Ch 12 Pain Exam Questions and Verified Correct
Answers Guaranteed A+
The tnurse twho tis ta tmember tof tthe tpalliative tcare tteam tis tassessing ta tpatient. tThe tpatient
tindicates tthat the thas tbeen tsaving this tPRN tanalgesics tuntil tthe tpain tis tintense tbecause this tpain
tcontrol thas tbeen tinadequate. tWhat tteaching tshould tthe tnurse tdo twith tthis tpatient?
A) tMedication tshould tbe ttaken twhen tpain tlevels tare tlow tso tthe tpain tis teasier tto treduce.
B) tPain tmedication tcan tbe tincreased twhen tthe tpain tbecomes tintense.
C) tIt tis tdifficult tto tcontrol tchronic tpain, tso tthis tis tan tinevitable tpart tof tthe tdisease tprocess.
D) tThe tpatient twill tlikely tbenefit tmore tfrom tdistraction tthan tpharmacologic tinterventions. t- tCorrect
t tAnswer t- tA
Better tpain tcontrol tcan tbe tachieved twith ta tpreventive tapproach, treducing tthe tamount tof ttime
tpatients tare tin tpain. tLow tlevels tof tpain tare teasier tto treduce tor tcontrol tthan tintense tlevels tof
tpain. tPain tmedication tis tused tto tprevent tpain tso tpain tmedication tis tnot tincreased twhen tpain
tbecomes tintense. tChronic tpain tis ttreatable. tGiving tthe tpatient talternative tmethods tto tcontrol tpain
tis tgood, tbut tit twill tnot twork tif tthe tpatient tis tin tso tmuch tpain tthat the tcannot tinstitute treliable
talternative tmethods.
Two tpatients ton tyour tunit thave trecently treturned tto tthe tpostsurgical tunit tafter tknee tarthroplasty.
tOne tpatient tis treporting tpain tof t8 tto t9 ton ta t0-to-10 tpain tscale, twhereas tthe tother tpatient tis
treporting ta tpain tlevel tof t3 tto t4 ton tthe tsame tpain tscale. tWhat tis tthe tnurse's tmost tplausible
trationale tfor tunderstanding tthe tpatients' tdifferent tperceptions tof tpain?
A) tEndorphin tlevels tmay tvary tbetween tpatients, taffecting tthe tperception tof tpain.
B) tOne tof tthe tpatients tis texaggerating this tor ther tsense tof tpain.
C) tThe tpatients tare tlikely texperiencing ta tvariance tin tvasoconstriction.
D) tOne tof tthe tpatients tmay tbe texperiencing topioid ttolerance. t- tCorrect t tAnswer t- tA
Different tpeople tfeel tdifferent tdegrees tof tpain tfrom tsimilar tstimuli. tOpioid ttolerance tis tassociated
twith tchronic tpain ttreatment tand twould tnot tlikely tapply tto tthese tpatients. tThe tnurse tshould tnot
,tassume tthe tpatient tis texaggerating tthe tpain tbecause tthe tpatient tis tthe tbest tauthority tof this tor
ther texistence tof tpain, tand tdefinitions tfor tpain tstate tthat tpain tis twhatever tthe tperson tsays tit tis,
texisting twhenever tthe texperiencing tperson tsays tit tdoes.
You tare tfrequently tassessing tan t84-year-old twoman's tpain tafter tshe tsuffered ta thumeral tfracture tin
ta tfall. tWhen tapplying tthe tnursing tprocess tin tpain tmanagement tfor ta tpatient tof tthis tage, twhat
tprinciple tshould tyou tbest tapply?
A) tMonitor tfor tsigns tof tdrug ttoxicity tdue tto ta tdecrease tin tmetabolism.
B) tMonitor tfor tan tincrease tin tabsorption tof tthe tdrug tdue tto tage-related tchanges.
C) tMonitor tfor ta tparadoxical tincrease tin tpain twith topioid tadministration.
D) tAdminister tanalgesics tevery t4 tto t6 thours tas tordered tto tcontrol tpain. t- tCorrect t tAnswer t- tA
Older tpeople tmay trespond tdifferently tto tpain tthan tyounger tpeople. tBecause telderly tpeople thave ta
tslower tmetabolism tand ta tgreater tratio tof tbody tfat tto tmuscle tmass tcompared twith tyounger
tpeople, tsmall tdoses tof tanalgesic tagents tmay tbe tsufficient tto trelieve tpain, tand tthese tdoses tmay tbe
teffective tlonger. tThis tfact talso tcorresponds tto tan tincreased trisk tof tadverse teffects. tParadoxical
teffects tare tnot ta tcommon tphenomenon. tFrequency tof tadministration twill tvary twidely taccording tto
tnumerous tvariables.
The tnurse tis tassessing ta tpatient's tpain twhile tthe tpatient tawaits ta tcholecystectomy. tThe tpatient tis
ttearful, thesitant tto tmove, tand tgrimacing. tWhen tasked, tthe tpatient trates this tpain tas ta t2 tat tthis
ttime tusing ta t0-to-10 tpain tscale. tHow tshould tthe tnurse tbest trespond tto tthis tassessment tfinding?
A) tRemind tthe tpatient tthat the tis tindeed texperiencing tpain.
B) tReinforce tteaching tabout tthe tpain tscale tnumber tsystem.
C) tReassess tthe tpatient's tpain tin t30 tminutes.
D) tAdminister tan tanalgesic tand tthen treassess. t- tCorrect t tAnswer t- tB
The tpatient tis tphysically texhibiting tsigns tand tsymptoms tof tpain. tFurther tteaching tmay tneed tto tbe
tdone tso tthe tpatient tcan tcorrectly trate tthe tpain. tThe tnurse tmay talso tverify tthat tthe tsame tscale tis
tbeing tused tby tthe tpatient tand tcaregiver tto tpromote tcontinuity. tAlthough tall tanswers tare tcorrect,
tthe tmost taccurate tconclusion twould tbe tto treinforce tteaching tabout tthe tpain tscale.
You tare tcreating ta tnursing tcare tplan tfor ta tpatient twith ta tprimary tdiagnosis tof tcellulitis tand ta
tsecondary tdiagnosis tof tchronic tpain. tWhat tcommon ttrait tof tpatients twho tlive twith tchronic tpain
tshould tinform tyour tcare tplanning?
A) tThey tare ttypically tmore tcomfortable twith tunderlying tpain tthan tpatients twithout tchronic tpain.
B) tThey toften thave ta tlower tpain tthreshold tthan tpatients twithout tchronic tpain.
, C) tThey toften thave tan tincreased ttolerance tof tpain.
D) tThey tcan texperience tacute tpain tin taddition tto tchronic tpain. t- tCorrect t tAnswer t- tD t
It tis ttempting tto texpect tthat tpeople twho thave thad tmultiple tor tprolonged texperiences twith tpain
twill tbe tless tanxious tand tmore ttolerant tof tpain tthan tthose twho thave thad tlittle texperience twith
tpain. tHowever, tthis tis tnot ttrue tfor tmany tpeople. tThe tmore texperience ta tperson thas thad twith
tpain, tthe tmore tfrightened the tor tshe tmay tbe tabout tsubsequent tpainful tevents. tChronic tpain tand
tacute tpain tare tnot tmutually texclusive.
The tnurse tis tcaring tfor ta t51-year-old tfemale tpatient twhose tmedical thistory tincludes tchronic tfatigue
tand tpoorly tcontrolled tback tpain. tThese tmedical tdiagnoses tshould talert tthe tnurse tto tthe tpossibility
tof twhat tconsequent thealth tproblem?
A) tAnxiety
B) tSkin tbreakdown
C) tDepression
D) tHallucinations t- tCorrect t tAnswer t- tC
Depression tis tassociated twith tchronic tpain tand tcan tbe texacerbated tby tthe teffects tof tchronic
tfatigue. tAnxiety tis talso tplausible, tbut tdepression tis ta tparamount trisk. tSkin tbreakdown tand
thallucinations tare tmuch tless tlikely.
Your tpatient thas tjust treturned tfrom tthe tpostanesthetic tcare tunit t(PACU) tfollowing tleft ttibia topen
treduction tinternal tfixation t(ORIF). tThe tpatient tis tcomplaining tof tpain, tand tyou tare tpreparing tto
tadminister tthe tpatient's tfirst tscheduled tdose tof thydromorphone t(Dilaudid). tPrior tto tadministering
tthe tdrug, tyou twould tprioritize twhich tof tthe tfollowing tassessments?
A)The tpatient's telectrolyte tlevels
B)The tpatient's tblood tpressure
C)The tpatient's tallergy tstatus
D)The tpatient's thydration tstatus t- tCorrect t tAnswer t- tC
Before tadministering tmedications tsuch tas tnarcotics tfor tthe tfirst ttime, tthe tnurse tshould tassess tfor
tany tprevious tallergic treactions. tElectrolyte tvalues, tblood tpressure, tand thydration tstatus tare tnot
twhat tyou tneed tto tassess tprior tto tgiving ta tfirst tdose tof tnarcotics.
Your tpatient tis treceiving tpostoperative tmorphine tthrough ta tpatient-controlled tanalgesic t(PCA)
tpump tand tthe tpatient's torders tspecify tan tinitial tbolus tdose. tWhat tis tyour tpriority tassessment?
A) tAssessment tfor tdecreased tlevel tof tconsciousness t(LOC)
Answers Guaranteed A+
The tnurse twho tis ta tmember tof tthe tpalliative tcare tteam tis tassessing ta tpatient. tThe tpatient
tindicates tthat the thas tbeen tsaving this tPRN tanalgesics tuntil tthe tpain tis tintense tbecause this tpain
tcontrol thas tbeen tinadequate. tWhat tteaching tshould tthe tnurse tdo twith tthis tpatient?
A) tMedication tshould tbe ttaken twhen tpain tlevels tare tlow tso tthe tpain tis teasier tto treduce.
B) tPain tmedication tcan tbe tincreased twhen tthe tpain tbecomes tintense.
C) tIt tis tdifficult tto tcontrol tchronic tpain, tso tthis tis tan tinevitable tpart tof tthe tdisease tprocess.
D) tThe tpatient twill tlikely tbenefit tmore tfrom tdistraction tthan tpharmacologic tinterventions. t- tCorrect
t tAnswer t- tA
Better tpain tcontrol tcan tbe tachieved twith ta tpreventive tapproach, treducing tthe tamount tof ttime
tpatients tare tin tpain. tLow tlevels tof tpain tare teasier tto treduce tor tcontrol tthan tintense tlevels tof
tpain. tPain tmedication tis tused tto tprevent tpain tso tpain tmedication tis tnot tincreased twhen tpain
tbecomes tintense. tChronic tpain tis ttreatable. tGiving tthe tpatient talternative tmethods tto tcontrol tpain
tis tgood, tbut tit twill tnot twork tif tthe tpatient tis tin tso tmuch tpain tthat the tcannot tinstitute treliable
talternative tmethods.
Two tpatients ton tyour tunit thave trecently treturned tto tthe tpostsurgical tunit tafter tknee tarthroplasty.
tOne tpatient tis treporting tpain tof t8 tto t9 ton ta t0-to-10 tpain tscale, twhereas tthe tother tpatient tis
treporting ta tpain tlevel tof t3 tto t4 ton tthe tsame tpain tscale. tWhat tis tthe tnurse's tmost tplausible
trationale tfor tunderstanding tthe tpatients' tdifferent tperceptions tof tpain?
A) tEndorphin tlevels tmay tvary tbetween tpatients, taffecting tthe tperception tof tpain.
B) tOne tof tthe tpatients tis texaggerating this tor ther tsense tof tpain.
C) tThe tpatients tare tlikely texperiencing ta tvariance tin tvasoconstriction.
D) tOne tof tthe tpatients tmay tbe texperiencing topioid ttolerance. t- tCorrect t tAnswer t- tA
Different tpeople tfeel tdifferent tdegrees tof tpain tfrom tsimilar tstimuli. tOpioid ttolerance tis tassociated
twith tchronic tpain ttreatment tand twould tnot tlikely tapply tto tthese tpatients. tThe tnurse tshould tnot
,tassume tthe tpatient tis texaggerating tthe tpain tbecause tthe tpatient tis tthe tbest tauthority tof this tor
ther texistence tof tpain, tand tdefinitions tfor tpain tstate tthat tpain tis twhatever tthe tperson tsays tit tis,
texisting twhenever tthe texperiencing tperson tsays tit tdoes.
You tare tfrequently tassessing tan t84-year-old twoman's tpain tafter tshe tsuffered ta thumeral tfracture tin
ta tfall. tWhen tapplying tthe tnursing tprocess tin tpain tmanagement tfor ta tpatient tof tthis tage, twhat
tprinciple tshould tyou tbest tapply?
A) tMonitor tfor tsigns tof tdrug ttoxicity tdue tto ta tdecrease tin tmetabolism.
B) tMonitor tfor tan tincrease tin tabsorption tof tthe tdrug tdue tto tage-related tchanges.
C) tMonitor tfor ta tparadoxical tincrease tin tpain twith topioid tadministration.
D) tAdminister tanalgesics tevery t4 tto t6 thours tas tordered tto tcontrol tpain. t- tCorrect t tAnswer t- tA
Older tpeople tmay trespond tdifferently tto tpain tthan tyounger tpeople. tBecause telderly tpeople thave ta
tslower tmetabolism tand ta tgreater tratio tof tbody tfat tto tmuscle tmass tcompared twith tyounger
tpeople, tsmall tdoses tof tanalgesic tagents tmay tbe tsufficient tto trelieve tpain, tand tthese tdoses tmay tbe
teffective tlonger. tThis tfact talso tcorresponds tto tan tincreased trisk tof tadverse teffects. tParadoxical
teffects tare tnot ta tcommon tphenomenon. tFrequency tof tadministration twill tvary twidely taccording tto
tnumerous tvariables.
The tnurse tis tassessing ta tpatient's tpain twhile tthe tpatient tawaits ta tcholecystectomy. tThe tpatient tis
ttearful, thesitant tto tmove, tand tgrimacing. tWhen tasked, tthe tpatient trates this tpain tas ta t2 tat tthis
ttime tusing ta t0-to-10 tpain tscale. tHow tshould tthe tnurse tbest trespond tto tthis tassessment tfinding?
A) tRemind tthe tpatient tthat the tis tindeed texperiencing tpain.
B) tReinforce tteaching tabout tthe tpain tscale tnumber tsystem.
C) tReassess tthe tpatient's tpain tin t30 tminutes.
D) tAdminister tan tanalgesic tand tthen treassess. t- tCorrect t tAnswer t- tB
The tpatient tis tphysically texhibiting tsigns tand tsymptoms tof tpain. tFurther tteaching tmay tneed tto tbe
tdone tso tthe tpatient tcan tcorrectly trate tthe tpain. tThe tnurse tmay talso tverify tthat tthe tsame tscale tis
tbeing tused tby tthe tpatient tand tcaregiver tto tpromote tcontinuity. tAlthough tall tanswers tare tcorrect,
tthe tmost taccurate tconclusion twould tbe tto treinforce tteaching tabout tthe tpain tscale.
You tare tcreating ta tnursing tcare tplan tfor ta tpatient twith ta tprimary tdiagnosis tof tcellulitis tand ta
tsecondary tdiagnosis tof tchronic tpain. tWhat tcommon ttrait tof tpatients twho tlive twith tchronic tpain
tshould tinform tyour tcare tplanning?
A) tThey tare ttypically tmore tcomfortable twith tunderlying tpain tthan tpatients twithout tchronic tpain.
B) tThey toften thave ta tlower tpain tthreshold tthan tpatients twithout tchronic tpain.
, C) tThey toften thave tan tincreased ttolerance tof tpain.
D) tThey tcan texperience tacute tpain tin taddition tto tchronic tpain. t- tCorrect t tAnswer t- tD t
It tis ttempting tto texpect tthat tpeople twho thave thad tmultiple tor tprolonged texperiences twith tpain
twill tbe tless tanxious tand tmore ttolerant tof tpain tthan tthose twho thave thad tlittle texperience twith
tpain. tHowever, tthis tis tnot ttrue tfor tmany tpeople. tThe tmore texperience ta tperson thas thad twith
tpain, tthe tmore tfrightened the tor tshe tmay tbe tabout tsubsequent tpainful tevents. tChronic tpain tand
tacute tpain tare tnot tmutually texclusive.
The tnurse tis tcaring tfor ta t51-year-old tfemale tpatient twhose tmedical thistory tincludes tchronic tfatigue
tand tpoorly tcontrolled tback tpain. tThese tmedical tdiagnoses tshould talert tthe tnurse tto tthe tpossibility
tof twhat tconsequent thealth tproblem?
A) tAnxiety
B) tSkin tbreakdown
C) tDepression
D) tHallucinations t- tCorrect t tAnswer t- tC
Depression tis tassociated twith tchronic tpain tand tcan tbe texacerbated tby tthe teffects tof tchronic
tfatigue. tAnxiety tis talso tplausible, tbut tdepression tis ta tparamount trisk. tSkin tbreakdown tand
thallucinations tare tmuch tless tlikely.
Your tpatient thas tjust treturned tfrom tthe tpostanesthetic tcare tunit t(PACU) tfollowing tleft ttibia topen
treduction tinternal tfixation t(ORIF). tThe tpatient tis tcomplaining tof tpain, tand tyou tare tpreparing tto
tadminister tthe tpatient's tfirst tscheduled tdose tof thydromorphone t(Dilaudid). tPrior tto tadministering
tthe tdrug, tyou twould tprioritize twhich tof tthe tfollowing tassessments?
A)The tpatient's telectrolyte tlevels
B)The tpatient's tblood tpressure
C)The tpatient's tallergy tstatus
D)The tpatient's thydration tstatus t- tCorrect t tAnswer t- tC
Before tadministering tmedications tsuch tas tnarcotics tfor tthe tfirst ttime, tthe tnurse tshould tassess tfor
tany tprevious tallergic treactions. tElectrolyte tvalues, tblood tpressure, tand thydration tstatus tare tnot
twhat tyou tneed tto tassess tprior tto tgiving ta tfirst tdose tof tnarcotics.
Your tpatient tis treceiving tpostoperative tmorphine tthrough ta tpatient-controlled tanalgesic t(PCA)
tpump tand tthe tpatient's torders tspecify tan tinitial tbolus tdose. tWhat tis tyour tpriority tassessment?
A) tAssessment tfor tdecreased tlevel tof tconsciousness t(LOC)
