ATI Med-Surg Proctored Exam Questions and Correct ANSWERS TESTBANK GRADED A+

ATI Med-Surg Proctored Exam Questions and Correct ANSWERS TESTBANK GRADED A+ Pain Test Bank MULTIPLE CHOICE 1. Which question asked by the nurse will give the most information about the patient’s metastaticbone cancer pain? a. “How long have you had this pain?” b. “How would you describe your pain?” c. “How much medication do you take forthe pain?” d. “How many times a day do you takemedication for the pain?” ANS: B 2. A patient who uses a fentanyl (Duragesic) patch for chronic cancer pain suddenly complains of rapid onset pain at a level 9 (0 to 10 scale) and requests “something for pain that will work now.”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 ANS: D 3. The nurse teaches a student nurse about the action of ibuprofen. Which statement, if made by thestudent, indicates that teaching was effective? a. “The drug decreases pain impulses in thespinal cord.” b. “The drug decreases sensitivity of thebrain to painful stimuli.” c. “The drug decreases production of pain-sensitizing chemicals.” d. “The drug decreases the modulating effectof descending nerves.” ANS: C 4. A nurse assesses a patient with chronic cancer pain who is receiving imipramine (Tofranil) P a g e 2 | 1025 in addition to long-acting morphine. Which statement, if made by the patient, indicates to the nursethat the patient is receiving adequate pain control? a. “I’m not anxious at all.” b. “I sleep 8 hours every night.” c. “I feel much less depressed since I’ve been taking the Tofranil.” d. “The pain is manageable and I canaccomplish my desired activities. ANS: D 5. 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 thenurse is best? a. “The strategies work by affecting theperception of pain.” b. “These techniques block the painpathways of the nerves.” c. “Both strategies prevent transmission ofpainful stimuli to the brain.” d. “The therapies slow the release of chemicals in the spinal cord that causepain.” ANS: A 6. 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 bythe nurse is best? a. Provide amitriptyline (Elavil) 10 mgorally. b. Administer lorazepam (Ativan) 1 mgorally. c. Offer ibuprofen (Motrin) 400 to 800 mgorally. d. Give immediate-release morphine 30 mgorally. ANS: D 7. A patient with chronic neck pain is seen in the pain clinic for follow-up. In order to evaluatewhether the pain management is effective, which question is best for the nurse to ask? a. “Can you describe the quality of yourpain?”