Mr. F has advanced prostate cancer with bone metastasis. He is unresponsive and is being cared
for at home by his daughter. You are teaching the daughter about assessing her father's pain.
Which statement by the daughter indicates an understanding of her father's pain status? Correct
Answer: Since he was in pain when he was conscious, I assume he's still in pain.
You are caring for a 76-year-old patient who is unresponsive and close to end of life from a
massive stroke. The patient has a history of breast cancer and had been experiencing severe bone
pain in her left hip prior to her stroke. How do you assess her pain now that she is unresponsive?
Correct Answer: Assume she continues to have pain and assess for evidence of wincing or facial
grimacing.
You are caring for Ms. P, a 55-year-old woman with cancer. She received pain medication less
than two hours ago. A nursing assistant reports that Mrs. P is complaining of pain again. The
nursing assistant says, "She can't be hurting as much as she says she is." What is the most
appropriate response? Correct Answer: Pain is whatever the patient says it is. Let's assess her
further.
Yolanda has osteoarthritis of the left knee for which she is receiving acetaminophen 1000mg
every six hours. She rates her pain at a 4 every time you ask. What do you think an appropriate
next step would be at this time? Correct Answer: Ask Yolanda what an acceptable pain score is
for her.
You are performing a pain assessment on Matilda. Your assessment reveals that Matilda has pain
rated as a 5 in her left hip that worsens with movement. She has been having this pain off and on
for the last three years. Which of the following pain assessment components have you not
addressed in your assessment? Correct Answer: Alleviating factors
During your pain assessment, Lenora describes her pain as an aching and cramping pain in her
lower abdomen. What type of pain does this usually describe? Correct Answer: Nociceptive
pain
During your assessment, you notice Robert, who has a diagnosis of dementia, rubbing his right
shoulder. What should you do next? Correct Answer: Ask Robert if he is in pain.
What is the most common adverse effect related to the use of acetaminophen? Correct Answer:
Liver dysfunction
Mr. T. is taking an NSAID for bone pain. Which of the following statements suggests he may be
experiencing a worrisome side effect from the NSAID? Correct Answer: Yesterday I had an
episode of black, tarry stools.
Mr. Jones is taking two oxycodone/acetaminophen 5/325 mg tablets every four hours for bone
pain related to metastatic cancer. His pain is a constant 6 on a 0 to 10 scale. Since the current
regimen is not meeting his goals, and is keeping him from moving, you decide to call his