E2
Question 1: A client being treated for rheumatoid arthritis has been prescribed a type of drug
(see full question) that is commonly used for joint inflammation. The nurse will administer an initial
dose as an injection, and the client will continue taking an oral form of the
medication. Which type of analgesic drug will the nurse administer?
You selected: Corticosteroid
Correct
Explanation: Corticosteroids are used to treat pain that involves inflammation, such as that
related to rheumatoid arthritis. Opioids are morphine-like synthetic narcotics that
produce the same ... (more)
Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 39:
Assessment and Management of Patients With Rheumatic Disorders, p. 1061.
Chapter 12: Pain Management - Page 1061
Question 2: The nurse asks the client about a reddened area on the left arm. The client states
(see full question) that he was bitten by an insect, and it burned briefly. What type of pain does the
nurse document this as?
You selected: Superficial somatic pain
Correct
Explanation: Superficial somatic pain, also known as cutaneous pain (such as that from an
insect bite or a paper cut), is perceived as sharp or burning discomfort. Visceral
pain arises from int ... (more)
Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 12:
Pain Management, p. 215.
Chapter 12: Pain Management - Page 215
Question 3: Which of the following is a true statement with regards to the nursing process of
(see full question) pain control?
You selected: Nonverbal expressions of pain are reliable indicators of the quality of pain.
Incorrect
Correct The use of physiologic signs to indicate pain is unreliable.
response:
Explanation: Use of physiologic signs to indicate pain is unreliable. Although it is important to
observe for any and all pain behaviors, the absence of these behaviors does not
indicate an abs ... (more)
Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 12:
Pain Management, p. 220.
Chapter 12: Pain Management - Page 220
,Question 4: Which phase of pain transmission occurs when the brain experiences pain at a
(see full question) conscious level?
You selected: Perception
Correct
Explanation: Perception is the phase of impulse transmission during which the brain experiences
pain at a conscious level, but many concomitant neural activities occur almost
simultaneously. Tr ... (more)
Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 12:
Pain Management, p. 215.
Chapter 12: Pain Management - Page 215
Question 5: About which of the following issues should the nurse inform patients who use pain
(see full question) medications on a regular basis?
You selected: Inform the primary health care provider about the use of salicylates before any
procedure, and avoid OTC analgesics consistently without consulting a physician
Correct
Question 1: A physician orders morphine sulfate 1 mg IV stat for chest pain. The drug is
(see full question) available in 2 mg per 1 mL syringe. How many mL does the nurse administer?
Enter the correct number ONLY.
You selected: 0.5
Correct
Explanation: The dose ordered is 1 mg. The dose available is 2 mg. The quantity is 1 mL. 1 mg/2
mg x 1 mL = 0.5 mL.
Reference: Smeltzer, S.C., and Bare, B. Brunner & Suddarth’s Textbook of Medical-Surgical
Nursing, 12th ed. Philadelphia: Lippincott Williams & Wilkins, 2010, Chapter 13:
Pain Management, p. 246.
Chapter 12: Pain Management - Page 246
Question 2: The nurse understands that which of the following physiologic changes that
(see full question) influence the pain response occur in the gerontologic population?
You selected: Increased sensitivity to medications
Correct
Explanation: The older population experiences increased sensitivity to medication and increased
risk for drug toxicity. They tend to have higher blood level of medications due to a
slower metab ... (more)
Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical
, Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 12:
Pain Management, p. 231.
Chapter 12: Pain Management - Page 231
Question 3: Which of the following is a reliable source for quantifying pain?
(see full question)
You selected: The client's vital signs
Incorrect
Correct The client's description of the pain
response:
Explanation: The client's description of the pain is the only reliable source for quantifying pain.
Physiologic data such as vital signs or the extent or nature of the injury do not
indicate th ... (more)
Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 12:
Pain Management, p. 213.
Chapter 12: Pain Management - Page 213
Question 4: A client comes to the clinic and informs the nurse that he needs more analgesics
(see full question) for chronic pain. The client states that the medication is not as strong, and he
requires more than the prescribed dose. What does the nurse suspect is occurring
with the client?
You selected: Tolerance
Correct
Explanation: Tolerance is a condition in which a client needs increasingly larger doses of a drug
to achieve the same effect as when the drug was first administered. Addiction refers
to a repet ... (more)
Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 12:
Pain Management, p. 225.
Chapter 12: Pain Management - Page 225
Question 5: Which of the following is a true statement regarding placebos?
(see full question)
You selected: A placebo should never be used to test the person’s truthfulness about pain.
Correct
Question 1: The nurse is caring for a client with kidney stones who is complaining of severe
(see full question) pain. What type of pain does the nurse understand this client is experiencing?
You selected: Visceral Pain
, Correct
Explanation: Visceral pain arises from internal organs such as the heart, kidneys, and intestine
that are diseased or injured. Somatic pain is caused by mechanical, chemical,
thermal, or electr ... (more)
Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 12:
Pain Management, p. 215.
Chapter 12: Pain Management - Page 215
Question 2: A client arrives in the orthopedic clinic with complaints of twisting the right ankle
(see full question) while playing softball. The nurse collects data including complaints of pain and
swelling in the right ankle. What intervention will the nurse provide that will
decrease vasodilation and reduce localized swelling?
You selected: Ice bag
Correct
Explanation: Pain associated with injury is best treated initially with cold applications such as an
ice bag or chemical pack. The cold decreases vasodilation which reduces localized
swelling, ... (more)
Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 12:
Pain Management, p. 232.
Chapter 12: Pain Management - Page 232
Question 3: The nurse understands the definition of pain as “an unpleasant sensory and
(see full question) emotional experience associated with actual or potential tissue damage, or
described in terms of such damage.” Which of the following comments when made
by the patient confirms patient understanding of the fundamental concepts of pain?
Select all that apply.
You selected: • “I would love to go to church, but my back pain is too uncomfortable to make it
through the service.”
• “I used to walk every day for exercise; pain in my knee made me stop walking.”
• “I am tired of living with this nagging pain; I’m not sure how much longer I can go
on.”
Correct
Explanation: A fundamental concept of pain is that pain is a complex phenomenon that can affect
a person’s psychosocial, emotional, and physical functioning. Helplessness is an
emotional ... (more)
Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 12:
Pain Management, p. 213.
Question 1: A client being treated for rheumatoid arthritis has been prescribed a type of drug
(see full question) that is commonly used for joint inflammation. The nurse will administer an initial
dose as an injection, and the client will continue taking an oral form of the
medication. Which type of analgesic drug will the nurse administer?
You selected: Corticosteroid
Correct
Explanation: Corticosteroids are used to treat pain that involves inflammation, such as that
related to rheumatoid arthritis. Opioids are morphine-like synthetic narcotics that
produce the same ... (more)
Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 39:
Assessment and Management of Patients With Rheumatic Disorders, p. 1061.
Chapter 12: Pain Management - Page 1061
Question 2: The nurse asks the client about a reddened area on the left arm. The client states
(see full question) that he was bitten by an insect, and it burned briefly. What type of pain does the
nurse document this as?
You selected: Superficial somatic pain
Correct
Explanation: Superficial somatic pain, also known as cutaneous pain (such as that from an
insect bite or a paper cut), is perceived as sharp or burning discomfort. Visceral
pain arises from int ... (more)
Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 12:
Pain Management, p. 215.
Chapter 12: Pain Management - Page 215
Question 3: Which of the following is a true statement with regards to the nursing process of
(see full question) pain control?
You selected: Nonverbal expressions of pain are reliable indicators of the quality of pain.
Incorrect
Correct The use of physiologic signs to indicate pain is unreliable.
response:
Explanation: Use of physiologic signs to indicate pain is unreliable. Although it is important to
observe for any and all pain behaviors, the absence of these behaviors does not
indicate an abs ... (more)
Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 12:
Pain Management, p. 220.
Chapter 12: Pain Management - Page 220
,Question 4: Which phase of pain transmission occurs when the brain experiences pain at a
(see full question) conscious level?
You selected: Perception
Correct
Explanation: Perception is the phase of impulse transmission during which the brain experiences
pain at a conscious level, but many concomitant neural activities occur almost
simultaneously. Tr ... (more)
Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 12:
Pain Management, p. 215.
Chapter 12: Pain Management - Page 215
Question 5: About which of the following issues should the nurse inform patients who use pain
(see full question) medications on a regular basis?
You selected: Inform the primary health care provider about the use of salicylates before any
procedure, and avoid OTC analgesics consistently without consulting a physician
Correct
Question 1: A physician orders morphine sulfate 1 mg IV stat for chest pain. The drug is
(see full question) available in 2 mg per 1 mL syringe. How many mL does the nurse administer?
Enter the correct number ONLY.
You selected: 0.5
Correct
Explanation: The dose ordered is 1 mg. The dose available is 2 mg. The quantity is 1 mL. 1 mg/2
mg x 1 mL = 0.5 mL.
Reference: Smeltzer, S.C., and Bare, B. Brunner & Suddarth’s Textbook of Medical-Surgical
Nursing, 12th ed. Philadelphia: Lippincott Williams & Wilkins, 2010, Chapter 13:
Pain Management, p. 246.
Chapter 12: Pain Management - Page 246
Question 2: The nurse understands that which of the following physiologic changes that
(see full question) influence the pain response occur in the gerontologic population?
You selected: Increased sensitivity to medications
Correct
Explanation: The older population experiences increased sensitivity to medication and increased
risk for drug toxicity. They tend to have higher blood level of medications due to a
slower metab ... (more)
Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical
, Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 12:
Pain Management, p. 231.
Chapter 12: Pain Management - Page 231
Question 3: Which of the following is a reliable source for quantifying pain?
(see full question)
You selected: The client's vital signs
Incorrect
Correct The client's description of the pain
response:
Explanation: The client's description of the pain is the only reliable source for quantifying pain.
Physiologic data such as vital signs or the extent or nature of the injury do not
indicate th ... (more)
Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 12:
Pain Management, p. 213.
Chapter 12: Pain Management - Page 213
Question 4: A client comes to the clinic and informs the nurse that he needs more analgesics
(see full question) for chronic pain. The client states that the medication is not as strong, and he
requires more than the prescribed dose. What does the nurse suspect is occurring
with the client?
You selected: Tolerance
Correct
Explanation: Tolerance is a condition in which a client needs increasingly larger doses of a drug
to achieve the same effect as when the drug was first administered. Addiction refers
to a repet ... (more)
Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 12:
Pain Management, p. 225.
Chapter 12: Pain Management - Page 225
Question 5: Which of the following is a true statement regarding placebos?
(see full question)
You selected: A placebo should never be used to test the person’s truthfulness about pain.
Correct
Question 1: The nurse is caring for a client with kidney stones who is complaining of severe
(see full question) pain. What type of pain does the nurse understand this client is experiencing?
You selected: Visceral Pain
, Correct
Explanation: Visceral pain arises from internal organs such as the heart, kidneys, and intestine
that are diseased or injured. Somatic pain is caused by mechanical, chemical,
thermal, or electr ... (more)
Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 12:
Pain Management, p. 215.
Chapter 12: Pain Management - Page 215
Question 2: A client arrives in the orthopedic clinic with complaints of twisting the right ankle
(see full question) while playing softball. The nurse collects data including complaints of pain and
swelling in the right ankle. What intervention will the nurse provide that will
decrease vasodilation and reduce localized swelling?
You selected: Ice bag
Correct
Explanation: Pain associated with injury is best treated initially with cold applications such as an
ice bag or chemical pack. The cold decreases vasodilation which reduces localized
swelling, ... (more)
Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 12:
Pain Management, p. 232.
Chapter 12: Pain Management - Page 232
Question 3: The nurse understands the definition of pain as “an unpleasant sensory and
(see full question) emotional experience associated with actual or potential tissue damage, or
described in terms of such damage.” Which of the following comments when made
by the patient confirms patient understanding of the fundamental concepts of pain?
Select all that apply.
You selected: • “I would love to go to church, but my back pain is too uncomfortable to make it
through the service.”
• “I used to walk every day for exercise; pain in my knee made me stop walking.”
• “I am tired of living with this nagging pain; I’m not sure how much longer I can go
on.”
Correct
Explanation: A fundamental concept of pain is that pain is a complex phenomenon that can affect
a person’s psychosocial, emotional, and physical functioning. Helplessness is an
emotional ... (more)
Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 12:
Pain Management, p. 213.
