ATI Med-Surg Proctored Exam Question Bank
g g g g g
Pain
TestgBank
MULTIPLEgCHOIC
E
1. Whichgquestiongaskedgbygthegnursegwillggivegthegmostginformationgaboutgthegpatien
t’sgmetastaticbonegcancergpain?
a. “Howglongghavegyoughadg thisgpain?”
b. “Howgwouldgyougdescribegyourgpain?”
c. “Howg muchgmedicationg dogyoug take
forthegpain?”
d. “Howgmanygtimesgagdaygdogyougta
kemedicationgforgthegpain?”
ANS:g B
2. Agpatientgwhogusesgagfentanylg(Duragesic)gpatchgforgchronicgcancergpaingsuddenlygcomplai
nsgofgrapidgonsetgpaingatgaglevelg9g(0gtog10gscale)gandgrequestsg“somethinggforgpaingthatgwill
gworkgnow.”Howgwillgthegnursegdocumentgthegtypegofgpaingreportedgbygthisgpatient?
a. Somaticg pain
b. Referredgpain
c. Neuropathicgpain
d. Breakthroughgpain
ANS:gD
3. Thegnursegteachesgagstudentgnursegaboutgthegactiongofgibuprofen.gWhichgstatement,gifgma
degbygthestudent,gindicatesgthatgteachinggwasgeffective?
a. “Thegdruggdecreasesgpaingimpulsesgingth
espinalgcord.”
b. “Thegdruggdecreasesgsensitivitygofg
thebraingtogpainfulgstimuli.”
c. “Thegdruggdecreasesgproductiongo
fgpain-sensitizinggchemicals.”
d. “Thegdruggdecreasesgthegmodulatinggeffe
ctofgdescendinggnerves.”
ANS:gC
4. Agnursegassessesgagpatientgwithgchronicgcancergpaingwhogisgreceivinggimipramineg(Tofran
il)gingadditiongtoglong-
actinggmorphine.gWhichgstatement,gifgmadegbygthegpatient,gindicatesgtogthegnursethatgth
egpatientgisgreceivinggadequategpaingcontrol?
a. “I’mg notganxiousg atgall.”
b. “Igsleepg8ghoursgeverygnight.”
, c. “IgfeelgmuchglessgdepressedgsincegI’ve
beengtakinggthegTofranil.”
d. “ThegpaingisgmanageablegandgIgcanacco
mplishgmygdesired
activities.
ANS:gD
5. Agpatientgwithgchronicgbackgpainghasglearnedgtogcontrolgthegpaingwithgthegusegofgimageryga
ndghypnosis.gThegpatient’sgspousegasksgthegnurseghowgthesegtechniquesgwork.gWhichgresp
onsegbygthenursegisgbest?
a. “Thegstrategiesgworkgbygaffecting
theperceptiongofgpain.”
b. “Thesegtechniquesgblockgthegpainpathwa
ysgofgthegnerves.”
c. “Bothgstrategiesgpreventgtransmissiongofp
ainfulgstimuligtogthegbrain.”
d. “Thegtherapiesgslowgthegreleasegof
chemicalsgingthegspinalgcordgtha
tgcausepain.”
ANS:g A
6. Agpatientgwhogisgreceivinggsustained-
releasegmorphinegsulfateg(MSgContin)geveryg12ghoursgforgchronicgpaingexperiencesglevelg
9g(0gtog10gscale)gbreakthroughgpaingandganxiety.gWhichgactiongbythegnursegisgbest?
a. Providegamitriptylineg(Elavil)g10g
mgorally.
b. Administerglorazepamg(Ativan)g1
mgorally.
c. Offergibuprofeng(Motrin)g400gtog800gmgo
rally.
d. Givegimmediate-
releasegmorphineg30gmgorally.
ANS:gD
7. Agpatientgwithgchronicgneckgpaingisgseengingthegpaingclinicgforgfollow-
up.gIngordergtogevaluatewhethergthegpaingmanagementgisgeffective,gwhichgquestiongisg
bestgforgthegnursegtogask?
a. “Cangyougdescribegthegqualitygofgyourpai
n?”
b. “Hasgtheregbeengagchangegingthe
painlocation?”
c. “Howgwouldgyougrategyourgpaingongag0gt
o10gscale?”
d. “Doesgthegpaingkeepgyougfromgdoi
ngthingsgyougenjoy?”
,ANS:gD
, 8. Agpatientgwithgsecond-
degreegburnsghasgbeengreceivingghydromorphonegthroughgpatient-
gcontrolledganalgesiag(PCA)gforgagweek.gThegpatientgwakesgupgfrequentlygduringgt
hegnightcomplaininggofgpain.gWhatgactiongbygthegnursegisgmostgappropriate?
a. Administergagdosegofgmorphinegeveryg1
gtog 2g g hoursg g fromg g theg g PCAg machi
ne
whilegthegpatientgisgsleeping.
b. Consultgwithgtheghealthgcaregprovidergab
outgusinggagdifferentgtreatmentgprotocol
togcontrolgthegpatient’sgpain.
c. Requestgthatgtheghealthgcaregprovidergor
deragbolusgdosegofgmorphinegtogbeggiven
whengthegpatientgawakensgwithgpain.
d. Teachgthegpatientgtogpushgthegbuttongev
ery10gminutesgforganghourgbeforeggoing
gtogsleep,gevengifgthegpaingis
minimal.
ANS:g B
9. Thegnursegassessesgthatgagpatientgreceivinggepiduralgmorphineghasgnotgvoidedgforgoverg
10ghours.Whatgactiongshouldgthegnursegtakeginitially?
a. Monitorgforgwithdrawalgsymptoms.
b. Placegangindwellinggurinarygcatheter.
c. Askgifgthegpatientgfeelsgthegneedgtogvoid.
d. Documentgthisgallergicgreactiongin
thepatient’sgchart.
ANS:gC
10. Whengvisitinggaghospicegpatient,gthegnursegassessesgthatgthegpatientghasgagrespiratorygra
tegofg11breaths/minutegandgcomplainsgofgseveregpain.gWhichgactiongisgbestgforgthegnur
segtogtake?
a. Informgthegpatientgthatgincreasinggthegm
orphinegwillgcausegthegrespiratory
drivetogfail.
b. Tellgthegpatientgthatgadditionalgmorphi
negcangbegadministeredgwhen
thegrespirationsareg12.
c. Titrategthegprescribedgmorphinegd
oseupwardguntilgthegpatientgindic
atesgadequategpaingrelief.
d. Administergagnonopioidganalgesic,gsuc
hgasagnonsteroidalgantiinflammatorygdr
ugg(NSAID),gtogimprovegpatientgpaingc
ontrol.
ANS:gC
g g g g g
Pain
TestgBank
MULTIPLEgCHOIC
E
1. Whichgquestiongaskedgbygthegnursegwillggivegthegmostginformationgaboutgthegpatien
t’sgmetastaticbonegcancergpain?
a. “Howglongghavegyoughadg thisgpain?”
b. “Howgwouldgyougdescribegyourgpain?”
c. “Howg muchgmedicationg dogyoug take
forthegpain?”
d. “Howgmanygtimesgagdaygdogyougta
kemedicationgforgthegpain?”
ANS:g B
2. Agpatientgwhogusesgagfentanylg(Duragesic)gpatchgforgchronicgcancergpaingsuddenlygcomplai
nsgofgrapidgonsetgpaingatgaglevelg9g(0gtog10gscale)gandgrequestsg“somethinggforgpaingthatgwill
gworkgnow.”Howgwillgthegnursegdocumentgthegtypegofgpaingreportedgbygthisgpatient?
a. Somaticg pain
b. Referredgpain
c. Neuropathicgpain
d. Breakthroughgpain
ANS:gD
3. Thegnursegteachesgagstudentgnursegaboutgthegactiongofgibuprofen.gWhichgstatement,gifgma
degbygthestudent,gindicatesgthatgteachinggwasgeffective?
a. “Thegdruggdecreasesgpaingimpulsesgingth
espinalgcord.”
b. “Thegdruggdecreasesgsensitivitygofg
thebraingtogpainfulgstimuli.”
c. “Thegdruggdecreasesgproductiongo
fgpain-sensitizinggchemicals.”
d. “Thegdruggdecreasesgthegmodulatinggeffe
ctofgdescendinggnerves.”
ANS:gC
4. Agnursegassessesgagpatientgwithgchronicgcancergpaingwhogisgreceivinggimipramineg(Tofran
il)gingadditiongtoglong-
actinggmorphine.gWhichgstatement,gifgmadegbygthegpatient,gindicatesgtogthegnursethatgth
egpatientgisgreceivinggadequategpaingcontrol?
a. “I’mg notganxiousg atgall.”
b. “Igsleepg8ghoursgeverygnight.”
, c. “IgfeelgmuchglessgdepressedgsincegI’ve
beengtakinggthegTofranil.”
d. “ThegpaingisgmanageablegandgIgcanacco
mplishgmygdesired
activities.
ANS:gD
5. Agpatientgwithgchronicgbackgpainghasglearnedgtogcontrolgthegpaingwithgthegusegofgimageryga
ndghypnosis.gThegpatient’sgspousegasksgthegnurseghowgthesegtechniquesgwork.gWhichgresp
onsegbygthenursegisgbest?
a. “Thegstrategiesgworkgbygaffecting
theperceptiongofgpain.”
b. “Thesegtechniquesgblockgthegpainpathwa
ysgofgthegnerves.”
c. “Bothgstrategiesgpreventgtransmissiongofp
ainfulgstimuligtogthegbrain.”
d. “Thegtherapiesgslowgthegreleasegof
chemicalsgingthegspinalgcordgtha
tgcausepain.”
ANS:g A
6. Agpatientgwhogisgreceivinggsustained-
releasegmorphinegsulfateg(MSgContin)geveryg12ghoursgforgchronicgpaingexperiencesglevelg
9g(0gtog10gscale)gbreakthroughgpaingandganxiety.gWhichgactiongbythegnursegisgbest?
a. Providegamitriptylineg(Elavil)g10g
mgorally.
b. Administerglorazepamg(Ativan)g1
mgorally.
c. Offergibuprofeng(Motrin)g400gtog800gmgo
rally.
d. Givegimmediate-
releasegmorphineg30gmgorally.
ANS:gD
7. Agpatientgwithgchronicgneckgpaingisgseengingthegpaingclinicgforgfollow-
up.gIngordergtogevaluatewhethergthegpaingmanagementgisgeffective,gwhichgquestiongisg
bestgforgthegnursegtogask?
a. “Cangyougdescribegthegqualitygofgyourpai
n?”
b. “Hasgtheregbeengagchangegingthe
painlocation?”
c. “Howgwouldgyougrategyourgpaingongag0gt
o10gscale?”
d. “Doesgthegpaingkeepgyougfromgdoi
ngthingsgyougenjoy?”
,ANS:gD
, 8. Agpatientgwithgsecond-
degreegburnsghasgbeengreceivingghydromorphonegthroughgpatient-
gcontrolledganalgesiag(PCA)gforgagweek.gThegpatientgwakesgupgfrequentlygduringgt
hegnightcomplaininggofgpain.gWhatgactiongbygthegnursegisgmostgappropriate?
a. Administergagdosegofgmorphinegeveryg1
gtog 2g g hoursg g fromg g theg g PCAg machi
ne
whilegthegpatientgisgsleeping.
b. Consultgwithgtheghealthgcaregprovidergab
outgusinggagdifferentgtreatmentgprotocol
togcontrolgthegpatient’sgpain.
c. Requestgthatgtheghealthgcaregprovidergor
deragbolusgdosegofgmorphinegtogbeggiven
whengthegpatientgawakensgwithgpain.
d. Teachgthegpatientgtogpushgthegbuttongev
ery10gminutesgforganghourgbeforeggoing
gtogsleep,gevengifgthegpaingis
minimal.
ANS:g B
9. Thegnursegassessesgthatgagpatientgreceivinggepiduralgmorphineghasgnotgvoidedgforgoverg
10ghours.Whatgactiongshouldgthegnursegtakeginitially?
a. Monitorgforgwithdrawalgsymptoms.
b. Placegangindwellinggurinarygcatheter.
c. Askgifgthegpatientgfeelsgthegneedgtogvoid.
d. Documentgthisgallergicgreactiongin
thepatient’sgchart.
ANS:gC
10. Whengvisitinggaghospicegpatient,gthegnursegassessesgthatgthegpatientghasgagrespiratorygra
tegofg11breaths/minutegandgcomplainsgofgseveregpain.gWhichgactiongisgbestgforgthegnur
segtogtake?
a. Informgthegpatientgthatgincreasinggthegm
orphinegwillgcausegthegrespiratory
drivetogfail.
b. Tellgthegpatientgthatgadditionalgmorphi
negcangbegadministeredgwhen
thegrespirationsareg12.
c. Titrategthegprescribedgmorphinegd
oseupwardguntilgthegpatientgindic
atesgadequategpaingrelief.
d. Administergagnonopioidganalgesic,gsuc
hgasagnonsteroidalgantiinflammatorygdr
ugg(NSAID),gtogimprovegpatientgpaingc
ontrol.
ANS:gC
