ELNEC Questions review EXAM 2025-2026
Questions and Correct Answers Graded A+
Mr. F has advanced prostate cancer with bone metastasis. He is
unresponsive and is being cared for at home by his daughter. You are
teaching the daughter about assessing her father's pain. Which
statement by the daughter indicates an understanding of her father's
pain status?
A. If he is not moaning, he's probably not experiencing pain.
B. I'll have to guess when he is in pain since he can't tell me.
C. Now that he's unable to communicate, we can stop his pain
medication.
D. Since he was in pain when he was conscious, I assume he's still in
pain. - answer--D
Joey is a 3-month-old who has a serious illness and will probably die in
the next few months. His mother is concerned that he looks like he is in
pain whenever she has to change his diaper. Your best response to her
is:
,A. Don't worry, Joey is too young to feel real pain.
B. All 3-month-old babies hate to have their diaper changed, he is just
responding normally.
C. I will ask the doctor if it is possible for him to have pain with this
illness.
D. Can you explain to me what Joey looks like that makes you concerned
he is in pain? - answer--D
Yolanda has osteoarthritis of the left knee for which she is receiving
acetaminophen 1000mg every six hours. She rates her pain at a 4 every
time you ask. What do you think an appropriate next step would be at
this time?
A. Discuss increasing the acetaminophen to every four hours with the
IDT.
B. Discuss adding an immediate-release opioid with the IDT.
C. Ask Yolanda what an acceptable pain score is for her.
, D. Ask the IDT if Yolanda would benefit from an antidepressant for pain.
- answer--C
During your pain assessment, Randall describes his pain as a burning
pain in his lower extremities. What type of pain does this describe?
A. Nociceptive pain
B. Acute pain
C. Neuropathic pain
D. Spiritual pain - answer--C
Mr. Jones is taking two oxycodone/acetaminophen 5/325 mg tablets
every four hours for bone pain related to metastatic cancer. His pain is a
constant 6 on a 0 to 10 scale. Since the current regimen is not meeting
his goals, and is keeping him from moving, you decide to call his
physician. The doctor suggests increasing the medication to two tablets
every three hours around-the-clock. What would your action be?
A. Question the safety of the total daily dose of acetaminophen that Mr.
Jones would be taking.
B. Accept the orders and provide education to Mr. Jones on the change.
Questions and Correct Answers Graded A+
Mr. F has advanced prostate cancer with bone metastasis. He is
unresponsive and is being cared for at home by his daughter. You are
teaching the daughter about assessing her father's pain. Which
statement by the daughter indicates an understanding of her father's
pain status?
A. If he is not moaning, he's probably not experiencing pain.
B. I'll have to guess when he is in pain since he can't tell me.
C. Now that he's unable to communicate, we can stop his pain
medication.
D. Since he was in pain when he was conscious, I assume he's still in
pain. - answer--D
Joey is a 3-month-old who has a serious illness and will probably die in
the next few months. His mother is concerned that he looks like he is in
pain whenever she has to change his diaper. Your best response to her
is:
,A. Don't worry, Joey is too young to feel real pain.
B. All 3-month-old babies hate to have their diaper changed, he is just
responding normally.
C. I will ask the doctor if it is possible for him to have pain with this
illness.
D. Can you explain to me what Joey looks like that makes you concerned
he is in pain? - answer--D
Yolanda has osteoarthritis of the left knee for which she is receiving
acetaminophen 1000mg every six hours. She rates her pain at a 4 every
time you ask. What do you think an appropriate next step would be at
this time?
A. Discuss increasing the acetaminophen to every four hours with the
IDT.
B. Discuss adding an immediate-release opioid with the IDT.
C. Ask Yolanda what an acceptable pain score is for her.
, D. Ask the IDT if Yolanda would benefit from an antidepressant for pain.
- answer--C
During your pain assessment, Randall describes his pain as a burning
pain in his lower extremities. What type of pain does this describe?
A. Nociceptive pain
B. Acute pain
C. Neuropathic pain
D. Spiritual pain - answer--C
Mr. Jones is taking two oxycodone/acetaminophen 5/325 mg tablets
every four hours for bone pain related to metastatic cancer. His pain is a
constant 6 on a 0 to 10 scale. Since the current regimen is not meeting
his goals, and is keeping him from moving, you decide to call his
physician. The doctor suggests increasing the medication to two tablets
every three hours around-the-clock. What would your action be?
A. Question the safety of the total daily dose of acetaminophen that Mr.
Jones would be taking.
B. Accept the orders and provide education to Mr. Jones on the change.
