NUR 424-Final Exam 2024/2025 Questions and Answers
Which postoperative client is manifesting the most serious negative effect of
inadequate pain management?
1. Demonstrates continuous use of call bell related to unsatisfied needs and
discomfort
2. Develops venous thromboembolism related to immobility caused by pain and
discomfort
3. Refuses to participate in physical therapy because of fear of pain caused by
exercises
4. Feels depressed about loss of function and hopeless about getting relief from pain
(CORRECT ANSWER)2. Develops venous thromboembolism related to immobility
caused by pain and discomfort
A client with chronic pain reports to the charge nurse that the other nurses have not
been responding to requests for pain medication. What is the charge nurse's initial
action?
1. Check the medication administration records for the past several days
2. Ask the nurse educator to provide in-service training about pain management
3. Perform a complete pain assessment on the client and take a pain history
4. Have a conference with the staff nurses to assess their care of this client
(CORRECT ANSWER)4. Have a conference with the staff nurses to assess their
care of this client
According to recent guidelines from the American Pain Society in collaboration with
the American Society of Anaesthesiologists, what are the priority pain management
strategies that the nurse would expect to see in the pain management for post-
surgical clients? SATA.
1. Acetaminophen and/or NSAIDS for management of postoperative pain in adults
and children without contraindications
2. Surgical site-specific peripheral regional anaesthetic techniques in adults and
children for procedures
3. Neuraxial (epidural) analgesia for major thoracic and abdominal procedures if the
client has risk for cardiac complications or prolonged ileus
4. Multimodal therapy that could include opioids and nonopioid therapies, regional
anaesthetic techniques, and nonpharmacologic therapies
, 5. Long-acting oral opioids, especially in the immediate postoperative period, for
continuous around-the-clock relief
6. Neuraxial administration of (CORRECT ANSWER)1. Acetaminophen and/or
NSAIDS for management of postoperative pain in adults and children without
contraindications
The home health nurse is interviewing an older client with a history of heart failure
and rheumatoid arthritis. The client reports "feeling pretty good, except for the pain
and stiffness in my joints when I first get out of bed." Which member of the health
care team would be the most appropriate to aid in the client's report of pain?
1. Health care provider to review the dosage and frequency of pain medication
2. Physical therapist for evaluation of function and possible exercise therapy
3. Social worker to locate community resources for complementary therapy
4. Unlicensed assistive personnel to help client with a warm shower in the morning
(CORRECT ANSWER)4. Unlicensed assistive personnel to help client with a warm
shower in the morning
Family members are encouraging the client to "tough out the pain" rather than risk
drug addiction to opioids. The client is stoically abiding. The nurse recognizes that
the sociocultural dimension of pain is the current priority for the client. Which
question will the nurse ask?
1. Where is the pain located, and does it radiate to other parts of your body?
2. How would you describe the pain, and how is it affecting you?
3. What do you believe about pain medication and drug addiction?
How is the pain affecting your activity level and your ability to function? (CORRECT
ANSWER)3. What do you believe about pain medication and drug addiction?
A client with diabetic neuropathy reports a burning, electrical-type pain in the lower
extremities that is worse at night and not responding to NSAIDS. Which medication
will the nurse advocate for first?
1. Gabapentin
2. Corcicosteroids
3. Hydromorphone
4. Lorazepam (CORRECT ANSWER)1. Gabapentin
Which client is most likely to receive opioids for extended periods of time?
Which postoperative client is manifesting the most serious negative effect of
inadequate pain management?
1. Demonstrates continuous use of call bell related to unsatisfied needs and
discomfort
2. Develops venous thromboembolism related to immobility caused by pain and
discomfort
3. Refuses to participate in physical therapy because of fear of pain caused by
exercises
4. Feels depressed about loss of function and hopeless about getting relief from pain
(CORRECT ANSWER)2. Develops venous thromboembolism related to immobility
caused by pain and discomfort
A client with chronic pain reports to the charge nurse that the other nurses have not
been responding to requests for pain medication. What is the charge nurse's initial
action?
1. Check the medication administration records for the past several days
2. Ask the nurse educator to provide in-service training about pain management
3. Perform a complete pain assessment on the client and take a pain history
4. Have a conference with the staff nurses to assess their care of this client
(CORRECT ANSWER)4. Have a conference with the staff nurses to assess their
care of this client
According to recent guidelines from the American Pain Society in collaboration with
the American Society of Anaesthesiologists, what are the priority pain management
strategies that the nurse would expect to see in the pain management for post-
surgical clients? SATA.
1. Acetaminophen and/or NSAIDS for management of postoperative pain in adults
and children without contraindications
2. Surgical site-specific peripheral regional anaesthetic techniques in adults and
children for procedures
3. Neuraxial (epidural) analgesia for major thoracic and abdominal procedures if the
client has risk for cardiac complications or prolonged ileus
4. Multimodal therapy that could include opioids and nonopioid therapies, regional
anaesthetic techniques, and nonpharmacologic therapies
, 5. Long-acting oral opioids, especially in the immediate postoperative period, for
continuous around-the-clock relief
6. Neuraxial administration of (CORRECT ANSWER)1. Acetaminophen and/or
NSAIDS for management of postoperative pain in adults and children without
contraindications
The home health nurse is interviewing an older client with a history of heart failure
and rheumatoid arthritis. The client reports "feeling pretty good, except for the pain
and stiffness in my joints when I first get out of bed." Which member of the health
care team would be the most appropriate to aid in the client's report of pain?
1. Health care provider to review the dosage and frequency of pain medication
2. Physical therapist for evaluation of function and possible exercise therapy
3. Social worker to locate community resources for complementary therapy
4. Unlicensed assistive personnel to help client with a warm shower in the morning
(CORRECT ANSWER)4. Unlicensed assistive personnel to help client with a warm
shower in the morning
Family members are encouraging the client to "tough out the pain" rather than risk
drug addiction to opioids. The client is stoically abiding. The nurse recognizes that
the sociocultural dimension of pain is the current priority for the client. Which
question will the nurse ask?
1. Where is the pain located, and does it radiate to other parts of your body?
2. How would you describe the pain, and how is it affecting you?
3. What do you believe about pain medication and drug addiction?
How is the pain affecting your activity level and your ability to function? (CORRECT
ANSWER)3. What do you believe about pain medication and drug addiction?
A client with diabetic neuropathy reports a burning, electrical-type pain in the lower
extremities that is worse at night and not responding to NSAIDS. Which medication
will the nurse advocate for first?
1. Gabapentin
2. Corcicosteroids
3. Hydromorphone
4. Lorazepam (CORRECT ANSWER)1. Gabapentin
Which client is most likely to receive opioids for extended periods of time?
