Pain Study Guide Exam 2 questions and
answers 2025
What is the definition of pain management? - ANSWER Alleviation of pain or reduction in pain
to a level of comfort that is acceptable to the person.
What are the 3 types of pain? - ANSWER Acute, chronic, & cancer pain
You are the nurse explaining the onset of action for pain control to a patient. You would explain
to the patient that the patient should feel the effects of the Fentanyl patch pain control at -
ANSWER 12 to 24 hours
Fentanyl patches should ONLY be used by people with long-term chronic pain who have been
taking high doses of prescription pain medicine (opioids) for 7 or more days without relief.
Otherwise, the medicine can cause you to breathe too slowly or stop breathing. - ANSWER
Fentanyl patches should ONLY be used by people with long-term chronic pain who have been
taking high doses of prescription pain medicine (opioids) for 7 or more days without relief.
Otherwise, the medicine can cause you to breathe too slowly or stop breathing.
What is the best way to dispose of fentanyl patches? - ANSWER Flush them down the toilet.
What side effects are common with fentanyl patches? - ANSWER Shallow or slow breathing,
confusion, dizziness, drowsiness, poor coordination, headache, blurred vision, sweating, nausea,
vomiting, constipation
What fentanyl side effects should be reported immediately? - ANSWER Shallow or very slow
breathing, significant dizziness, chest pain, slow or rapid heartbeat, bad headache, confusion,
swelling of extremities or unusual weight gain, temperature of 102° (F) or higher, vision changes
,What is one of the medical successes that has come out of the Iraq War? - ANSWER The US
military medical system has achieved a "less than 10% died of wounds rate."
What is one of the major factors contributing to that rate now? - ANSWER Air evacuation, along
with body armor and improved medical techniques on the battlefield.
What drug is commonly used for pain management in battlefield settings? - ANSWER Morphine
was a brand new drug during the Civil War and a very potent analgesic for the management of
combat pain. Unfortunately, we really have not progressed much beyond that first drug;
morphine was the answer in the Civil War and it was still the answer on the battlefields of
Baghdad or of Iraq and Afghanistan when the war began.
What are some side effects of morphine? - ANSWER Respiratory depression is the most
frightening side effect because it can lead to death, but certainly nausea and vomiting are big
issues on an aircraft, along with issues such as itching, all fairly commonly seen with morphine
What are some advancements in pain management - ANSWER We now have regional
anesthesia and continuous peripheral nerve blocks on the flights for soldiers; we have gotten
patient-controlled analgesia with morphine so the patient can control dosing; and we can
provide epidurals on flights right now.
What are some other examples of innovations in the military setting? - ANSWER The Special
Forces basically give their soldiers a pill pack to carry with them. The pack included a
fluoroquinolone, an antibiotic, a COX-2 inhibitor, and acetaminophen. The instructions stated
that, "If you are wounded and you can read this, open this pack and take these pills." Now it
seems too simple and too silly to be of any impact, but think about it -- we are talking at the
point of injury and already, you are building a foundation, not just from a pain perspective, but
getting an antibiotic on board early as well.
What is the #1 killer across all ages? - ANSWER Trauma
, What is the #1 complaint of soldiers, regardless of war? - ANSWER Pain
The U.S. Military medical system has achieved a less than _____% died of wounds rate.
a. 1%
b. 10%
c. 40%
d. 50% - ANSWER b. 10%
The best treatment for pain management has been found to be increasingly higher levels of
morphine.
a. True
b. False - ANSWER b. false
• Treatment of pain management has resulted in the finding that:
a. Fentanyl lollipops are best
b. Monotherapy is best
c. Multimodal therapy is best
d. Morphine is best - ANSWER c. Multimodal therapy is best
The use of continuous peripheral nerve blocks have a higher therapeutic index, which means
the difference between drug's effectiveness and its ability to have bad side effects is less than a
drug with a narrow therapeutic or low therapeutic index.
The therapeutic index of opioids is narrow.
a. True
b. False - ANSWER a. true
answers 2025
What is the definition of pain management? - ANSWER Alleviation of pain or reduction in pain
to a level of comfort that is acceptable to the person.
What are the 3 types of pain? - ANSWER Acute, chronic, & cancer pain
You are the nurse explaining the onset of action for pain control to a patient. You would explain
to the patient that the patient should feel the effects of the Fentanyl patch pain control at -
ANSWER 12 to 24 hours
Fentanyl patches should ONLY be used by people with long-term chronic pain who have been
taking high doses of prescription pain medicine (opioids) for 7 or more days without relief.
Otherwise, the medicine can cause you to breathe too slowly or stop breathing. - ANSWER
Fentanyl patches should ONLY be used by people with long-term chronic pain who have been
taking high doses of prescription pain medicine (opioids) for 7 or more days without relief.
Otherwise, the medicine can cause you to breathe too slowly or stop breathing.
What is the best way to dispose of fentanyl patches? - ANSWER Flush them down the toilet.
What side effects are common with fentanyl patches? - ANSWER Shallow or slow breathing,
confusion, dizziness, drowsiness, poor coordination, headache, blurred vision, sweating, nausea,
vomiting, constipation
What fentanyl side effects should be reported immediately? - ANSWER Shallow or very slow
breathing, significant dizziness, chest pain, slow or rapid heartbeat, bad headache, confusion,
swelling of extremities or unusual weight gain, temperature of 102° (F) or higher, vision changes
,What is one of the medical successes that has come out of the Iraq War? - ANSWER The US
military medical system has achieved a "less than 10% died of wounds rate."
What is one of the major factors contributing to that rate now? - ANSWER Air evacuation, along
with body armor and improved medical techniques on the battlefield.
What drug is commonly used for pain management in battlefield settings? - ANSWER Morphine
was a brand new drug during the Civil War and a very potent analgesic for the management of
combat pain. Unfortunately, we really have not progressed much beyond that first drug;
morphine was the answer in the Civil War and it was still the answer on the battlefields of
Baghdad or of Iraq and Afghanistan when the war began.
What are some side effects of morphine? - ANSWER Respiratory depression is the most
frightening side effect because it can lead to death, but certainly nausea and vomiting are big
issues on an aircraft, along with issues such as itching, all fairly commonly seen with morphine
What are some advancements in pain management - ANSWER We now have regional
anesthesia and continuous peripheral nerve blocks on the flights for soldiers; we have gotten
patient-controlled analgesia with morphine so the patient can control dosing; and we can
provide epidurals on flights right now.
What are some other examples of innovations in the military setting? - ANSWER The Special
Forces basically give their soldiers a pill pack to carry with them. The pack included a
fluoroquinolone, an antibiotic, a COX-2 inhibitor, and acetaminophen. The instructions stated
that, "If you are wounded and you can read this, open this pack and take these pills." Now it
seems too simple and too silly to be of any impact, but think about it -- we are talking at the
point of injury and already, you are building a foundation, not just from a pain perspective, but
getting an antibiotic on board early as well.
What is the #1 killer across all ages? - ANSWER Trauma
, What is the #1 complaint of soldiers, regardless of war? - ANSWER Pain
The U.S. Military medical system has achieved a less than _____% died of wounds rate.
a. 1%
b. 10%
c. 40%
d. 50% - ANSWER b. 10%
The best treatment for pain management has been found to be increasingly higher levels of
morphine.
a. True
b. False - ANSWER b. false
• Treatment of pain management has resulted in the finding that:
a. Fentanyl lollipops are best
b. Monotherapy is best
c. Multimodal therapy is best
d. Morphine is best - ANSWER c. Multimodal therapy is best
The use of continuous peripheral nerve blocks have a higher therapeutic index, which means
the difference between drug's effectiveness and its ability to have bad side effects is less than a
drug with a narrow therapeutic or low therapeutic index.
The therapeutic index of opioids is narrow.
a. True
b. False - ANSWER a. true
