Pain Test Bank ( With complete solution)
Which question asked by the nurse will give the most information about the patient's
metastatic bone cancer pain?
a. "How long have you had this pain?"
b. "How would you describe your pain?"
c. "How often do you take pain medication?"
d. "How much medication do you take for the pain?"
B
A patient who has had good control for chronic pain using a fentanyl (Duragesic) patch
reports rapid onset pain at a level 9 (0 to 10 scale) and requests "something for pain that will
work quickly." How will the nurse document the type of pain reported by this patient?
a. Somatic pain
b. Referred pain
c. Neuropathic pain
d. Breakthrough pain
D
The nurse teaches a student nurse about the action of ibuprofen. Which statement, if made by
the student, indicates that teaching was effective?
a. "The drug decreases pain impulses in the spinal cord."
,b. "The drug decreases sensitivity of the brain to painful stimuli."
c. "The drug decreases production of pain-sensitizing chemicals."
d. "The drug decreases the modulating effect of descending nerves."
C
A nurse assesses a patient with chronic cancer pain who is receiving imipramine (Tofranil) in
addition to long-acting morphine (MS Contin). Which statement, if made by the patient,
indicates to the nurse that the patient is receiving adequate pain control?
a. "I'm not anxious during the day."
b. "Every night I get 8 hours of sleep."
c. "I can accomplish activities without much discomfort."
d. "I feel less depressed since I've been taking the Tofranil."
C
A patient with chronic back pain has learned to control the pain with the use of imagery and
hypnosis. The patient's spouse asks the nurse how these techniques work. Which response by
the nurse is accurate?
a. "The strategies work by affecting the perception of pain."
b. "These techniques block the pain pathways of the nerves."
c. "These strategies prevent transmission of stimuli from the back to the brain."
d. "The therapies slow the release of chemicals in the spinal cord that cause pain."
A
, A patient who is receiving sustained-release morphine sulfate (MS Contin) every 12 hours for
chronic pain experiences level 9 (0 to 10 scale) breakthrough pain and anxiety. Which action
by the nurse is appropriate for treating this change in assessment?
a. Administer lorazepam (Ativan) 1 mg orally.
b. Give ibuprofen 400 to 800 mg orally.
c. Offer immediate-release morphine 30 mg orally.
d. Suggest the patient take amitriptyline 10 mg orally.
C
A patient with chronic neck pain is seen in the clinic for follow-up. To evaluate whether the
pain management is effective, which question is best for the nurse to ask?
a. "Has there been a change in pain location?"
b. "Can you describe the quality of your pain?"
c. "How would you rate your pain on a 0 to 10 scale?"
d. "Does pain keep you from activities that you enjoy?"
D
A patient with a deep partial thickness burn has been receiving hydromorphone through
patient-controlled analgesia (PCA) for 1 week. The nurse caring for the patient during the previous shift
reports that the patient wakes up frequently during the night reporting pain. What action by the nurse is
appropriate?
a. Administer a dose of morphine every 1 to 2 hours from the PCA machine while the
patient is sleeping.
b. Consult with the health care provider about using a different treatment protocol to
Which question asked by the nurse will give the most information about the patient's
metastatic bone cancer pain?
a. "How long have you had this pain?"
b. "How would you describe your pain?"
c. "How often do you take pain medication?"
d. "How much medication do you take for the pain?"
B
A patient who has had good control for chronic pain using a fentanyl (Duragesic) patch
reports rapid onset pain at a level 9 (0 to 10 scale) and requests "something for pain that will
work quickly." How will the nurse document the type of pain reported by this patient?
a. Somatic pain
b. Referred pain
c. Neuropathic pain
d. Breakthrough pain
D
The nurse teaches a student nurse about the action of ibuprofen. Which statement, if made by
the student, indicates that teaching was effective?
a. "The drug decreases pain impulses in the spinal cord."
,b. "The drug decreases sensitivity of the brain to painful stimuli."
c. "The drug decreases production of pain-sensitizing chemicals."
d. "The drug decreases the modulating effect of descending nerves."
C
A nurse assesses a patient with chronic cancer pain who is receiving imipramine (Tofranil) in
addition to long-acting morphine (MS Contin). Which statement, if made by the patient,
indicates to the nurse that the patient is receiving adequate pain control?
a. "I'm not anxious during the day."
b. "Every night I get 8 hours of sleep."
c. "I can accomplish activities without much discomfort."
d. "I feel less depressed since I've been taking the Tofranil."
C
A patient with chronic back pain has learned to control the pain with the use of imagery and
hypnosis. The patient's spouse asks the nurse how these techniques work. Which response by
the nurse is accurate?
a. "The strategies work by affecting the perception of pain."
b. "These techniques block the pain pathways of the nerves."
c. "These strategies prevent transmission of stimuli from the back to the brain."
d. "The therapies slow the release of chemicals in the spinal cord that cause pain."
A
, A patient who is receiving sustained-release morphine sulfate (MS Contin) every 12 hours for
chronic pain experiences level 9 (0 to 10 scale) breakthrough pain and anxiety. Which action
by the nurse is appropriate for treating this change in assessment?
a. Administer lorazepam (Ativan) 1 mg orally.
b. Give ibuprofen 400 to 800 mg orally.
c. Offer immediate-release morphine 30 mg orally.
d. Suggest the patient take amitriptyline 10 mg orally.
C
A patient with chronic neck pain is seen in the clinic for follow-up. To evaluate whether the
pain management is effective, which question is best for the nurse to ask?
a. "Has there been a change in pain location?"
b. "Can you describe the quality of your pain?"
c. "How would you rate your pain on a 0 to 10 scale?"
d. "Does pain keep you from activities that you enjoy?"
D
A patient with a deep partial thickness burn has been receiving hydromorphone through
patient-controlled analgesia (PCA) for 1 week. The nurse caring for the patient during the previous shift
reports that the patient wakes up frequently during the night reporting pain. What action by the nurse is
appropriate?
a. Administer a dose of morphine every 1 to 2 hours from the PCA machine while the
patient is sleeping.
b. Consult with the health care provider about using a different treatment protocol to
