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Pain Management – 90+ Exam Questions with Answers | NUR 623 | Nursing | Chronic & Acute Pain, Opioids, Pediatric Scales

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This document provides over 90 comprehensive exam questions and evidence-based answers for the course NUR 623 – Pain, aligned with the 2025/2026 academic year. It is an in-depth guide for nursing students seeking to master the complex physiological, psychological, and pharmacological aspects of pain assessment and management across diverse populations. Key topics include acute vs. chronic pain, pain physiology, central sensitization, nociceptive and neuropathic pain, and special population considerations such as pediatric, geriatric, sedated, and cognitively impaired patients. It also covers opioid pharmacology, opioid use disorder, and multimodal pain therapy, including non-pharmacologic strategies like CBT, physiotherapy, and Indigenous healing practices. Assessment tools like VAS, NRS, FLACC, PACSLAC, CPOT, and others are explained, alongside clinical approaches for pain in newborns, children, and critically ill patients. The document also addresses opioid monitoring protocols, safe administration routes, and patient education regarding pain and medication use. This material is highly relevant for: Bachelor of Science in Nursing (BSN) students Master of Science in Nursing (MSN) candidates Nurse Practitioner (NP) programs Students in advanced pathophysiology, pharmacology, pain management, or palliative care Allied health programs covering pain treatment standards A vital resource for clinical prep, NCLEX study, case-based learning, and pain-focused coursework. Keywords: pain assessment, chronic pain, acute pain, pediatric pain scales, opioid monitoring, multimodal therapy, neuropathic pain, nociceptive pain, pain management strategies, CPOT, PACSLAC, breakthrough pain, analgesics, nursing exam questions, NUR 623, pain pharmacology, pain interventions

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NUR 623 Pain 2025/2026 Exam
Questions and Answers 100%
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Prevalence and burden of pain - 🧠 ANSWER ✔✔1/5 Canadians live with

pain (7 million Canadians -> 9 million by 2030)

10% of total healthcare expenditure is for pain = financial strain on the

health care system


Pain distribution accros populations - 🧠 ANSWER ✔✔Chronic pain

disproportionately affects:

Seniors, people living in poverty, people living with mental health and

substance use disorders, people working in the trades and transportation

industry, Veterans, Indigenous Peoples, certain ethnic and racialized

communities, sexually and gender diverse persons, those who have

experienced past trauma or violence, persons with disabilities, and women.

,True or False:

Untreated pain results in poor outcomes for individuals, families and

communities

Untreated chronic pain is connected to the opioid overdose crisis

Pain and its impacts are exacerbated by the COVID-19 pandemic


Pain is not 'equally distributed' across the population - 🧠 ANSWER ✔✔All

True


Canada's Opioid Crisis - 🧠 ANSWER ✔✔Over-prescription, ignorance to

alternative options, widespread market availability, illicit synthetic options

(fentanyl), socio-economic injustice & despair (racial, poverty, trauma).

Chronic pain associated w/↓quality of life, ↑suicide & interference w/ADLs.

Unrelieved pain is dangerous & can lead to many physical/psychological

complications.


The burden of pain - 🧠 ANSWER ✔✔▷ Chronic pain is associated with the

worst quality of life (compared to chronic heart and lung disease)

▷ People living with pain have double the risk of suicide

,▷ People living with pain report a lower SQL and higher interference with

activities

▷ Untreated chronic pain is linked to the opioid overdose crisis

▷ Pain and its impacts are exacerbated by the COVID-19 Pandemic


Pain vs. suffering - 🧠 ANSWER ✔✔▷ Pain: damage to biological integrity =

Physiological concept

▷ Suffering: damage to inner self/imbalance = Emotional, spiritual, mental

concept


Pain definition - 🧠 ANSWER ✔✔Unpleasant physical sensory and

emotional experience associated with actual or potential tissue damage as

well as an unpleasant emotional experience


Analgesia definition - 🧠 ANSWER ✔✔Inability to feel pain, absence of pain,

relief of pain w/out loss of consciousness.


Anesthesia deifnition - 🧠 ANSWER ✔✔Temporary induced loss of

sensation/awareness.


Pain threshold - 🧠 ANSWER ✔✔Minimum level of noxious stimulation

necessary for a person to label a sensation as pain


COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
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, Pain tolerance - 🧠 ANSWER ✔✔The maximum amount of painful stimuli

that a person is willing or able to endure without seeking avoidance/relief


Pain transduction - 🧠 ANSWER ✔✔Conversion of a noxious stimulus

(thermal = heat, mechanical = pressure, chemical = toxic substance) into

an action potential


Pain transmission - 🧠 ANSWER ✔✔Movement of the pain impulse from the

periphery to the CNS (3 step process):




1. Transmission to the spinal cord (nociceptors = afferent nerves)

2. Dorsal horn processing

3. Transmission to thalamus and cortex


Pain perception - 🧠 ANSWER ✔✔Recognition, definition and response to

pain


Pain Modulation - 🧠 ANSWER ✔✔-Increase or decrease in pain signal

intensity

-Occurs before, during, and after pain is perceived

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