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PAIN, SEDATION & RESTRAINTS NURSING
EXAM – SAFETY & ETHICS 2026 JUST
RELEASED VERSION
SECTION I: PAIN ASSESSMENT & MANAGEMENT (1–20)
1. The most reliable indicator of pain is:
A. The patient’s self-report
B. Vital signs only
C. Facial expression only
D. Observation only
Answer: A
Rationale: Pain is subjective; self-report is the gold standard for
assessment in all patients who can communicate.
2. Non-verbal indicators of pain include:
A. Grimacing, moaning, restlessness, guarding
B. Only tachycardia
C. Only fever
D. Observation only
Answer: A
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3. Numeric Pain Rating Scale ranges from:
A. 0 (no pain) to 10 (worst pain)
B. 0–5
C. 1–5
D. Observation only
Answer: A
4. FLACC scale is used for:
A. Nonverbal or pediatric patients to assess pain
B. Only adults
C. Only verbal patients
D. Observation only
Answer: A
5. Initial nursing intervention for acute pain includes:
A. Assess pain characteristics, administer analgesics as ordered,
evaluate response
B. Observation only
C. Only vitals
D. Only repositioning
Answer: A
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6. Non-pharmacologic pain management includes:
A. Relaxation, heat/cold therapy, guided imagery, repositioning
B. Only opioids
C. Only sedation
D. Observation only
Answer: A
7. NSAIDs are primarily used for:
A. Mild to moderate pain and inflammation
B. Severe chronic pain only
C. Sedation
D. Observation only
Answer: A
8. Opioids are indicated for:
A. Moderate to severe pain
B. Only mild pain
C. Only sedation
D. Observation only
Answer: A
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9. Nursing priority when administering opioids:
A. Assess pain, vital signs, respiratory status, and level of
consciousness
B. Only pain
C. Observation only
D. Only BP
Answer: A
10. Common opioid side effects include:
A. Respiratory depression, constipation, nausea, sedation
B. Only fever
C. Only tachycardia
D. Observation only
Answer: A
11. PCA (patient-controlled analgesia) allows:
A. Patient to self-administer preset doses of opioid for pain
control
B. Only nurse-administered opioids
C. Observation only
D. Only sedation
Answer: A
PAIN, SEDATION & RESTRAINTS NURSING
EXAM – SAFETY & ETHICS 2026 JUST
RELEASED VERSION
SECTION I: PAIN ASSESSMENT & MANAGEMENT (1–20)
1. The most reliable indicator of pain is:
A. The patient’s self-report
B. Vital signs only
C. Facial expression only
D. Observation only
Answer: A
Rationale: Pain is subjective; self-report is the gold standard for
assessment in all patients who can communicate.
2. Non-verbal indicators of pain include:
A. Grimacing, moaning, restlessness, guarding
B. Only tachycardia
C. Only fever
D. Observation only
Answer: A
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3. Numeric Pain Rating Scale ranges from:
A. 0 (no pain) to 10 (worst pain)
B. 0–5
C. 1–5
D. Observation only
Answer: A
4. FLACC scale is used for:
A. Nonverbal or pediatric patients to assess pain
B. Only adults
C. Only verbal patients
D. Observation only
Answer: A
5. Initial nursing intervention for acute pain includes:
A. Assess pain characteristics, administer analgesics as ordered,
evaluate response
B. Observation only
C. Only vitals
D. Only repositioning
Answer: A
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6. Non-pharmacologic pain management includes:
A. Relaxation, heat/cold therapy, guided imagery, repositioning
B. Only opioids
C. Only sedation
D. Observation only
Answer: A
7. NSAIDs are primarily used for:
A. Mild to moderate pain and inflammation
B. Severe chronic pain only
C. Sedation
D. Observation only
Answer: A
8. Opioids are indicated for:
A. Moderate to severe pain
B. Only mild pain
C. Only sedation
D. Observation only
Answer: A
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9. Nursing priority when administering opioids:
A. Assess pain, vital signs, respiratory status, and level of
consciousness
B. Only pain
C. Observation only
D. Only BP
Answer: A
10. Common opioid side effects include:
A. Respiratory depression, constipation, nausea, sedation
B. Only fever
C. Only tachycardia
D. Observation only
Answer: A
11. PCA (patient-controlled analgesia) allows:
A. Patient to self-administer preset doses of opioid for pain
control
B. Only nurse-administered opioids
C. Observation only
D. Only sedation
Answer: A
