NURS 309 Quiz 4 Pain UPDATED ACTUAL Questions and
CORRECT Answers
A client who had a total knee replacement 2 weeks ago A. "Please rate your pain on a 0-10 scale, with 10 being the worst possible pain."
reports severe pain at the surgical site. Which response B. "Could you describe the pain in your knee?"
by the nurse are most appropriate for the client at this D. "Which positions make the pain feel worse or better?"
time? SATA
A. "Please rate your pain on a 0-10 scale, with 10 being
the worst possible pain."
B. "Could you describe the pain in your knee?"
C. "By now, your pain should be a lot less than it was 2
weeks ago."
D. "Which positions make the pain feel worse or better?"
E. "Having your joint replaced should have decreased
your knee pain."
An older client takes ibuprofen 1600 mg daily for A. "Be sure and take your medication with food to prevent stomach ulcers."
osteoarthritis. Which health teaching will the nurse C. "Avoid any over-the-counter medications that may contain ibuprofen."
provide for the client related to this medication? SATA D. "Take your blood pressure often because ibuprofen can cause it to go up."
A. "Be sure and take your medication with food to E. "You might want to take acetaminophen because it has fewer side effects than
prevent stomach ulcers." ibuprofen."
B. "Take your medication only when you need it for
chronic pain."
C. "Avoid any over-the-counter medications that may
contain ibuprofen."
D. "Take your blood pressure often because ibuprofen
can cause it to go up."
E. "You might want to take acetaminophen because it has
fewer side effects than ibuprofen."
A client has a one-time prescription for morphine 1 mg IV 0.2 mL
push. The drug is available as 5 mg/mL. The nurse
administers ____ mL of morphine for one dose.
,A nursing technician reports that a client who is receiving A. Wake the client and raise the head of the bed to a 90-degree angle
IV PCA morphine is very drowsy, unable to complete a
sentence without falling asleep, and has a respiratory rate
of 10 breaths per minute. What is the nurse's priority
action at this time?
A. Wake the client and raise the head of the bed to a 90-
degree angle
B. Promptly call the primary health care provider to
reduce the opioid dose
C. Document the assessment findings and take vital signs
in an hour
D. Give naloxone according to agency protocol
A postoperative client reports, "I have pain from a mild A. Acetaminophen (Tylenol)
headache." Which PRN medication does the nurse
administer?
A. Acetaminophen (Tylenol)
B. Hydromorphone (Dilaudid)
C. Midazolam (Versed)
D. Oxycodone hydrochloride/acetaminophen (Tylox)
In the role of client advocate, what does the nurse do C. Believes the client's report of pain
first for a client who reports pain?
A. Administers pain medication
B. Assesses the level of pain
C. Believes the client's report of pain
D. Calls the provider for a medication order
A newly admitted client who was in an automobile C. The neurology unit RN who has floated to the orthopedic unit
accident has a concussion and is reporting pain from a
fractured femur and broken fingers. Which staff member
does the charge nurse on the orthopedic unit assign to
care for this client?
A. An experienced RN travel nurse who arrived on the
unit this morning
B. An LPN/LVN who has worked on the orthopedic unit
for 6 years
C. The neurology unit RN who has floated to the
orthopedic unit
D. The RN orthopedic case manager who is responsible
for discharge planning
The nurse is preparing a client for home care pain C. Offer flexibility in home management of the client's current regimen.
management following discharge. Which intervention
does the nurse implement?
A. Discuss pain-relieving strategies on the day of
discharge.
B. Discuss home care with only the client's family, not with
the client.
C. Offer flexibility in home management of the client's
current regimen.
D. Offer information about end-of-life pain control
management.
, A hospitalized client expresses satisfaction after using a C. Imagery
recommended complementary and alternative medicine
(CAM) therapy, saying that pain was diminished and
anxiety reduced. Which CAM did the client most likely
use?
A. Herbs
B. Homeopathy
C. Imagery
D. Tai chi
When assessing a client for acute or chronic pain, what D. "When does it hurt?"
question does the nurse ask the client to obtain the most
data?
A. "Did someone do this to you?"
B. "Does it hurt badly?"
C. "Is the pain really that bad?"
D. "When does it hurt?"
A postoperative client is requesting medication for pain C. "Is your pain controlled between doses?"
every 4 hours. In planning effective pain management,
what assessment question does the nurse ask the client
before administering the medication?
A. "Are you bleeding?"
B. "Are you able to last more than 4 hours?"
C. "Is your pain controlled between doses?"
D. "What do you do for pain when you're at home?"
A postoperative client is receiving epidural analgesia and A. Reduces the analgesic dose
reports itching. What does the nurse do next?
A. Reduces the analgesic dose
B. Gives diphenhydramine (Benadryl)
C. Gives an antiemetic
D. Calls the surgeon
A client who is using patient-controlled analgesia (PCA) A. "Please allow the client to push the button when needed."
is asleep. The nurse observes a family member pushing
the PCA button for the sleeping client. What does the
nurse say to the visitor?
A. "Please allow the client to push the button when
needed."
B. "Please don't touch any equipment in the client's room."
C. "Thank you. I am sure the client appreciated that."
D. "The client is asleep and is not in pain."
CORRECT Answers
A client who had a total knee replacement 2 weeks ago A. "Please rate your pain on a 0-10 scale, with 10 being the worst possible pain."
reports severe pain at the surgical site. Which response B. "Could you describe the pain in your knee?"
by the nurse are most appropriate for the client at this D. "Which positions make the pain feel worse or better?"
time? SATA
A. "Please rate your pain on a 0-10 scale, with 10 being
the worst possible pain."
B. "Could you describe the pain in your knee?"
C. "By now, your pain should be a lot less than it was 2
weeks ago."
D. "Which positions make the pain feel worse or better?"
E. "Having your joint replaced should have decreased
your knee pain."
An older client takes ibuprofen 1600 mg daily for A. "Be sure and take your medication with food to prevent stomach ulcers."
osteoarthritis. Which health teaching will the nurse C. "Avoid any over-the-counter medications that may contain ibuprofen."
provide for the client related to this medication? SATA D. "Take your blood pressure often because ibuprofen can cause it to go up."
A. "Be sure and take your medication with food to E. "You might want to take acetaminophen because it has fewer side effects than
prevent stomach ulcers." ibuprofen."
B. "Take your medication only when you need it for
chronic pain."
C. "Avoid any over-the-counter medications that may
contain ibuprofen."
D. "Take your blood pressure often because ibuprofen
can cause it to go up."
E. "You might want to take acetaminophen because it has
fewer side effects than ibuprofen."
A client has a one-time prescription for morphine 1 mg IV 0.2 mL
push. The drug is available as 5 mg/mL. The nurse
administers ____ mL of morphine for one dose.
,A nursing technician reports that a client who is receiving A. Wake the client and raise the head of the bed to a 90-degree angle
IV PCA morphine is very drowsy, unable to complete a
sentence without falling asleep, and has a respiratory rate
of 10 breaths per minute. What is the nurse's priority
action at this time?
A. Wake the client and raise the head of the bed to a 90-
degree angle
B. Promptly call the primary health care provider to
reduce the opioid dose
C. Document the assessment findings and take vital signs
in an hour
D. Give naloxone according to agency protocol
A postoperative client reports, "I have pain from a mild A. Acetaminophen (Tylenol)
headache." Which PRN medication does the nurse
administer?
A. Acetaminophen (Tylenol)
B. Hydromorphone (Dilaudid)
C. Midazolam (Versed)
D. Oxycodone hydrochloride/acetaminophen (Tylox)
In the role of client advocate, what does the nurse do C. Believes the client's report of pain
first for a client who reports pain?
A. Administers pain medication
B. Assesses the level of pain
C. Believes the client's report of pain
D. Calls the provider for a medication order
A newly admitted client who was in an automobile C. The neurology unit RN who has floated to the orthopedic unit
accident has a concussion and is reporting pain from a
fractured femur and broken fingers. Which staff member
does the charge nurse on the orthopedic unit assign to
care for this client?
A. An experienced RN travel nurse who arrived on the
unit this morning
B. An LPN/LVN who has worked on the orthopedic unit
for 6 years
C. The neurology unit RN who has floated to the
orthopedic unit
D. The RN orthopedic case manager who is responsible
for discharge planning
The nurse is preparing a client for home care pain C. Offer flexibility in home management of the client's current regimen.
management following discharge. Which intervention
does the nurse implement?
A. Discuss pain-relieving strategies on the day of
discharge.
B. Discuss home care with only the client's family, not with
the client.
C. Offer flexibility in home management of the client's
current regimen.
D. Offer information about end-of-life pain control
management.
, A hospitalized client expresses satisfaction after using a C. Imagery
recommended complementary and alternative medicine
(CAM) therapy, saying that pain was diminished and
anxiety reduced. Which CAM did the client most likely
use?
A. Herbs
B. Homeopathy
C. Imagery
D. Tai chi
When assessing a client for acute or chronic pain, what D. "When does it hurt?"
question does the nurse ask the client to obtain the most
data?
A. "Did someone do this to you?"
B. "Does it hurt badly?"
C. "Is the pain really that bad?"
D. "When does it hurt?"
A postoperative client is requesting medication for pain C. "Is your pain controlled between doses?"
every 4 hours. In planning effective pain management,
what assessment question does the nurse ask the client
before administering the medication?
A. "Are you bleeding?"
B. "Are you able to last more than 4 hours?"
C. "Is your pain controlled between doses?"
D. "What do you do for pain when you're at home?"
A postoperative client is receiving epidural analgesia and A. Reduces the analgesic dose
reports itching. What does the nurse do next?
A. Reduces the analgesic dose
B. Gives diphenhydramine (Benadryl)
C. Gives an antiemetic
D. Calls the surgeon
A client who is using patient-controlled analgesia (PCA) A. "Please allow the client to push the button when needed."
is asleep. The nurse observes a family member pushing
the PCA button for the sleeping client. What does the
nurse say to the visitor?
A. "Please allow the client to push the button when
needed."
B. "Please don't touch any equipment in the client's room."
C. "Thank you. I am sure the client appreciated that."
D. "The client is asleep and is not in pain."
