CHAPTER 43 PAIN MANAGEMENT (NCLEX) EXAM |LATEST UPLOAD |
GRADED A+
1. What is the most appropriate way to assess the pain of a patient who is oriented and has
recently had surgery?
• Assess the patient's body language.
• Observe cardiac monitor for increased heart rate.
• Ask the patient to rate the level of pain.
• Ask the patient to describe the effect of pain on the ability to cope. - correct answer-Ask
the patient to rate the level of pain. Correct
2. A nurse is caring for a patient who recently had an abdominal hysterectomy and states
that she is experiencing
severe pain. The patient's blood pressure is 110/60, and her heart rate is 60. Additionally,
the patient does not
appear to be in any distress. Which response by the nurse is most therapeutic?
• "Your vitals do not show that you are having pain; can you describe your pain?"
• "You do not look like you are in pain."
• "OK, I will go get you some narcotic pain relievers immediately."
• "What would you like to try to alleviate your pain?" - correct answer-"What would you like
to try to alleviate your pain?"
3. Which of the following statements made by a patient reflects that the patient
understands the relationship
between the gate control theory of pain and the use of meditation to relieve pain?
• "Meditation controls pain by blocking pain impulses from coming through the gate."
• "Meditation will help me sleep through the pain because it opens the gate."
• "Meditation stops the occurrence of pain stimuli."
• "Meditation alters the chemical composition of pain neuroregulatory, which closes the
gate." - correct answer-"Meditation controls pain by blocking pain impulses from coming
through the gate."
, 4. A nursing student is planning care for an elderly patient who is experiencing pain. Which
of the following
statements made by the nursing student indicates the need for the nursing professor to
clarify the nursing
student's knowledge?
• "Older patients often have difficulty determining what is causing their pain."
• "It is safe to administer opioids to older adults as long as you start with small doses and
frequently assess the patient's response to the medication."
• "As adults age, their ability to perceive pain decreases."
• "Patients who have dementia probably experience pain, and their pain is not always well
controlled." - correct answer-It is safe to administer opioids to older adults as long as you
start with small doses and frequently assess the patient's response to the medication."
Correct
5. The nurse is caring for two patients; both are having a hysterectomy. The first patient is
having the hysterectomy
after a complicated birth. The second patient has uterine cancer. What will most likely
influence the experience of
pain for these two patients?
• Neurological factors
• Competency of the surgeon
• Meaning of pain
• Postoperative support personnel - correct answer-Meaning of pain Correct
6. The nurse anticipates administering an opioid fentanyl patch to which patient?
• A 15-year-old adolescent with a broken femur
• A 30-year-old adult with cellulitis
• A 50-year-old patient with prostate cancer
• An 80-year-old patient with a broken hip - correct answer-A 50-year-old patient with
prostate cancer Correct
GRADED A+
1. What is the most appropriate way to assess the pain of a patient who is oriented and has
recently had surgery?
• Assess the patient's body language.
• Observe cardiac monitor for increased heart rate.
• Ask the patient to rate the level of pain.
• Ask the patient to describe the effect of pain on the ability to cope. - correct answer-Ask
the patient to rate the level of pain. Correct
2. A nurse is caring for a patient who recently had an abdominal hysterectomy and states
that she is experiencing
severe pain. The patient's blood pressure is 110/60, and her heart rate is 60. Additionally,
the patient does not
appear to be in any distress. Which response by the nurse is most therapeutic?
• "Your vitals do not show that you are having pain; can you describe your pain?"
• "You do not look like you are in pain."
• "OK, I will go get you some narcotic pain relievers immediately."
• "What would you like to try to alleviate your pain?" - correct answer-"What would you like
to try to alleviate your pain?"
3. Which of the following statements made by a patient reflects that the patient
understands the relationship
between the gate control theory of pain and the use of meditation to relieve pain?
• "Meditation controls pain by blocking pain impulses from coming through the gate."
• "Meditation will help me sleep through the pain because it opens the gate."
• "Meditation stops the occurrence of pain stimuli."
• "Meditation alters the chemical composition of pain neuroregulatory, which closes the
gate." - correct answer-"Meditation controls pain by blocking pain impulses from coming
through the gate."
, 4. A nursing student is planning care for an elderly patient who is experiencing pain. Which
of the following
statements made by the nursing student indicates the need for the nursing professor to
clarify the nursing
student's knowledge?
• "Older patients often have difficulty determining what is causing their pain."
• "It is safe to administer opioids to older adults as long as you start with small doses and
frequently assess the patient's response to the medication."
• "As adults age, their ability to perceive pain decreases."
• "Patients who have dementia probably experience pain, and their pain is not always well
controlled." - correct answer-It is safe to administer opioids to older adults as long as you
start with small doses and frequently assess the patient's response to the medication."
Correct
5. The nurse is caring for two patients; both are having a hysterectomy. The first patient is
having the hysterectomy
after a complicated birth. The second patient has uterine cancer. What will most likely
influence the experience of
pain for these two patients?
• Neurological factors
• Competency of the surgeon
• Meaning of pain
• Postoperative support personnel - correct answer-Meaning of pain Correct
6. The nurse anticipates administering an opioid fentanyl patch to which patient?
• A 15-year-old adolescent with a broken femur
• A 30-year-old adult with cellulitis
• A 50-year-old patient with prostate cancer
• An 80-year-old patient with a broken hip - correct answer-A 50-year-old patient with
prostate cancer Correct
