ATI RN PAIN ASSESSMENT 2.0
A group of clients on the pediatric unit. For which of the following clients should the nurse
use the FLACC pain scale to assess their pain level?
A 3 year old toddler who has a fractured femur
A 14 year old client who has severe cognitive and developmental delays.
A 5 year old preschooler who is experiencing during a sickle cell crisis.
Rationale: FLACC is used for patients who is 6 months to 7 years old.
A nurse is caring for a client who has severe pain and repeatedly asks for pain medication.
The nurse is busy and forgets to assess the clients's pain and administer prescribed pain
medication. Which of the following can the nurse be charged with?
Negligence
Rationale: Negligence means failure to perform in a manner that a reasonable person would
have. By failing to assess the client's pain and administer the client's pain medication, the
nurse was negligent.
A nurse is caring for a client who report muscle pain to the lower back that has persisted for
over a year after a motor-vehicle crash. Which way should the nurse categorize this client's
pain.
Chronic pain
Rationale: chronic pain is paint that has present usually for 3 to 6 months or longer after
the injury or damage has healed. Examples of chronic pain are arthritis pain or pain from a
back injury. Chronic pain can physically and emotionally debilitate a client.
A nurse is assisting with a staff in-service regarding pain control. Which of the following
statements by a staff member indicates an understanding of the information?
A client's religious beliefs might affect the way they respond to pain
A client's past pain experiences are not related to their current pain and pain management.
Pain control might be harder to achieve if the nurse and the client speak different languages.
A nurse is caring for a client who is postoperative following abdominal surgery and has a
morphine PCA pump. Which of the following medications should the nurse ensure is available in
case the client develops respiratory depression?
Naloxone
, ATI RN PAIN ASSESSMENT 2.0
Rationale: Naloxone is a reversal agent for respiratory depression caused by opiods.
We have an expert-written solution to this problem!
The nurse is reviewing factors that can affect a client's perception of pain with a newly
licensed nurse. Which of the following should the charge nurse include?
Stress
culture
social support
disease severity
A nurse is discussing end of life pain management with a group of coworkers. Which of the
following should the nurse include as barriers to end of life pain managment?
Fear of addiction.
Belief that pain is an expected part of their illness is correct.
Inadequate pain assessment is correct.
A nurse is reviewing the plan of care for several clients who are receiving treatment for
pain. Which of the following actions should the nurse plan to take to evaluate the clients'
pain control?
Consider each client's cultural preferences
Determine the effectiveness of nonpharmalogical strategies.
Use a pain scale specific to each client's cognitive abilities.
A nurse is reviewing information for several clients on the unit. The nurse should recognize
that which of the following clients is at greatest risk for respiratory depression?
A client who had surgery 3 hr ago and is receiving IV hydromorphone PRN.
A nurse is caring for a client who has prescription for heat therapy for knee pain. The nurse
should apply heat therapy to the client's knee for how long?
A group of clients on the pediatric unit. For which of the following clients should the nurse
use the FLACC pain scale to assess their pain level?
A 3 year old toddler who has a fractured femur
A 14 year old client who has severe cognitive and developmental delays.
A 5 year old preschooler who is experiencing during a sickle cell crisis.
Rationale: FLACC is used for patients who is 6 months to 7 years old.
A nurse is caring for a client who has severe pain and repeatedly asks for pain medication.
The nurse is busy and forgets to assess the clients's pain and administer prescribed pain
medication. Which of the following can the nurse be charged with?
Negligence
Rationale: Negligence means failure to perform in a manner that a reasonable person would
have. By failing to assess the client's pain and administer the client's pain medication, the
nurse was negligent.
A nurse is caring for a client who report muscle pain to the lower back that has persisted for
over a year after a motor-vehicle crash. Which way should the nurse categorize this client's
pain.
Chronic pain
Rationale: chronic pain is paint that has present usually for 3 to 6 months or longer after
the injury or damage has healed. Examples of chronic pain are arthritis pain or pain from a
back injury. Chronic pain can physically and emotionally debilitate a client.
A nurse is assisting with a staff in-service regarding pain control. Which of the following
statements by a staff member indicates an understanding of the information?
A client's religious beliefs might affect the way they respond to pain
A client's past pain experiences are not related to their current pain and pain management.
Pain control might be harder to achieve if the nurse and the client speak different languages.
A nurse is caring for a client who is postoperative following abdominal surgery and has a
morphine PCA pump. Which of the following medications should the nurse ensure is available in
case the client develops respiratory depression?
Naloxone
, ATI RN PAIN ASSESSMENT 2.0
Rationale: Naloxone is a reversal agent for respiratory depression caused by opiods.
We have an expert-written solution to this problem!
The nurse is reviewing factors that can affect a client's perception of pain with a newly
licensed nurse. Which of the following should the charge nurse include?
Stress
culture
social support
disease severity
A nurse is discussing end of life pain management with a group of coworkers. Which of the
following should the nurse include as barriers to end of life pain managment?
Fear of addiction.
Belief that pain is an expected part of their illness is correct.
Inadequate pain assessment is correct.
A nurse is reviewing the plan of care for several clients who are receiving treatment for
pain. Which of the following actions should the nurse plan to take to evaluate the clients'
pain control?
Consider each client's cultural preferences
Determine the effectiveness of nonpharmalogical strategies.
Use a pain scale specific to each client's cognitive abilities.
A nurse is reviewing information for several clients on the unit. The nurse should recognize
that which of the following clients is at greatest risk for respiratory depression?
A client who had surgery 3 hr ago and is receiving IV hydromorphone PRN.
A nurse is caring for a client who has prescription for heat therapy for knee pain. The nurse
should apply heat therapy to the client's knee for how long?
