3totaly3kneey3replacement.y3Whichy3ofy3they3follo
wingy3shouldy3they3nursey3respondy3toy3thisy3client?
1. Youy3donty3needy3somethingy3thaty3strong.
2. Thaty3medicationy3doesy3noty3existy3anymore.
, 3. Thaty3medicationy3doesy3noty3lasty3veryy3long.
4. Ity3cany3causey3youy3havey3highy3bloody3 pressure.
1.A client tells the nurse that she rarely experiences pain, but when she does, she seeks medical
attention. The nurse realizes this client understands that pain is important because it:
1. is a protective system.
2. includes the automatic withdrawal reflex.
3. creates sensitivity to pain.
4. helps with healing.
SOLUTION: 1
Pain is a protective system that includes protection from unsafe behaviors by use of reflexes,
memory, and avoidance. Even though the automatic withdrawal reflex is a part of the pain
response, it does not explain why pain is important. Pain does not create sensitivity to pain. Pain
does not help with healing.
PTS: 1 DIF: Analyze REFERENCE: Definitions and Implications of Pain
2.A client complains that the bed sheets touching his skin are extremely painful. The nurse
realizes this client is experiencing:
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
SOLUTION: 1
Allodynia or hyperalgesia is a state where a slight or nonpainful stimulus is interpreted as very
,painful. Kinesthesia is the awareness of movement. Proprioception is the awareness of body
position. Modulation is an influencing factor in the perception of pain.
PTS: 1 DIF: Analyze REFERENCE: Peripheral Nervous System
3.A client is complaining of severe abdomen pain. The nurse realizes this client is experiencing
which type of pain?
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
SOLUTION: 4
Visceral pain is pain arising from the body organs or gastrointestinal tract. Somatic pain is pain
that originates from the bone, joints, muscles, skin, or connective pain. Neuralgia and
,pathologicaly3painy3arey3bothy3typesy3ofy3painy3thaty3resulty3fromy3injuryy3toy3ay3nervey3ory3malfunc
tiony3ofy3they3neuronaly3transmissiony3processy3ory3duey3toy3impairedy3regulation.
PTS:1DIF:AnalyzeREFERENCE:Typesy3 ofy3Pain
4.Ay3client,y3diagnosedy3withy3acutey3appendicitis,y3isy3experiencingy3abdominaly3pain.y3They3be
sty3wayy3fory3they3nursey3toy3describey3thisy3clientsy3painy3wouldy3be:
1. chronic.
2. neuropathic.
3. referred.
4. acute.
SOLUTION:y 3 4
Acutey3painy3onsety3isy3suddeny3andy3ofy3shorty3duration.y3Chronicy3painy3isy3ay3suddeny3ory3slo
wy3onsety3ofy3mildy3toy3severey3painy3thaty3lastsy3longery3thany36y3months.y3Referredy3painy3isy
3they3resulty3ofy3they3transfery3ofy3visceraly3painy3sensationsy3toy3ay3bodyy3surfacey3aty3ay3distan
cey3fromy3they3actualy3origin.y3Neuropathicy3painy3isy3paroxysmaly3painy3thaty3occursy3alongy3t
hey3branchesy3ofy3ay 3 nerve.
PTS:1DIF:ApplyREFERENCE:Typesy3 ofy3Pain
5.Ay3clienty3isy3observedy3holdingy3ay3pillowy3overy3they3abdominaly3regiony3withy3bothy3kne
esy3flexedy3iny3ay3side-
lyingy3position.y3Vitaly3signsy3assessmenty3revealsy3any3elevatedy3bloody3pressurey3andy3he
arty3rate.y3Whichy3ofy3they3followingy3shouldy3they3nursey3sayy3toy3thisy3client?
1. Cany3Iy3gety3youy3anything?
2. Wouldy3youy3likey3somethingy3fory3pain?
3. Youy3looky3comfortable.
4. Youry3bloody3pressurey3isy3up.
SOLUTION:y 3 2
Sympatheticy3responsesy3toy3painy3includey3elevatedy3bloody3pressurey3andy3hearty3rate.y3Andy3
sincey3they3clienty3isy3huggingy3ay3pillowy3overy3they3abdominaly3regiony3withy3bothy3kneesy3fl
exedy3iny3ay3side-
lyingy3position,y3they3besty3thingy3fory3they3nursey3toy3sayy3toy3thisy3clienty3isy3Wouldy3youy3lik
ey3somethingy3fory3pain?y3They3othery3responsesy3arey3incorrecty3becausey3theyy3doy3noty3ackno
wledgey3thaty3they3clienty3isy3experiencingy3pain.
PTS:y31y3DIF:y3Applyy3REFERENCE:y3Assessingy3they3Clinicaly3Manifestationsy3ofy3Pain
6.Ay3clienty3experiencingy3chronicy3painy3asksy3they3nursey3whyy3shey3isy3noty3prescribedy3Deme
roly3likey3shey3receivedy3wheny3shey3hady3ay3totaly3kneey3replacement.y3Whichy3ofy3they3follo
wingy3shouldy3they3nursey3respondy3toy3thisy3client?
1. Youy3donty3needy3somethingy3thaty3strong.
2. Thaty3medicationy3doesy3noty3existy3anymore.
, 3. Thaty3medicationy3doesy3noty3lasty3veryy3long.
4. Ity3cany3causey3youy3havey3highy3bloody3 pressure.
