NUR320 Patho&Pharm Exam
3 fully solved & updated
2025-2026(100% verified for
accuracy)
Which stimulus would be used to elicit the withdrawal reflex when
testingresponse to nociceptive stimuli?
A. weak electrical current
B. pressure from a sharp object
C. damp cotton ball at skin temperature
D. water heated to 9°F (5°C) above skin temperature - answer B.
pressure from a sharp object
A nurse on a postoperative unit is providing care for a 76-year-old
client who is 2 days post hemiarthroplasty (hip replacement) and
who states that the pain has been out of control for the last several
hours, though the client is not exhibiting signs of pain. Which
guideline should the nurse use for short-term and long-term
treatment of the client's pain?
A. reconciling the client's need for opioid analgesics with the risk of
addiction to these drugs
B. recognizing the client's pain is not likely self-limiting
C. knowing that the client's self-report of pain is the most reliable
indicator of pain
D. realizing that chronic pain is likely to require innovative and
complex treatment - answer C. knowing that the client's self-report
of pain is the most reliable indicator of pain
The nurse is caring for a client with acute pain from broken
humerus. Which direction will the nurse provide the client related to
pain management?
,A. Requesting pain medication before the pain is severe can reduce
how much medication is needed.
B. Taking opioid-based medications only when pain is severe can
help reduce the risk for addiction.
C. Keeping quiet and moving as little as possible will reduce how
much medication is needed.
D. The need for pain medication will increase over the next several
weeks of treatment. - answer A. Requesting pain medication before
the pain is severe can reduce how much medication is needed.
A nurse is assessing a client for manifestations of chronic pain.
Which finding is characteristic of chronic pain? Select all that apply.
A. Pulse rate 120 beats/min
B. Breathing shallow, 26 breaths/min
C. Mental depression
D. Loss of appetite
E. Sweating
F. Withdrawal from activities - answer C. Mental depression
D. Loss of appetite
F. Withdrawal from activities
Acute pain - answer generally classified as being short of duration
and arises from a specific pathologic process that resolves.
Chronic pain - answer lasts 3-6 months and may be persistent or
intermittent
Acute pain may lead to.... - answer tachycardia, increased
sympathetic activity such as sweating, decreased mobility, and
shallow breathing
,A. client with a history of migraine headaches tells the physician
that he or she usually experiences an aura before the onset of the
headache. The client is most likely experiencing:
A. Visual disturbances
B. Dizziness
C. Dysphasia
D. Lethargy - answer A. Visual disturbances
Symptoms of a tension headache - answer - Slow onset
- dull, moderate pain
- usually hurts on both sides of the head
- pain also may be in the back of the head and/or neck
Symptoms of a migraine - answer - throbbing pain
- nausea and/or vomiting
- light sensitivity
- can last several hours, and up to several days
Symptoms of a cluster headache - answer - sudden onset
- several headaches will occur in a series, or cluster
- pain on one side, often behind one eye
- red, watery eyes
A nurse working in a busy orthopedic clinic is asked to perform the
Tinel sign on a client having problems in their hand/wrist. To test
the Tinel sign, the nurse should give the client which direction?
A. Stand tall, arms at your side, shut your eyes; place the tip of your
index finger to your nose.
, B. Hold your wrist in complete flexion, keep it in this position for 60
seconds, and state how your hand feels after placing it in a neutral
position.
C. I am going to tap (percuss) over the median nerve in your wrist;
tell me what sensation you feel while I am doing this and whether
the sensation stays in the wrist or goes somewhere else?
D. I am going to tap this tuning fork, place it on the side of your
thumb, then ask you to tell me what you are feeling in your hand
and wrist. - answer C. I am going to tap (percuss) over the median
nerve in your wrist; tell me what sensation you feel while I am doing
this and whether the sensation stays in the wrist or goes
somewhere else?
A client works as a data entry worker for a large company and goes
to employee health with pain in the wrist/hand. The nurse suspects
that it is carpal tunnel syndrome based on which assessment
findings? Select all that apply.
A. Describes numbness/tingling in the thumb and first digit
B. States his forearm feels funny (paresthesia)
C. Loss of tendon reflexes on the affected extremity
D. Precision grip weakness in the affected hand
E. Pain interferes with sleeping - answer A. Describes
numbness/tingling in the thumb and first digit
D. Precision grip weakness in the affected hand
E. Pain interferes with sleeping
A client's recent diagnosis of Parkinson disease has prompted the
care provider to promptly begin pharmacologic therapy. The drugs
prescribed will likely influence the client's levels of which
substance?
A. Dopamine
B. Acetylcholine
C. Serotonin
3 fully solved & updated
2025-2026(100% verified for
accuracy)
Which stimulus would be used to elicit the withdrawal reflex when
testingresponse to nociceptive stimuli?
A. weak electrical current
B. pressure from a sharp object
C. damp cotton ball at skin temperature
D. water heated to 9°F (5°C) above skin temperature - answer B.
pressure from a sharp object
A nurse on a postoperative unit is providing care for a 76-year-old
client who is 2 days post hemiarthroplasty (hip replacement) and
who states that the pain has been out of control for the last several
hours, though the client is not exhibiting signs of pain. Which
guideline should the nurse use for short-term and long-term
treatment of the client's pain?
A. reconciling the client's need for opioid analgesics with the risk of
addiction to these drugs
B. recognizing the client's pain is not likely self-limiting
C. knowing that the client's self-report of pain is the most reliable
indicator of pain
D. realizing that chronic pain is likely to require innovative and
complex treatment - answer C. knowing that the client's self-report
of pain is the most reliable indicator of pain
The nurse is caring for a client with acute pain from broken
humerus. Which direction will the nurse provide the client related to
pain management?
,A. Requesting pain medication before the pain is severe can reduce
how much medication is needed.
B. Taking opioid-based medications only when pain is severe can
help reduce the risk for addiction.
C. Keeping quiet and moving as little as possible will reduce how
much medication is needed.
D. The need for pain medication will increase over the next several
weeks of treatment. - answer A. Requesting pain medication before
the pain is severe can reduce how much medication is needed.
A nurse is assessing a client for manifestations of chronic pain.
Which finding is characteristic of chronic pain? Select all that apply.
A. Pulse rate 120 beats/min
B. Breathing shallow, 26 breaths/min
C. Mental depression
D. Loss of appetite
E. Sweating
F. Withdrawal from activities - answer C. Mental depression
D. Loss of appetite
F. Withdrawal from activities
Acute pain - answer generally classified as being short of duration
and arises from a specific pathologic process that resolves.
Chronic pain - answer lasts 3-6 months and may be persistent or
intermittent
Acute pain may lead to.... - answer tachycardia, increased
sympathetic activity such as sweating, decreased mobility, and
shallow breathing
,A. client with a history of migraine headaches tells the physician
that he or she usually experiences an aura before the onset of the
headache. The client is most likely experiencing:
A. Visual disturbances
B. Dizziness
C. Dysphasia
D. Lethargy - answer A. Visual disturbances
Symptoms of a tension headache - answer - Slow onset
- dull, moderate pain
- usually hurts on both sides of the head
- pain also may be in the back of the head and/or neck
Symptoms of a migraine - answer - throbbing pain
- nausea and/or vomiting
- light sensitivity
- can last several hours, and up to several days
Symptoms of a cluster headache - answer - sudden onset
- several headaches will occur in a series, or cluster
- pain on one side, often behind one eye
- red, watery eyes
A nurse working in a busy orthopedic clinic is asked to perform the
Tinel sign on a client having problems in their hand/wrist. To test
the Tinel sign, the nurse should give the client which direction?
A. Stand tall, arms at your side, shut your eyes; place the tip of your
index finger to your nose.
, B. Hold your wrist in complete flexion, keep it in this position for 60
seconds, and state how your hand feels after placing it in a neutral
position.
C. I am going to tap (percuss) over the median nerve in your wrist;
tell me what sensation you feel while I am doing this and whether
the sensation stays in the wrist or goes somewhere else?
D. I am going to tap this tuning fork, place it on the side of your
thumb, then ask you to tell me what you are feeling in your hand
and wrist. - answer C. I am going to tap (percuss) over the median
nerve in your wrist; tell me what sensation you feel while I am doing
this and whether the sensation stays in the wrist or goes
somewhere else?
A client works as a data entry worker for a large company and goes
to employee health with pain in the wrist/hand. The nurse suspects
that it is carpal tunnel syndrome based on which assessment
findings? Select all that apply.
A. Describes numbness/tingling in the thumb and first digit
B. States his forearm feels funny (paresthesia)
C. Loss of tendon reflexes on the affected extremity
D. Precision grip weakness in the affected hand
E. Pain interferes with sleeping - answer A. Describes
numbness/tingling in the thumb and first digit
D. Precision grip weakness in the affected hand
E. Pain interferes with sleeping
A client's recent diagnosis of Parkinson disease has prompted the
care provider to promptly begin pharmacologic therapy. The drugs
prescribed will likely influence the client's levels of which
substance?
A. Dopamine
B. Acetylcholine
C. Serotonin
