NUR 4125: Chapter 14 Somatosensory Function,
Pain, And Temperature Exam Latest Update
A client is experiencing chest pain that radiates to the left arm and neck. The
nurse would interpret this pain as:
Referred
Somatic
Cutaneous
Visceral - ANSWER d
When conducting a health assessment that focuses on the pain experienced by
an older client diagnosed with early dementia, the nurse will pay particular
attention to which of the following?
Behavioral signs of pain demonstrated by the client
The client's comfort level regarding the discussion of pain
The client's verbal perception of pain
Cultural beliefs held by the client regarding the cause of pain - ANSWER a
A surgical client is at greatest risk for hypothermia during a surgical procedure
related to:
impaired thermoregulatory mechanisms brought on by anesthesia.
the instillation of warmed intravenous fluids that lower the core temperature.
the decreased temperature of the surgical suite caused by electrical
appliances.
negligence of the anesthesiologist in regulating the body temperature. -
ANSWER a
An older adult tells the nurse, "My friend just developed shingles and has a lot of
pain. Is there a way for me to protect myself from it?" Which of the following is
an appropriate response from the nurse?
"Apply a topical anesthetic agent."
"Get a Zostavax vaccination."
"Use antiviral drugs as soon as you are exposed."
"Avoid children and people with shingles." - ANSWER b
A nurse is planning care for a client coming into the emergency department via
ambulance on a hot summer day with the following symptoms: temperature of
105°F (40.5°C), absence of sweating, and loss of consciousness. The nurse
anticipates that the client has which condition?
Heatstroke
Blunted febrile response
Heat exhaustion
, Hyperthermia - ANSWER a
The nurse is caring for a client who has returned from surgery after having a
colon resection. What is the best method for the nurse to use when
administering an opioid for pain in order to optimize pain control?
Administer the opioid if the client is becoming restless.
If the client is asleep, wait until she awakens to administer an opioid, because
sleeping clients are not in pain.
Administer the opioid preemptively and before pain becomes extreme.
Administer the opioid each time the client asks for it. - ANSWER c
The nurse on the pediatric unit is implementing distraction strategies for a child
who is experiencing pain. Which strategies would be best for the nurse to
implement? Select all that apply.
Silence
Games
Music
Television
Bubbles
Acetaminophen - ANSWER b c d e
A client presents with a temperature of 38.8°C (101.8°F), a racing heart, fatigue,
and an upset stomach after working outside in a hot day. Which assessment
findings suggest fever rather than hyperthermia as a cause of the elevation in
the man's temperature? Select all that apply.
Dizziness
Moist skin
Shivering
Cognitive changes
Pallor - ANSWER b e
A student is feeling inside her backpack to find her mobile phone. There are a
number of other items in the backpack. Which component of somatosensory
conduction is most likely to provide the detailed sensory information that will
help her distinguish her phone from other items?
The primary dorsal root ganglion neuron, dorsal column neuron, and the
thalamic neuron
The opposite anterolateral pathway that travels to the reticular activating
system
A slow-conducting pathway that projects into the intralaminar nuclei of the
thalamus
A bilateral, multisynaptic, slow-conducting tract - ANSWER a
A client was skating on the lake when the ice broke and he was submerged for
15 minutes. When rescuers were able to retrieve him from the water, his core
Pain, And Temperature Exam Latest Update
A client is experiencing chest pain that radiates to the left arm and neck. The
nurse would interpret this pain as:
Referred
Somatic
Cutaneous
Visceral - ANSWER d
When conducting a health assessment that focuses on the pain experienced by
an older client diagnosed with early dementia, the nurse will pay particular
attention to which of the following?
Behavioral signs of pain demonstrated by the client
The client's comfort level regarding the discussion of pain
The client's verbal perception of pain
Cultural beliefs held by the client regarding the cause of pain - ANSWER a
A surgical client is at greatest risk for hypothermia during a surgical procedure
related to:
impaired thermoregulatory mechanisms brought on by anesthesia.
the instillation of warmed intravenous fluids that lower the core temperature.
the decreased temperature of the surgical suite caused by electrical
appliances.
negligence of the anesthesiologist in regulating the body temperature. -
ANSWER a
An older adult tells the nurse, "My friend just developed shingles and has a lot of
pain. Is there a way for me to protect myself from it?" Which of the following is
an appropriate response from the nurse?
"Apply a topical anesthetic agent."
"Get a Zostavax vaccination."
"Use antiviral drugs as soon as you are exposed."
"Avoid children and people with shingles." - ANSWER b
A nurse is planning care for a client coming into the emergency department via
ambulance on a hot summer day with the following symptoms: temperature of
105°F (40.5°C), absence of sweating, and loss of consciousness. The nurse
anticipates that the client has which condition?
Heatstroke
Blunted febrile response
Heat exhaustion
, Hyperthermia - ANSWER a
The nurse is caring for a client who has returned from surgery after having a
colon resection. What is the best method for the nurse to use when
administering an opioid for pain in order to optimize pain control?
Administer the opioid if the client is becoming restless.
If the client is asleep, wait until she awakens to administer an opioid, because
sleeping clients are not in pain.
Administer the opioid preemptively and before pain becomes extreme.
Administer the opioid each time the client asks for it. - ANSWER c
The nurse on the pediatric unit is implementing distraction strategies for a child
who is experiencing pain. Which strategies would be best for the nurse to
implement? Select all that apply.
Silence
Games
Music
Television
Bubbles
Acetaminophen - ANSWER b c d e
A client presents with a temperature of 38.8°C (101.8°F), a racing heart, fatigue,
and an upset stomach after working outside in a hot day. Which assessment
findings suggest fever rather than hyperthermia as a cause of the elevation in
the man's temperature? Select all that apply.
Dizziness
Moist skin
Shivering
Cognitive changes
Pallor - ANSWER b e
A student is feeling inside her backpack to find her mobile phone. There are a
number of other items in the backpack. Which component of somatosensory
conduction is most likely to provide the detailed sensory information that will
help her distinguish her phone from other items?
The primary dorsal root ganglion neuron, dorsal column neuron, and the
thalamic neuron
The opposite anterolateral pathway that travels to the reticular activating
system
A slow-conducting pathway that projects into the intralaminar nuclei of the
thalamus
A bilateral, multisynaptic, slow-conducting tract - ANSWER a
A client was skating on the lake when the ice broke and he was submerged for
15 minutes. When rescuers were able to retrieve him from the water, his core
