NUR 310 Exam 4 Questions and Answers Graded A+
A 5-year-old client reports abdominal pain. Which ac-
tion(s) will the nurse take to assess the pain? Select all that
apply.
Use the Wong-Baker FACES pain rating scale.
Use the numeric rating scale.
Observe the client.
Observe the client.
Ask the client to describe the pain.
Use the Wong-Baker FACES pain rating scale.
Ask the parents if the client is in pain.
Ask the client to describe the pain.
A nurse is caring for a client who complains of an aching
pain in the abdomen. The nurse also noted that the client
is guarding the area. The client is experiencing:
cutaneous pain. visceral pain.
somatic pain.
visceral pain.
neuropathic pain.
Which principle should the nurse integrate into the pain
assessment and pain management of pediatric clients?
A numeric scale should be used to assess pain if the child
is older than 5 years of age.
Pharmacologic pain relief should be used only as an in- Pain assessment may require multiple methods in order
tervention of last resort. to ensure accurate pain data.
The developing neurologic system of children transmits
less pain than in older clients.
Pain assessment may require multiple methods in order
to ensure accurate pain data.
Which is the priority assessment for a nurse caring for a
client with a Patient Controlled Analgesia (PCA) pump?
Respiratory
Respiratory
Cardiovascular
,NUR 310 Exam 4 Questions and Answers Graded A+
Peripheral Vascular
Neuromuscular
A client has been prescribed patient-controlled analgesia
and the nurse is setting up the system and educating the
client about safe and ettective use of PCA. Which teaching
point should the nurse provide to the client?
"If you feel severe pain, either push the button yourself or
ask one of your family members to push the button."
"The pump is programmed with safeguards to limit the
"The pump is programmed with safeguards to limit the
possibility overmedication."
possibility overmedication."
"I'll have the unit's care aide come check on you every few
minutes after I set up the system."
"We'll be monitoring your use of the system closely, to
ensure you don't develop an addiction to your pain med-
ication."
When the male client on his first postoperative day after
chest surgery appears stoic and does not ask for any pain
medication, the nurse should:
assume the client does not need medication. actively solicit information about the client's pain level.
ask the client's family if he ever uses pain medicines.
document the client's lack of medication.
actively solicit information about the client's pain level.
A client reports severe pain following a mastectomy. The
nurse would expect to administer what type of pain med-
ication to this client?
Opioid analgesics Opioid analgesics
Nonopioid analgesics
NSAIDs
Corticosteroids
,NUR 310 Exam 4 Questions and Answers Graded A+
A nurse is assessing a client's pain. The nurse notes which
database finding that is indicative of acute pain?
increased blood pressure
increased blood pressure
pupil constriction
decreased respiratory rate
decreased pulse rate
The nurse prepares to promote the client's comfort using
guided imagery. Which actions should the nurse take?
Select all that apply.
Ask the client to imagine oneself in a favorite place.
Ask the client to concentrate on the details of a pleasant Ask the client to imagine oneself in a favorite place.
image. Ask the client to concentrate on the details of a pleasant
Play the client's favorite music in the background. image.
Instruct the client how to breathe properly for relaxation.
Read a book to the client who is postoperative.
Ask the client to focus on tightening and relaxing a partic-
ular muscle group.
The nurse is employing gate theory in the care of a client
with pain in the lower back. What actions by the nurse may
assist in pain relief for the client?
Administer opioid analgesics
Use massage and heat application to the lower back
Use massage and heat application to the lower back
Encourage the client to have an epidural steroid injection
Have the client perform active exercises to stretch the back
muscles
When asking an older adult client about abdominal pain,
the client reports, "I do not want to be a bother because
nothing hurts too much." The nurse notes that the client
grimaces and splints the abdomen when moving. What is
the appropriate nursing action?
Confirm that age is the reason for many types of pain.
, NUR 310 Exam 4 Questions and Answers Graded A+
Gently mention that the client appears to be experiencing
pain that can be treated.
Gently mention that the client appears to be experiencing
Remind the client that pain can be tolerated instead of
pain that can be treated.
using addictive pain medication.
Document the client's statement, and do nothing further.
A postoperative vaginal hysterectomy client complains of
pain that is more intense than this morning. This factor
should be explained to the client as
"You will need more pain medication as the days
progress."
"Acute pain tends to increase during the day and is called
"Your present pain is worse because you had your packing
a routine pain response"
removed."
"I will call your doctor because you may have loosened
sutures when walking."
"Acute pain tends to increase during the day and is called
a routine pain response"
A client reports after a back massage that his lower back
pain has decreased from 8 to 3 on the pain scale. Which
opioid neuromodulator does the nurse know is released
with skin stimulation and is more than likely responsible
for this increased level of comfort? Endorphins
Melatonin
Serotonin
Endorphins
Dopamine
The nurse is conducting an admission assessment, and
asks the client what medication is taken for pain. The client
responds, "I take a little white pill to control my pain, but
I don't know the name of it," and presents the nurse with
a plastic baggie full of white pills. What is the priority
nursing intervention?
A 5-year-old client reports abdominal pain. Which ac-
tion(s) will the nurse take to assess the pain? Select all that
apply.
Use the Wong-Baker FACES pain rating scale.
Use the numeric rating scale.
Observe the client.
Observe the client.
Ask the client to describe the pain.
Use the Wong-Baker FACES pain rating scale.
Ask the parents if the client is in pain.
Ask the client to describe the pain.
A nurse is caring for a client who complains of an aching
pain in the abdomen. The nurse also noted that the client
is guarding the area. The client is experiencing:
cutaneous pain. visceral pain.
somatic pain.
visceral pain.
neuropathic pain.
Which principle should the nurse integrate into the pain
assessment and pain management of pediatric clients?
A numeric scale should be used to assess pain if the child
is older than 5 years of age.
Pharmacologic pain relief should be used only as an in- Pain assessment may require multiple methods in order
tervention of last resort. to ensure accurate pain data.
The developing neurologic system of children transmits
less pain than in older clients.
Pain assessment may require multiple methods in order
to ensure accurate pain data.
Which is the priority assessment for a nurse caring for a
client with a Patient Controlled Analgesia (PCA) pump?
Respiratory
Respiratory
Cardiovascular
,NUR 310 Exam 4 Questions and Answers Graded A+
Peripheral Vascular
Neuromuscular
A client has been prescribed patient-controlled analgesia
and the nurse is setting up the system and educating the
client about safe and ettective use of PCA. Which teaching
point should the nurse provide to the client?
"If you feel severe pain, either push the button yourself or
ask one of your family members to push the button."
"The pump is programmed with safeguards to limit the
"The pump is programmed with safeguards to limit the
possibility overmedication."
possibility overmedication."
"I'll have the unit's care aide come check on you every few
minutes after I set up the system."
"We'll be monitoring your use of the system closely, to
ensure you don't develop an addiction to your pain med-
ication."
When the male client on his first postoperative day after
chest surgery appears stoic and does not ask for any pain
medication, the nurse should:
assume the client does not need medication. actively solicit information about the client's pain level.
ask the client's family if he ever uses pain medicines.
document the client's lack of medication.
actively solicit information about the client's pain level.
A client reports severe pain following a mastectomy. The
nurse would expect to administer what type of pain med-
ication to this client?
Opioid analgesics Opioid analgesics
Nonopioid analgesics
NSAIDs
Corticosteroids
,NUR 310 Exam 4 Questions and Answers Graded A+
A nurse is assessing a client's pain. The nurse notes which
database finding that is indicative of acute pain?
increased blood pressure
increased blood pressure
pupil constriction
decreased respiratory rate
decreased pulse rate
The nurse prepares to promote the client's comfort using
guided imagery. Which actions should the nurse take?
Select all that apply.
Ask the client to imagine oneself in a favorite place.
Ask the client to concentrate on the details of a pleasant Ask the client to imagine oneself in a favorite place.
image. Ask the client to concentrate on the details of a pleasant
Play the client's favorite music in the background. image.
Instruct the client how to breathe properly for relaxation.
Read a book to the client who is postoperative.
Ask the client to focus on tightening and relaxing a partic-
ular muscle group.
The nurse is employing gate theory in the care of a client
with pain in the lower back. What actions by the nurse may
assist in pain relief for the client?
Administer opioid analgesics
Use massage and heat application to the lower back
Use massage and heat application to the lower back
Encourage the client to have an epidural steroid injection
Have the client perform active exercises to stretch the back
muscles
When asking an older adult client about abdominal pain,
the client reports, "I do not want to be a bother because
nothing hurts too much." The nurse notes that the client
grimaces and splints the abdomen when moving. What is
the appropriate nursing action?
Confirm that age is the reason for many types of pain.
, NUR 310 Exam 4 Questions and Answers Graded A+
Gently mention that the client appears to be experiencing
pain that can be treated.
Gently mention that the client appears to be experiencing
Remind the client that pain can be tolerated instead of
pain that can be treated.
using addictive pain medication.
Document the client's statement, and do nothing further.
A postoperative vaginal hysterectomy client complains of
pain that is more intense than this morning. This factor
should be explained to the client as
"You will need more pain medication as the days
progress."
"Acute pain tends to increase during the day and is called
"Your present pain is worse because you had your packing
a routine pain response"
removed."
"I will call your doctor because you may have loosened
sutures when walking."
"Acute pain tends to increase during the day and is called
a routine pain response"
A client reports after a back massage that his lower back
pain has decreased from 8 to 3 on the pain scale. Which
opioid neuromodulator does the nurse know is released
with skin stimulation and is more than likely responsible
for this increased level of comfort? Endorphins
Melatonin
Serotonin
Endorphins
Dopamine
The nurse is conducting an admission assessment, and
asks the client what medication is taken for pain. The client
responds, "I take a little white pill to control my pain, but
I don't know the name of it," and presents the nurse with
a plastic baggie full of white pills. What is the priority
nursing intervention?
