Pain Management Practice Quiz 2
Pain Management |
January 29, 2022

Pain Management Practice Quiz 2

Is your knowledge about the foundation of nursing well and sound? This quiz will question your ability to handle different nursing procedures, and other concepts covered by Fundamentals of Nursing.

Topics

Topics or concepts included in this exam are:

  • Pain Assessment
  • Pain Management
  • Pharmacologic Management for Pain

Guidelines

To make the most out of this exam, follow the guidelines below:

  1. Read each question carefully and choose the best answer.
  2. You are given one minute per question. Spend your time wisely!
  3. Answers and rationales (if any) are given below. Be sure to read them.
  4. If you need more clarifications, please direct them to the comments section.
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Pain Management

Pain Management Practice Quiz 2

Pain Management Practice Quiz 2

1 / 10

Which route of administration is preferable for administration of daily analgesics (if all body systems are functional)?

2 / 10

For a cognitively impaired client who cannot accurately report pain, what is the first action that you should take?

3 / 10

The physician has ordered a placebo for a chronic pain client. You are newly hired nurse and you feel very uncomfortable administering the medication. What is the first action that you should take?

4 / 10

In caring for clients with pain and discomfort, which task is most appropriate to delegate to the nursing assistant?

5 / 10

Place the examples of drugs in the order of usage according to the World Health Organization (WHO) analgesic ladder. a. Morphine, hydromorphone, acetaminophen and lorazepam b. NSAIDs and corticosteroids c. Codeine, oxycodone and diphenhydramine

6 / 10

Which client is at greater risk for respiratory depression while receiving opioids for analgesia?

7 / 10

A first day postoperative client on a PCA pump reports that the pain control is inadequate. What is the first action you should take?

8 / 10

Which non-pharmacological measure is particularly useful for a client with acute pancreatitis

9 / 10

A client is being tapered off opioids and the nurse is watchful for signs of withdrawal. What is one of the first signs of withdrawal?

10 / 10

A client appears upset and tearful, but denies pain and refuses pain medication, because “my sibling is a drug addict and has ruined out lives.” What is the priority intervention for this client?

Your score is

The average score is 54%

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Q.1 Place the examples of drugs in the order of usage according to the World Health Organization (WHO) analgesic ladder. a. Morphine, hydromorphone, acetaminophen and lorazepam b. NSAIDs and corticosteroids c. Codeine, oxycodone and diphenhydramine

A. B, A, C

B. C, A, B

C. B, C, A

D. A, B, C

View Answer

Q.2 Which client is at greater risk for respiratory depression while receiving opioids for analgesia?

A. An elderly chronic pain client with a hip fracture

B. A client with a heroin addiction and back pain

C. A young female client with advanced multiple myeloma

D. A child with an arm fracture and cystic fibrosis

View Answer

Q.3 A client appears upset and tearful, but denies pain and refuses pain medication, because “my sibling is a drug addict and has ruined out lives.” What is the priority intervention for this client?

A. Encourage expression of fears on past experiences

B. Provide accurate information about use of pain medication

C. Explain that addiction is unlikely among acute care clients

D. Seek family assistance in resolving this problem

View Answer

Q.4 A client is being tapered off opioids and the nurse is watchful for signs of withdrawal. What is one of the first signs of withdrawal?

A. Fever

B. Nausea

C. Diaphoresis

D. Abdominal cramps

View Answer

Q.5 In caring for clients with pain and discomfort, which task is most appropriate to delegate to the nursing assistant?

A. Assist the client with preparation of a sitz bath.

B. Monitor the client for signs of discomfort while ambulating

C. Coach the client to deep breathe during painful procedures

D. Evaluate relief after applying a cold application.

View Answer

Q.6 The physician has ordered a placebo for a chronic pain client. You are newly hired nurse and you feel very uncomfortable administering the medication. What is the first action that you should take?

A. Prepare the medication and hand it to the physician

B. Check the hospital policy regarding use of the placebo.

C. Follow a personal code of ethics and refuse to give it.

D. Contact the charge nurse for advice.

View Answer

Q.7 For a cognitively impaired client who cannot accurately report pain, what is the first action that you should take?

A. Closely assess for nonverbal signs such as grimacing or rocking.

B. Obtain baseline behavioral indicators from family members.

C. Look at the MAR and chart, to note the time of the last dose and response.

D. Give the maximum PRS dose within the minimum time frame for relief.

View Answer

Q.8 Which route of administration is preferable for administration of daily analgesics (if all body systems are functional)?

A. IV

B. IM or subcutaneous

C. Oral

D. Transdermal

View Answer

Q.9 A first day postoperative client on a PCA pump reports that the pain control is inadequate. What is the first action you should take?

A. Deliver the bolus dose per standing order.

B. Contact the physician to increase the dose.

C. Try non-pharmacological comfort measures.

D. Assess the pain for location, quality, and intensity.

View Answer

Q.10 Which non-pharmacological measure is particularly useful for a client with acute pancreatitis

A. Diversional therapy, such as playing cards or board games

B. Massage of back and neck with warmed lotion

C. Side-lying position with knees to chest and pillow against abdomen

D. Transcutaneous electrical nerve stimulation (TENS)

View Answer
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