NUR 120 PAIN EXAM QUESTIONS REAL AND ACCURATE GUARANTEED PASS LATEST UPDATE 2023/2024

NUR 120 PAIN EXAM QUESTIONS REAL AND ACCURATE GUARANTEED PASS LATEST UPDATE 2023/2024 A patient recovering from a stroke complains of pain. The nurse suspects this patient is most likely experiencing which type of pain? Nociceptive Neuropathic Somatic Idiopathic Neuropathic Neuropathic pain can occur from central nervous system brain injury caused by a stroke. Nociceptive pain is caused by tissue damage. Somatic pain is another term used for nociceptive pain. Idiopathic pain does not have an identified cause. A patient is reporting pain and rates it as 7 on a scale of 1 to 10. When the nurse asks him to decribe the pain, he states, "It feels like a knife is stabbing or cutting me." The nurse knows that this type of pain i s conducted by which fibers? C fibers A-delta fibers AC fibers P fibers A-delta fibers A-delta fibers are myelinated and conduct impulses rapidly, resulting in pain being described as sharp or stabbing. C fibers are unmyelinated and cause pain that is achy and ongoing. There are no known AC or P fibers related to pain. When patients report p ain, it is important to find the source. When patients describe pain as "burning, painful numbness, or tingling," the source is more than likely: Visceral Neuropathic Somatic Referred Neuropathic Visceral pain originates from abdominal organs and is ofte n described as crampy or gnawing. Somatic pain originates from the skin, muscles, bones, and joints. Referred pain originates from a specific site, but the patient experiencing the pain feels it at another site along the innervating spinal nerve. Neuropath ic pain is described as burning, painful numbness, or tingling. A nurse is administering prescribed medicine to a client who experienced acute pain in the lower back after a motor vehicle accident. The client tells the nurse that compared to the previous week, his pain had reduced considerably. Which phase of pain is the client experiencing? Transduction Transmission Perception Modulation Modulation The client is in the modulation phase of pain, during which the brain interacts with the spinal nerves in a downward fashion to subsequently alter the pain experience. The client is not in the transduction, transmission, or perception phase of pain. Transduction phase refers to the conversion of chemical information at the cellular level into electrical impulse s that move toward the spinal cord. In transmission phase, the stimuli move from the peripheral nervous system toward the brain, and the perception phase occurs when the pain threshold is reached. A nurse is caring for an athlete who was injured during a p ractice session. There is visible skin impairment, and the client complains of throbbing pain in the leg. What level of pain does the nurse document for this client? Epidermis level Dermis level Subcutaneous level Muscle level Subcutaneous level The nurs e should document the client's pain as subcutaneous level pain, which is indicated by the throbbing pain. Pain at the epidermis level is a burning sensation. Pain at the dermis level is superficial and localized. Somatic pain develops from injury to muscle s, tendons, and joints. A cyclist reports to the nurse that he is experiencing pain in the tendons and ligaments of his left leg, and the pain is worse with ambulation. The nurse will document this type of pain as which of the following? Somatic pain Cuta neous pain Visceral pain Phantom pain Somatic pain Somatic pain is diffuse or scattered pain, and it originates in tendons, ligaments, bones, blood vessels, and nerves. Cutaneous pain usually involves the skin or subcutaneous tissues. Visceral pain is poo rly localized and originates in body organs. Phantom pain occurs in an amputated leg for which receptors and nerves are clearly absent, but the pain is a real experience for the patient. Which of the following principles should the nurse integrate into the pain assessment and pain management of pediatric patients? Pain assessment may require multiple methods in order to ensure accurate pain data. The developing neurological system children transmits less pain than in older patients. Pharmacologic pain reli ef should be used only as an intervention of last resort. A numeric scale should be used to assess pain if the child is older than 5 years of age. Pain assessment may require multiple methods in order to ensure accurate pain data. It is often necessary to use more than one technique for pain assessment in children. Though their neurological system is indeed developing, children feel pain acutely, and it is inappropriate to withhold analgesics until they are a "last resort." It is si mplistic to specify a numeric pain scale for all patients above a certain age; the assessment tool should reflect the patient's specific circumstances, abilities, and development. A client enters the emergency department moaning and complaining of severe p ain in his lower back. Which of the following clinical manifestations should the nurse expect to see in this client as a physiologic response to pain? Select all that apply. Hypoglycemia Perspiration Increased heart rate Increased intestinal motility Sleeplessness Perspiration Increased heart rate Sleeplessness Sleeplessness, perspiration, and increased heart rate are physiologic responses to pain. Pain elicits a stress response in the human body that triggers the sympathetic nervous system. Hyperglycemia, not hypoglycemia, and decreased, not increased, intestina l motility are physiologic responses to pain.