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Which substance reduces transmission of pain?
Endorphins
Acetylcholine
Serotonin
Substance P - (ANSWER)Endorphins
The nurse is to administer meperidine 75 mg intramuscularly to a client. The medication is supplied in an
ampule of 50 mg/mL. How many milliliters should the nurse administer to the client? Enter the correct
number ONLY. - (ANSWER)1.5 mL
Acute pain can be distinguished from chronic pain by assessing which characteristic?
Acute pain responds poorly to drug therapy
Chronic pain diminishes with healing
Acute pain is specific and localized
Chronic pain is symptomatic of primary injury - (ANSWER)Acute pain is specific and localized
Which statement is true regarding placebos?
A placebo effect is an indication that the client does not have pain
A placebo should never be used to test truthfulness about pain
A placebo should be used as first line treatment for a patient
A positive response to a placebo indicates the patients pain is not real - (ANSWER)A placebo should
never be used to test truthfulness about pain
A high school football player hurts his foot while playing a game. The client complains of intense pain
with muscle spasms and swelling of the toe. Which pain assessment tool will the nurse most likely use to
assess the client's pain level?
Wong-Baker FACES Pain Rating Scale
Verbal Descriptor Scales (VDS)
,NURS 327 EXAM 1 ACTUAL EXAM 2026 | COMPLETE QUESTIONS AND CORRECT ANSWERS
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Visual Analog Scale (VAS)
Numeric Rating Scale (NRS) - (ANSWER)Numeric Rating Scale (NRS)
Which of the following is a true statement with regards to the nursing process of pain control?
The use of physiologic signs to indicate pain is unreliable.
Formulate treatment plans based on behaviors.
Usually all patients exhibit the same pain behaviors.
Nonverbal expressions of pain are reliable indicators of the quality of pain. - (ANSWER)The use of
physiologic signs to indicate pain is unreliable.
The nurse understands that which of the following physiologic changes that influence the pain response
occur in the gerontologic population?
Increased sensitivity to medications
Decreased use of prescription and over-the-counter (OTC) medications
Lower blood levels of medications
Faster metabolism of medications - (ANSWER)Increased sensitivity to medications
The nurse's major area of assessment for a patient receiving patient-controlled analgesia is assessment
of what system?
Respiratory
Neurologic
Cardiovascular
Integumentary - (ANSWER)Respiratory
A nurse documents the presence of chronic pain on an electronic health record. Choose a description
that could be used. The pain can be:
Separate from any central or peripheral pathology.
,NURS 327 EXAM 1 ACTUAL EXAM 2026 | COMPLETE QUESTIONS AND CORRECT ANSWERS
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Rapidly occurring and subsiding with treatment.
Attributed to a specific cause.
Prolonged in duration. - (ANSWER)Prolonged in duration.
When taking a client history, the nurse notes that the client has been taking herbal remedies in addition
to acetaminophen for several years. Based on the admission history, the nurse understands that the
client is experiencing which type of pain?
Acute pain
Chronic pain
Neuropathic pain
Breakthrough pain - (ANSWER)Chronic pain
A nurse would anticipate instituting contact precautions for a client with which of the following?
Clostridium difficile infection
Measles
Varicella
Mumps - (ANSWER)Clostridium difficile infection
When assessing a client with suspected pertussis, which of the following would the nurse most likely
find?
High fever
Paroxysmal cough
Chest pain
Diarrhea - (ANSWER)Paroxysmal cough
A nurse is preparing a presentation for a local community group in a small rural area about hantavirus
pulmonary syndrome. Which of the following would the nurse suggest as a major prevention strategy?
, NURS 327 EXAM 1 ACTUAL EXAM 2026 | COMPLETE QUESTIONS AND CORRECT ANSWERS
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Vaccinating infants and children
Avoiding whirlpool spas
Wearing insect repellent
Eliminating rodent food sources in areas near humans - (ANSWER)Eliminating rodent food sources in
areas near humans
After demonstrating to a group of nursing students the proper technique for handwashing using soap
and water, the nursing instructor determines that the teaching has been successful when the students
demonstrate which of the following?
Washing the hands for 5 to 10 seconds
Vigorously scrubbing between the fingers
Removing the soap with a paper towel before rinsing
Washing underneath artificial fingernails - (ANSWER)Vigorously scrubbing between the fingers
A family member of a client in a long-term care facility asks the nurse why he cannot insert a catheter so
the client will not develop skin breakdown from being wet. What should the explanation include when
the nurse responds to the family member?
Catheters are no longer used for treatment of incontinence.
Older adult residents are able to have catheters inserted if the family requests them.
The invasive nature of the catheter provides a portal for infection.
If a catheter is inserted, it must be flushed with normal saline daily. - (ANSWER)The invasive nature of
the catheter provides a portal for infection
When a hospitalized client requires contact precautions, which responses is necessary?
The client's door should be closed.
Masks are worn when caring for the client.
The client should be placed in a private room when possible.