SCHOOL OF NURSING SCIENCES DEPARTMENT OF CLINICAL NURSING
QUESTIONS AND VERIFIED CORRECT ANSWERS| PASS GUARANTEED|
GRADE A+
END OF SEMESTER EXAMINATION 2026
UNIT: MEDICAL-SURGICAL NURSING
1). The nurse who is a member of the palliative care team is assessing a patient. The patient
indicates that he has been saving his PRN analgesics until the pain is intense because his pain
control has been inadequate. What teaching should the nurse do with this patient?
A) Medication should be taken when pain levels are low so the pain is easier to reduce.
B) Pain medication can be increased when the pain becomes intense.
C) It is difficult to control chronic pain, so this is an inevitable part of the disease process.
D) The patient will likely benefit more from distraction than pharmacologic interventions.
A) Medication should be taken when pain levels are low so the pain is easier to reduce.
Feedback:
Better pain control can be achieved with a preventive approach, reducing the amount of time
patients are in pain. Low levels of pain are easier to reduce or control than intense levels of
pain. Pain medication is used to prevent pain so pain medication is not increased when pain
becomes intense. Chronic pain is treatable. Giving the patient alternative methods to control
pain is good, but it will not work if the patient is in so much pain that he cannot institute reliable
alternative methods.
3 multiple choice options
,2). Two patients on your unit have recently returned to the postsurgical unit after knee
arthroplasty. One patient is reporting pain of 8 to 9 on a 0-to-10 pain scale, whereas the other
patient is reporting a pain level of 3 to 4 on the same pain scale. What is the nurse's most
plausible rationale for understanding the patient's different perceptions of pain?
A) Endorphin levels may vary between patients, affecting the perception of pain.
B) One of the patients is exaggerating his or her sense of pain.
C) The patients are likely experiencing a variance in vasoconstriction.
D) One of the patients may be experiencing opioid tolerance.
A) Endorphin levels may vary between patients, affecting the perception of pain.
Feedback:
Different people feel different degrees of pain from similar stimuli. Opioid tolerance is
associated with chronic pain treatment and would not likely apply to these patients. The nurse
should not assume the patient is exaggerating the pain because the patient is the best authority
of his or her existence of pain, and definitions for pain state that pain is whatever the person
says it is, existing whenever the experiencing person says it does.
3 multiple choice options
3). You are frequently assessing an 84-year-old womans pain after she suffered a humeral
fracture in a fall. When applying the nursing process in pain management for a patient of this
age, what principle should you best apply?
A) Monitor for signs of drug toxicity due to a decrease in metabolism.
B) Monitor for an increase in absorption of the drug due to age-related changes.
C) Monitor for a paradoxical increase in pain with opioid administration.
D) Administer analgesics every 4 to 6 hours as ordered to control pain.
A) Monitor for signs of drug toxicity due to a decrease in metabolism.
, Feedback:
Older people may respond differently to pain than younger people. Because elderly people have
a slower metabolism and a greater ratio of body fat to muscle mass compared with younger
people, small doses of analgesic agents may be sufficient to relieve pain, and these doses may
be effective longer. This fact also corresponds to an increased risk of adverse effects. Paradoxical
effects are not a common phenomenon. The frequency of administration will vary widely
according to numerous variables.
3 multiple choice options
4). The nurse is assessing a patient's pain while the patient awaits a cholecystectomy. The
patient is tearful, hesitant to move, and grimacing. When asked, the patient rates his pain as a 2
at this time using a 0-to-10 pain scale. How should the nurse best respond to this assessment
finding?
A) Remind the patient that he is indeed experiencing pain.
B) Reinforce teaching about the pain scale number system.
C) Reassess the patients pain in 30 minutes.
D) Administer an analgesic and then reassess.
B) Reinforce teaching about the pain scale number system.
Feedback:
The patient is physically exhibiting signs and symptoms of pain. Further teaching may need to
be done so the patient can correctly rate the pain. The nurse may also verify that the same scale
is being used by the patient and caregiver to promote continuity. Although all the answers are
correct, the most accurate conclusion would be to reinforce teaching about the pain scale.
3 multiple choice options
QUESTIONS AND VERIFIED CORRECT ANSWERS| PASS GUARANTEED|
GRADE A+
END OF SEMESTER EXAMINATION 2026
UNIT: MEDICAL-SURGICAL NURSING
1). The nurse who is a member of the palliative care team is assessing a patient. The patient
indicates that he has been saving his PRN analgesics until the pain is intense because his pain
control has been inadequate. What teaching should the nurse do with this patient?
A) Medication should be taken when pain levels are low so the pain is easier to reduce.
B) Pain medication can be increased when the pain becomes intense.
C) It is difficult to control chronic pain, so this is an inevitable part of the disease process.
D) The patient will likely benefit more from distraction than pharmacologic interventions.
A) Medication should be taken when pain levels are low so the pain is easier to reduce.
Feedback:
Better pain control can be achieved with a preventive approach, reducing the amount of time
patients are in pain. Low levels of pain are easier to reduce or control than intense levels of
pain. Pain medication is used to prevent pain so pain medication is not increased when pain
becomes intense. Chronic pain is treatable. Giving the patient alternative methods to control
pain is good, but it will not work if the patient is in so much pain that he cannot institute reliable
alternative methods.
3 multiple choice options
,2). Two patients on your unit have recently returned to the postsurgical unit after knee
arthroplasty. One patient is reporting pain of 8 to 9 on a 0-to-10 pain scale, whereas the other
patient is reporting a pain level of 3 to 4 on the same pain scale. What is the nurse's most
plausible rationale for understanding the patient's different perceptions of pain?
A) Endorphin levels may vary between patients, affecting the perception of pain.
B) One of the patients is exaggerating his or her sense of pain.
C) The patients are likely experiencing a variance in vasoconstriction.
D) One of the patients may be experiencing opioid tolerance.
A) Endorphin levels may vary between patients, affecting the perception of pain.
Feedback:
Different people feel different degrees of pain from similar stimuli. Opioid tolerance is
associated with chronic pain treatment and would not likely apply to these patients. The nurse
should not assume the patient is exaggerating the pain because the patient is the best authority
of his or her existence of pain, and definitions for pain state that pain is whatever the person
says it is, existing whenever the experiencing person says it does.
3 multiple choice options
3). You are frequently assessing an 84-year-old womans pain after she suffered a humeral
fracture in a fall. When applying the nursing process in pain management for a patient of this
age, what principle should you best apply?
A) Monitor for signs of drug toxicity due to a decrease in metabolism.
B) Monitor for an increase in absorption of the drug due to age-related changes.
C) Monitor for a paradoxical increase in pain with opioid administration.
D) Administer analgesics every 4 to 6 hours as ordered to control pain.
A) Monitor for signs of drug toxicity due to a decrease in metabolism.
, Feedback:
Older people may respond differently to pain than younger people. Because elderly people have
a slower metabolism and a greater ratio of body fat to muscle mass compared with younger
people, small doses of analgesic agents may be sufficient to relieve pain, and these doses may
be effective longer. This fact also corresponds to an increased risk of adverse effects. Paradoxical
effects are not a common phenomenon. The frequency of administration will vary widely
according to numerous variables.
3 multiple choice options
4). The nurse is assessing a patient's pain while the patient awaits a cholecystectomy. The
patient is tearful, hesitant to move, and grimacing. When asked, the patient rates his pain as a 2
at this time using a 0-to-10 pain scale. How should the nurse best respond to this assessment
finding?
A) Remind the patient that he is indeed experiencing pain.
B) Reinforce teaching about the pain scale number system.
C) Reassess the patients pain in 30 minutes.
D) Administer an analgesic and then reassess.
B) Reinforce teaching about the pain scale number system.
Feedback:
The patient is physically exhibiting signs and symptoms of pain. Further teaching may need to
be done so the patient can correctly rate the pain. The nurse may also verify that the same scale
is being used by the patient and caregiver to promote continuity. Although all the answers are
correct, the most accurate conclusion would be to reinforce teaching about the pain scale.
3 multiple choice options
