NR341 Complex Adult Health Exam 1 Textbook EXAM
2026-2027 LATEST UPDATED VERSION QUESTIONS AND
ANSWERS
A nurse is caring for a client who is one day post operative following gynecologic surgery and reports incisional
pain. Which of the following actions should the nurse take first?
A. determine the time the client last received pain medication.
B. Measure the clients vital signs, including temperature.
C. ask the client to rate her pain on a scale of from 0 to 10.
D. re-position the client and offer her a back rub. - answer>>C
(Using evidence-based practice, the nurse should first determine the severity of the client's pain by using a
standard pain scale. Then the nurse can plan the appropriate interventions.)
A nurse is planning care for a client who is post operative. Which of the following statements about pain
management should the nurse consider when implementing client care? (Select all that apply.)
A. use of analgesics will eventually lead to addiction.
B. each clients expression of pain may be different and individualized.
C. Patient controlled analgesia (PCA) offers a constant level of opioids within therapeutic range.
D. Pain level and tolerance can be assessed using a scale from 0 to 10.
E. The client will express the feeling of pain both verbally and nonverbally. - answer>>B, C, D, E
(Use of analgesics will eventually lead to addiction is incorrect. The administration of analgesics does not lead to
addiction. This is a common misconception about pain management.)
A nurse is caring for a client your request prescription pain medication. Which of the following actions should the
nurse perform first?
,A. re-position the client.
B. administer the medication.
C. determine the location of the pain.
D. review the effects of the pain medication. - answer>>C
(The first action the nurse should take using the nursing process is to assess the client. By determining the location
of the pain, the nurse can take the necessary steps to alleviate the client's pain, such as administering pain
medication, repositioning the client, and teaching the client about the effects of the medication.)
A nurse is applying a cold compress for a client who has pain and minor swelling in a suture laceration on the
forearm. Which of the following assessments should the nurse use to determine whether the treatment is
effective?
A. inspecting the site for reduced swelling
B. monitoring the clients pulse rate
C. asking the client to rate the pain
D. having the client perform range of motion of the affected arm - answer>>C
(Pain is a subjective experience. The nurse should encourage the client to quantify the pain on a pain scale before,
during, and after cold application to determine its effectiveness.)
A nurse is caring for a client who is receiving heat applications using an aquathermia pad. Which of the following
actions should the nurse take when applying the pad?
A. set the pad's temperature to 47.2°C
B. stop the treatment if the client's skin becomes red
C. leave the pad in place for at least 40 minutes
D. use safety pins to keep the pad in place - answer>>B
(The temperature setting for most aquathermia pads is 40° C (104° F).
, Reactions such as unusual pain or redness are indications for removing the pad and notifying the provider.
The heat application should last no longer than 30 min.
Safety pins can puncture the pad and cause leakage. The nurse should use gauze or tape to keep the pad in place.)
A nurse is caring for a client who is post operative. The nurse should base her pain management interventions
primarily on which of the following methods of determining the intensity of the clients pain?
A. vital sign measurement
B. The clients self report of pain severity
C. Visual observation for nonverbal signs of pain
D. The nature and invasiveness of the surgical procedure - answer>>B
(Because nurses cannot measure pain objectively, it is standard practice to accept that pain is what the client says
it is and to intervene accordingly.)
A nurse is caring for a client who requires cold applications with an ice bag to reduce The swelling and pain of an
angle injury. Which of the following actions should the nurse take?
A. apply the bag for 30 minutes at a time.
B. Reapply the bag 10 minutes after removing it.
C. Allow room for some air inside the bag.
D. Place the bag directly on the skin. - answer>>A
(The nurse should leave the bag in place for 30 min, but should check the client's skin after 15 min to make sure
there are no adverse effects.)
A nurse is caring for a client who is post operative following a cholecystectomy and reports pain. Which of the
following actions should the nurse take? (Select all that apply.)
A. offer the client a back rub.
B. Remind the client to use incisional splinting.
2026-2027 LATEST UPDATED VERSION QUESTIONS AND
ANSWERS
A nurse is caring for a client who is one day post operative following gynecologic surgery and reports incisional
pain. Which of the following actions should the nurse take first?
A. determine the time the client last received pain medication.
B. Measure the clients vital signs, including temperature.
C. ask the client to rate her pain on a scale of from 0 to 10.
D. re-position the client and offer her a back rub. - answer>>C
(Using evidence-based practice, the nurse should first determine the severity of the client's pain by using a
standard pain scale. Then the nurse can plan the appropriate interventions.)
A nurse is planning care for a client who is post operative. Which of the following statements about pain
management should the nurse consider when implementing client care? (Select all that apply.)
A. use of analgesics will eventually lead to addiction.
B. each clients expression of pain may be different and individualized.
C. Patient controlled analgesia (PCA) offers a constant level of opioids within therapeutic range.
D. Pain level and tolerance can be assessed using a scale from 0 to 10.
E. The client will express the feeling of pain both verbally and nonverbally. - answer>>B, C, D, E
(Use of analgesics will eventually lead to addiction is incorrect. The administration of analgesics does not lead to
addiction. This is a common misconception about pain management.)
A nurse is caring for a client your request prescription pain medication. Which of the following actions should the
nurse perform first?
,A. re-position the client.
B. administer the medication.
C. determine the location of the pain.
D. review the effects of the pain medication. - answer>>C
(The first action the nurse should take using the nursing process is to assess the client. By determining the location
of the pain, the nurse can take the necessary steps to alleviate the client's pain, such as administering pain
medication, repositioning the client, and teaching the client about the effects of the medication.)
A nurse is applying a cold compress for a client who has pain and minor swelling in a suture laceration on the
forearm. Which of the following assessments should the nurse use to determine whether the treatment is
effective?
A. inspecting the site for reduced swelling
B. monitoring the clients pulse rate
C. asking the client to rate the pain
D. having the client perform range of motion of the affected arm - answer>>C
(Pain is a subjective experience. The nurse should encourage the client to quantify the pain on a pain scale before,
during, and after cold application to determine its effectiveness.)
A nurse is caring for a client who is receiving heat applications using an aquathermia pad. Which of the following
actions should the nurse take when applying the pad?
A. set the pad's temperature to 47.2°C
B. stop the treatment if the client's skin becomes red
C. leave the pad in place for at least 40 minutes
D. use safety pins to keep the pad in place - answer>>B
(The temperature setting for most aquathermia pads is 40° C (104° F).
, Reactions such as unusual pain or redness are indications for removing the pad and notifying the provider.
The heat application should last no longer than 30 min.
Safety pins can puncture the pad and cause leakage. The nurse should use gauze or tape to keep the pad in place.)
A nurse is caring for a client who is post operative. The nurse should base her pain management interventions
primarily on which of the following methods of determining the intensity of the clients pain?
A. vital sign measurement
B. The clients self report of pain severity
C. Visual observation for nonverbal signs of pain
D. The nature and invasiveness of the surgical procedure - answer>>B
(Because nurses cannot measure pain objectively, it is standard practice to accept that pain is what the client says
it is and to intervene accordingly.)
A nurse is caring for a client who requires cold applications with an ice bag to reduce The swelling and pain of an
angle injury. Which of the following actions should the nurse take?
A. apply the bag for 30 minutes at a time.
B. Reapply the bag 10 minutes after removing it.
C. Allow room for some air inside the bag.
D. Place the bag directly on the skin. - answer>>A
(The nurse should leave the bag in place for 30 min, but should check the client's skin after 15 min to make sure
there are no adverse effects.)
A nurse is caring for a client who is post operative following a cholecystectomy and reports pain. Which of the
following actions should the nurse take? (Select all that apply.)
A. offer the client a back rub.
B. Remind the client to use incisional splinting.
