Page 1 of 37
NUR 310 EXAM 4 QUESTIONS NEWEST 2026 EXAM
QUESTIONS LATEST VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
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?
Melatonin
Serotonin
Endorphins
Dopamine
Endorphins
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?
Tell the healthcare provider that the client is unsure of the pain medication
taken.
Ask the client if he or she has the bottle the drug was dispensed in from the
pharmacy.
Document what the client states.
Call the pharmacy to attempt to identify the pill.
Ask the client if he or she has the bottle the drug was dispensed in from the
pharmacy.
The nurse preparing to admit a client receiving epidural opioids should make
sure that which of the following medications is readily available on the unit?
, Page 2 of 37
Naloxone
Digoxin
Furosemide
Lisinopril
Naloxone
A nurse consults with a nurse practitioner trained to perform acupressure to
teach the method to a client being discharged. What process is involved in this
pain relief measure?
Cutaneous stimulation
Biofeedback mechanism
Patient-controlled analgesia (PCA)
Guided imagery
Cutaneous stimulation
The nurse is caring for a client who reports pain as 10, on a 0 to 10 scale. After
the administration of an opioid anesthesia, the nurse observes the client's
respiratory rate decrease to 8 breaths per minute. What is the priority action by
the nurse?
Begin CPR
Administration of 0.4 mg of naloxone
Place the client in the supine position
Administer a lower dose of the analgesic for the next dose
Administration of 0.4 mg of naloxone
A client is postoperative day 1 and the nurse's assessment reveals signs of
pain, such as grimacing and guarding. Which is the most reliable method for
assessing the client's pain?
Compare the client's presentation to expected outcomes at this point in
recovery.
Correlate the client's vital signs with their symptoms.
Assess and document the client's behaviors over a period of hours.
Ask the client to describe and rate their pain.
Ask the client to describe and rate their pain.
Two hours after receiving a pain medication, the client reports still suffering
from pain. Which response is most appropriate?
"Have you ever had pain like this before?"
, Page 3 of 37
"Tell me where your pain is located."
"Do you need your pain medication now?"
"Tell me more about your pain."
"Tell me more about your pain."
The nurse implements cutaneous stimulation for a client as part of a strategy
for pain relief. Which nursing action exemplifies the use of this technique?
The nurse gives the client a massage before bed.
The nurse teaches the client deep-breathing techniques for relaxation.
The nurse assists the client to focus on something pleasant rather than on
pain.
The nurse plays soft music in the client's room.
The nurse gives the client a massage before bed.
The nurse is caring for a client whose pain is being treated with epidural
analgesia. Which nursing action is most appropriate?
The nurse should expect slight resistance during the removal of the epidural
catheter.
If the client develops a headache, an opioid analgesic may be administered
along with the epidural analgesia.
The anesthesiologist/pain management team should be notified immediately if
the client's respiratory rate is below 10 breaths/min.
If a client is experiencing adverse effects, a peripheral IV line should be
inserted to allow immediate administration of emergency drugs, if warranted.
The anesthesiologist/pain management team should be notified immediately if the
client's respiratory rate is below 10 breaths/min.
Which statement accurately describes a consideration when using a patient-
controlled analgesia (PCA) pump to relieve client pain?
This approach can only be used with oral analgesics.
A PCA pump must be used and monitored in a health care facility.
The pump mechanism can be programmed to deliver a specified amount of
analgesic within a given time interval.
The PCA pump is not effective for chronic pain.
The pump mechanism can be programmed to deliver a specified amount of
analgesic within a given time interval.
, Page 4 of 37
How should the nurse position the head of the bed for a client receiving
epidural opioids?
Reverse Trendelenburg
Trendelenburg
Elevated 30 degrees
Flat
Elevated 30 degrees
While providing a back massage, the nurse observes a reddened area on the
client's sacral area. Which action by the nurse is appropriate?
Stop the back massage immediately.
Massage the area using lotion.
Apply a warm compress to the area.
Document the finding.
Document the finding.
A postoperative client who has been receiving morphine for pain management
is exhibiting a depressed respiratory rate and is not responsive to stimuli.
Which drug has the potential to reverse the respiratory-depressant effect of an
opioid?
Naloxone
Atropine
Diphenhydramine
Epinephrine
Naloxone
A nurse is caring for a client who was administered an opioid. The client
reports constipation. What is another potential side effect of opioid use?
anxiety
sedation
insomnia
diarrhea
sedation
The nurse is preparing a care plan for a client receiving opioid analgesics.
Which factors associated with opioid analgesic use will the nurse include in
the plan of care?
Assessing for impaired urinary elimination
NUR 310 EXAM 4 QUESTIONS NEWEST 2026 EXAM
QUESTIONS LATEST VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
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?
Melatonin
Serotonin
Endorphins
Dopamine
Endorphins
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?
Tell the healthcare provider that the client is unsure of the pain medication
taken.
Ask the client if he or she has the bottle the drug was dispensed in from the
pharmacy.
Document what the client states.
Call the pharmacy to attempt to identify the pill.
Ask the client if he or she has the bottle the drug was dispensed in from the
pharmacy.
The nurse preparing to admit a client receiving epidural opioids should make
sure that which of the following medications is readily available on the unit?
, Page 2 of 37
Naloxone
Digoxin
Furosemide
Lisinopril
Naloxone
A nurse consults with a nurse practitioner trained to perform acupressure to
teach the method to a client being discharged. What process is involved in this
pain relief measure?
Cutaneous stimulation
Biofeedback mechanism
Patient-controlled analgesia (PCA)
Guided imagery
Cutaneous stimulation
The nurse is caring for a client who reports pain as 10, on a 0 to 10 scale. After
the administration of an opioid anesthesia, the nurse observes the client's
respiratory rate decrease to 8 breaths per minute. What is the priority action by
the nurse?
Begin CPR
Administration of 0.4 mg of naloxone
Place the client in the supine position
Administer a lower dose of the analgesic for the next dose
Administration of 0.4 mg of naloxone
A client is postoperative day 1 and the nurse's assessment reveals signs of
pain, such as grimacing and guarding. Which is the most reliable method for
assessing the client's pain?
Compare the client's presentation to expected outcomes at this point in
recovery.
Correlate the client's vital signs with their symptoms.
Assess and document the client's behaviors over a period of hours.
Ask the client to describe and rate their pain.
Ask the client to describe and rate their pain.
Two hours after receiving a pain medication, the client reports still suffering
from pain. Which response is most appropriate?
"Have you ever had pain like this before?"
, Page 3 of 37
"Tell me where your pain is located."
"Do you need your pain medication now?"
"Tell me more about your pain."
"Tell me more about your pain."
The nurse implements cutaneous stimulation for a client as part of a strategy
for pain relief. Which nursing action exemplifies the use of this technique?
The nurse gives the client a massage before bed.
The nurse teaches the client deep-breathing techniques for relaxation.
The nurse assists the client to focus on something pleasant rather than on
pain.
The nurse plays soft music in the client's room.
The nurse gives the client a massage before bed.
The nurse is caring for a client whose pain is being treated with epidural
analgesia. Which nursing action is most appropriate?
The nurse should expect slight resistance during the removal of the epidural
catheter.
If the client develops a headache, an opioid analgesic may be administered
along with the epidural analgesia.
The anesthesiologist/pain management team should be notified immediately if
the client's respiratory rate is below 10 breaths/min.
If a client is experiencing adverse effects, a peripheral IV line should be
inserted to allow immediate administration of emergency drugs, if warranted.
The anesthesiologist/pain management team should be notified immediately if the
client's respiratory rate is below 10 breaths/min.
Which statement accurately describes a consideration when using a patient-
controlled analgesia (PCA) pump to relieve client pain?
This approach can only be used with oral analgesics.
A PCA pump must be used and monitored in a health care facility.
The pump mechanism can be programmed to deliver a specified amount of
analgesic within a given time interval.
The PCA pump is not effective for chronic pain.
The pump mechanism can be programmed to deliver a specified amount of
analgesic within a given time interval.
, Page 4 of 37
How should the nurse position the head of the bed for a client receiving
epidural opioids?
Reverse Trendelenburg
Trendelenburg
Elevated 30 degrees
Flat
Elevated 30 degrees
While providing a back massage, the nurse observes a reddened area on the
client's sacral area. Which action by the nurse is appropriate?
Stop the back massage immediately.
Massage the area using lotion.
Apply a warm compress to the area.
Document the finding.
Document the finding.
A postoperative client who has been receiving morphine for pain management
is exhibiting a depressed respiratory rate and is not responsive to stimuli.
Which drug has the potential to reverse the respiratory-depressant effect of an
opioid?
Naloxone
Atropine
Diphenhydramine
Epinephrine
Naloxone
A nurse is caring for a client who was administered an opioid. The client
reports constipation. What is another potential side effect of opioid use?
anxiety
sedation
insomnia
diarrhea
sedation
The nurse is preparing a care plan for a client receiving opioid analgesics.
Which factors associated with opioid analgesic use will the nurse include in
the plan of care?
Assessing for impaired urinary elimination
