Reference no: EM133361873

Question 1

A patient is complaining of severe knee pain after twisting it during a basketball game and is requesting pain medication. Which action by the nurse is appropriate?

Completing the physical examination first and then giving the pain medication

Telling the patient that the pain medication must wait until after the x-ray images are completed

Evaluating the full range of motion of the knee and then medicating for pain

Administering pain medication and then proceeding with the assessment

Question 2.

During assessment of a patient's pain, the nurse is aware that certain nonverbal behaviors are associated with chronic pain. Which of these behaviors are associated with chronic pain? (Select all that apply.)

Bracing

Rubbing

Moaning

Sleeping

Diaphoresis

Restlessness

Question 3.

During an admission assessment of a patient with dementia, the nurse assesses for pain because the patient has recently had several falls. Which of these are appropriate for the nurse to assess in a patient with dementia? (Select all that apply.)

Ask the patient, "Do you have pain?"

Have the patient rate pain on a 1-to-10 scale.

Assess the patient's breathing independent of vocalization.

Note whether the patient is calling out, groaning, or crying.

Observe the patient's body language for pacing and agitation.

Question 4.

When assessing the quality of a patient's pain, the nurse should ask which question?

"When did the pain start?"

"Is the pain a stabbing pain?"

"Is it a sharp pain or dull pain?"

"What does your pain feel like?"

Question 5.

A 60-year-old woman has developed reflexive sympathetic dystrophy after arthroscopic repair of her shoulder. Which is a key feature of this condition?

Affected extremity will eventually regain its function.

Pain is felt at one site but originates from another location.

Patient's pain will be associated with nausea, pallor, and diaphoresis.

Slightest touch, such as a sleeve brushing against her arm, causes severe and intense pain.

Question 6.

The nurse is evaluating a patient's pain. Which is an example of acute pain?

Fibromyalgia

Arthritic pain

Kidney stones

Lower back pain

Question 7.

A patient states that the pain medication is "not working" and rates his postoperative pain at a 10 on a 1-to-10 scale. Which of these assessment findings indicates an acute pain response to poorly controlled pain?

Confusion

Depression

Hyperventilation

Increased blood pressure and pulse

Question 8.

The nurse is teaching a class on pain at a local retirement community. Which statement about the pain experienced by older adults should the nurse include in the instructions?

"Older adults must learn to tolerate pain."

"Pain is a normal process of aging and is to be expected."

"Pain indicates a pathologic condition or an injury and is not a normal process of aging."

"Older individuals perceive pain to a lesser degree than do younger individuals."

Question 9.

The nurse is reviewing the principles of nociception. During which phase of nociception does the conscious awareness of a painful sensation occur?

Perception

Modulation

Transduction

Transmission

Question 10.

The nurse is reviewing the principles of pain. Which type of pain is due to an abnormal processing of the pain impulse through the peripheral or central nervous system?

Visceral

Referred

Cutaneous

Neuropathic