ATI jMed-Surg jProctored jExam jQuestion jBank j2024/2025
Pain
Test jBank
MULTIPLE jCHOICE
1. Which jquestion jasked jby jthe jnurse jwill jgive jthe jmost jinformation jabout jthe jpatient’s
jmetastaticjbone jcancer jpain?
a. “How jlong jhave jyou jhad jthis jpain?”
b. “How jwould jyou jdescribe jyour jpain?”
c. “How jmuch jmedication jdo jyou jtake
jforjthe jpain?”
d. “How jmany jtimes ja jday jdo jyou
jtakejmedication jfor jthe jpain?”
ANS: j B
2. A jpatient jwho juses ja jfentanyl j(Duragesic) jpatch jfor jchronic jcancer jpain jsuddenly jcomplains
jof jrapid jonset jpain jat ja jlevel j9 j(0 jto j10 jscale) jand jrequests j“something jfor jpain jthat jwill
jwork jnow.”jHow jwill jthe jnurse jdocument jthe jtype jof jpain jreported jby jthis jpatient?
a. Somatic jpain
b. Referred jpain
c. Neuropathic jpain
d. Breakthrough jpain
ANS: j D
3. The jnurse jteaches ja jstudent jnurse jabout jthe jaction jof jibuprofen. jWhich jstatement, jif jmade jby
jthejstudent, jindicates jthat jteaching jwas jeffective?
a. “The jdrug jdecreases jpain jimpulses jin
jthejspinal jcord.”
b. “The jdrug jdecreases jsensitivity jof
jthejbrain jto jpainful jstimuli.”
c. “The jdrug jdecreases jproduction jof
jpain-jsensitizing jchemicals.”
d. “The jdrug jdecreases jthe jmodulating
jeffectjof jdescending jnerves.”
ANS: j C
4. A jnurse jassesses ja jpatient jwith jchronic jcancer jpain jwho jis jreceiving jimipramine j(Tofranil)
jin jaddition jto jlong-acting jmorphine. jWhich jstatement, jif jmade jby jthe jpatient, jindicates jto
jthe jnursejthat jthe jpatient jis jreceiving jadequate jpain jcontrol?
a. “I’m jnot janxious jat jall.”
,b. “I jsleep j8 jhours jevery jnight.”
c. “I jfeel jmuch jless jdepressed jsince jI’ve
, been jtaking jthe jTofranil.”
d. “The jpain jis jmanageable jand jI
jcanjaccomplish jmy jdesired
jactivities.
ANS: j D
5. A jpatient jwith jchronic jback jpain jhas jlearned jto jcontrol jthe jpain jwith jthe juse jof jimagery jand
jhypnosis. jThe jpatient’s jspouse jasks jthe jnurse jhow jthese jtechniques jwork. jWhich jresponse jby
jthejnurse jis jbest?
a. “The jstrategies jwork jby jaffecting
jthejperception jof jpain.”
b. “These jtechniques jblock jthe
jpainjpathways jof jthe jnerves.”
c. “Both jstrategies jprevent jtransmission
jofjpainful jstimuli jto jthe jbrain.”
d. “The jtherapies jslow jthe jrelease jof
chemicals jin jthe jspinal jcord jthat
jcausejpain.”
ANS: j A
6. A jpatient jwho jis jreceiving jsustained-release jmorphine jsulfate j(MS jContin) jevery j12 jhours
jfor jchronic jpain jexperiences jlevel j9 j(0 jto j10 jscale) jbreakthrough jpain jand janxiety. jWhich
jaction jbyjthe jnurse jis jbest?
a. Provide jamitriptyline j(Elavil) j10
jmgjorally.
b. Administer jlorazepam j(Ativan) j1
jmgjorally.
c. Offer jibuprofen j(Motrin) j400 jto j800
jmgjorally.
d. Give jimmediate-release jmorphine j30
jmgjorally.
ANS: j D
7. A jpatient jwith jchronic jneck jpain jis jseen jin jthe jpain jclinic jfor jfollow-up. jIn jorder jto
jevaluatejwhether jthe jpain jmanagement jis jeffective, jwhich jquestion jis jbest jfor jthe jnurse
jto jask?
a. “Can jyou jdescribe jthe jquality jof
jyourjpain?”
b. “Has jthere jbeen ja jchange jin jthe
jpainjlocation?”
c. “How jwould jyou jrate jyour jpain jon ja j0
jtoj10 jscale?”
d. “Does jthe jpain jkeep jyou jfrom
jdoingjthings jyou jenjoy?”
ANS: j D
, 8. A jpatient jwith jsecond-degree jburns jhas jbeen jreceiving jhydromorphone jthrough
jpatient- jcontrolled janalgesia j(PCA) jfor ja jweek. jThe jpatient jwakes jup jfrequently
jduring jthe jnightjcomplaining jof jpain. jWhat jaction jby jthe jnurse jis jmost jappropriate?
a. Administer ja jdose jof jmorphine jevery j1
jto j2 jhours jfrom jthe jPCA jmachine jwhile
jthe jpatient jis jsleeping.
b. Consult jwith jthe jhealth jcare jprovider
jabout jusing ja jdifferent jtreatment
jprotocoljto jcontrol jthe jpatient’s jpain.
c. Request jthat jthe jhealth jcare jprovider
jorderja jbolus jdose jof jmorphine jto jbe
jgiven
when jthe jpatient jawakens jwith jpain.
d. Teach jthe jpatient jto jpush jthe jbutton
jeveryj10 jminutes jfor jan jhour jbefore
jgoing jto jsleep, jeven jif jthe jpain jis
jminimal.
ANS: j B
9. The jnurse jassesses jthat ja jpatient jreceiving jepidural jmorphine jhas jnot jvoided jfor jover j10
jhours.jWhat jaction jshould jthe jnurse jtake jinitially?
a. Monitor jfor jwithdrawal jsymptoms.
b. Place jan jindwelling jurinary jcatheter.
c. Ask jif jthe jpatient jfeels jthe jneed jto jvoid.
d. Document jthis jallergic jreaction jin
jthejpatient’s jchart.
ANS: j C
10. When jvisiting ja jhospice jpatient, jthe jnurse jassesses jthat jthe jpatient jhas ja jrespiratory jrate
jof j11jbreaths/minute jand jcomplains jof jsevere jpain. jWhich jaction jis jbest jfor jthe jnurse jto
jtake?
a. Inform jthe jpatient jthat jincreasing jthe
jmorphine jwill jcause jthe jrespiratory
jdrivejto jfail.
b. Tell jthe jpatient jthat jadditional jmorphine
jcan jbe jadministered jwhen jthe
jrespirationsjare j12.
c. Titrate jthe jprescribed jmorphine
jdosejupward juntil jthe jpatient
jindicates jadequate jpain jrelief.
d. Administer ja jnonopioid janalgesic, jsuch
jasja jnonsteroidal jantiinflammatory jdrug
j(NSAID), jto jimprove jpatient jpain
jcontrol.
ANS: j C
11. The jnurse jis jcompleting jthe jmedication jreconciliation jform jfor ja jpatient jadmitted jwith jchronic
Pain
Test jBank
MULTIPLE jCHOICE
1. Which jquestion jasked jby jthe jnurse jwill jgive jthe jmost jinformation jabout jthe jpatient’s
jmetastaticjbone jcancer jpain?
a. “How jlong jhave jyou jhad jthis jpain?”
b. “How jwould jyou jdescribe jyour jpain?”
c. “How jmuch jmedication jdo jyou jtake
jforjthe jpain?”
d. “How jmany jtimes ja jday jdo jyou
jtakejmedication jfor jthe jpain?”
ANS: j B
2. A jpatient jwho juses ja jfentanyl j(Duragesic) jpatch jfor jchronic jcancer jpain jsuddenly jcomplains
jof jrapid jonset jpain jat ja jlevel j9 j(0 jto j10 jscale) jand jrequests j“something jfor jpain jthat jwill
jwork jnow.”jHow jwill jthe jnurse jdocument jthe jtype jof jpain jreported jby jthis jpatient?
a. Somatic jpain
b. Referred jpain
c. Neuropathic jpain
d. Breakthrough jpain
ANS: j D
3. The jnurse jteaches ja jstudent jnurse jabout jthe jaction jof jibuprofen. jWhich jstatement, jif jmade jby
jthejstudent, jindicates jthat jteaching jwas jeffective?
a. “The jdrug jdecreases jpain jimpulses jin
jthejspinal jcord.”
b. “The jdrug jdecreases jsensitivity jof
jthejbrain jto jpainful jstimuli.”
c. “The jdrug jdecreases jproduction jof
jpain-jsensitizing jchemicals.”
d. “The jdrug jdecreases jthe jmodulating
jeffectjof jdescending jnerves.”
ANS: j C
4. A jnurse jassesses ja jpatient jwith jchronic jcancer jpain jwho jis jreceiving jimipramine j(Tofranil)
jin jaddition jto jlong-acting jmorphine. jWhich jstatement, jif jmade jby jthe jpatient, jindicates jto
jthe jnursejthat jthe jpatient jis jreceiving jadequate jpain jcontrol?
a. “I’m jnot janxious jat jall.”
,b. “I jsleep j8 jhours jevery jnight.”
c. “I jfeel jmuch jless jdepressed jsince jI’ve
, been jtaking jthe jTofranil.”
d. “The jpain jis jmanageable jand jI
jcanjaccomplish jmy jdesired
jactivities.
ANS: j D
5. A jpatient jwith jchronic jback jpain jhas jlearned jto jcontrol jthe jpain jwith jthe juse jof jimagery jand
jhypnosis. jThe jpatient’s jspouse jasks jthe jnurse jhow jthese jtechniques jwork. jWhich jresponse jby
jthejnurse jis jbest?
a. “The jstrategies jwork jby jaffecting
jthejperception jof jpain.”
b. “These jtechniques jblock jthe
jpainjpathways jof jthe jnerves.”
c. “Both jstrategies jprevent jtransmission
jofjpainful jstimuli jto jthe jbrain.”
d. “The jtherapies jslow jthe jrelease jof
chemicals jin jthe jspinal jcord jthat
jcausejpain.”
ANS: j A
6. A jpatient jwho jis jreceiving jsustained-release jmorphine jsulfate j(MS jContin) jevery j12 jhours
jfor jchronic jpain jexperiences jlevel j9 j(0 jto j10 jscale) jbreakthrough jpain jand janxiety. jWhich
jaction jbyjthe jnurse jis jbest?
a. Provide jamitriptyline j(Elavil) j10
jmgjorally.
b. Administer jlorazepam j(Ativan) j1
jmgjorally.
c. Offer jibuprofen j(Motrin) j400 jto j800
jmgjorally.
d. Give jimmediate-release jmorphine j30
jmgjorally.
ANS: j D
7. A jpatient jwith jchronic jneck jpain jis jseen jin jthe jpain jclinic jfor jfollow-up. jIn jorder jto
jevaluatejwhether jthe jpain jmanagement jis jeffective, jwhich jquestion jis jbest jfor jthe jnurse
jto jask?
a. “Can jyou jdescribe jthe jquality jof
jyourjpain?”
b. “Has jthere jbeen ja jchange jin jthe
jpainjlocation?”
c. “How jwould jyou jrate jyour jpain jon ja j0
jtoj10 jscale?”
d. “Does jthe jpain jkeep jyou jfrom
jdoingjthings jyou jenjoy?”
ANS: j D
, 8. A jpatient jwith jsecond-degree jburns jhas jbeen jreceiving jhydromorphone jthrough
jpatient- jcontrolled janalgesia j(PCA) jfor ja jweek. jThe jpatient jwakes jup jfrequently
jduring jthe jnightjcomplaining jof jpain. jWhat jaction jby jthe jnurse jis jmost jappropriate?
a. Administer ja jdose jof jmorphine jevery j1
jto j2 jhours jfrom jthe jPCA jmachine jwhile
jthe jpatient jis jsleeping.
b. Consult jwith jthe jhealth jcare jprovider
jabout jusing ja jdifferent jtreatment
jprotocoljto jcontrol jthe jpatient’s jpain.
c. Request jthat jthe jhealth jcare jprovider
jorderja jbolus jdose jof jmorphine jto jbe
jgiven
when jthe jpatient jawakens jwith jpain.
d. Teach jthe jpatient jto jpush jthe jbutton
jeveryj10 jminutes jfor jan jhour jbefore
jgoing jto jsleep, jeven jif jthe jpain jis
jminimal.
ANS: j B
9. The jnurse jassesses jthat ja jpatient jreceiving jepidural jmorphine jhas jnot jvoided jfor jover j10
jhours.jWhat jaction jshould jthe jnurse jtake jinitially?
a. Monitor jfor jwithdrawal jsymptoms.
b. Place jan jindwelling jurinary jcatheter.
c. Ask jif jthe jpatient jfeels jthe jneed jto jvoid.
d. Document jthis jallergic jreaction jin
jthejpatient’s jchart.
ANS: j C
10. When jvisiting ja jhospice jpatient, jthe jnurse jassesses jthat jthe jpatient jhas ja jrespiratory jrate
jof j11jbreaths/minute jand jcomplains jof jsevere jpain. jWhich jaction jis jbest jfor jthe jnurse jto
jtake?
a. Inform jthe jpatient jthat jincreasing jthe
jmorphine jwill jcause jthe jrespiratory
jdrivejto jfail.
b. Tell jthe jpatient jthat jadditional jmorphine
jcan jbe jadministered jwhen jthe
jrespirationsjare j12.
c. Titrate jthe jprescribed jmorphine
jdosejupward juntil jthe jpatient
jindicates jadequate jpain jrelief.
d. Administer ja jnonopioid janalgesic, jsuch
jasja jnonsteroidal jantiinflammatory jdrug
j(NSAID), jto jimprove jpatient jpain
jcontrol.
ANS: j C
11. The jnurse jis jcompleting jthe jmedication jreconciliation jform jfor ja jpatient jadmitted jwith jchronic
