Pain Management Practice Quiz 3

February 18, 2021

Pain Management Practice Quiz 3

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:

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

Pain Management

Pain Management Practice Quiz 3

1 / 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

C, A, B

B, C, A

A, B, C

B, A, C

2 / 10

For a client who is taking aspirin, which laboratory value should be reported to the physician?

BUN 20 mg/dL

Potassium 3.6 mEq/L

PT 14 seconds

Hematocrit 41%

3 / 10

In applying the principles of pain treatment, what is the first consideration?

The client must be believed about perceptions of own pain.

Drug side effects must be prevented and managed.

A multidisciplinary approach is needed.

Treatment is based on client goals.

4 / 10

A family member asks you, “Why can’t you give more medicine? He is still having a lot of pain.” What is your best response?

“Please tell him that I will be right there to check of him.”

“The doctor ordered the medicine to be given every 4 hours.”

“If the medication is given too frequently he could suffer ill effects.”

“Let’s wait about 30-40 minutes. If there is no relief I’ll call the doctor.”

5 / 10

What is the best way to schedule medication for a client with constant pain?

PRN at the client’s request

Prior to painful procedures

IV bolus after pain assessment

Around-the-clock

6 / 10

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

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

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

Obtain baseline behavioral indicators from family members.

Closely assess for nonverbal signs such as grimacing or rocking.

7 / 10

A client with diabetic neuropathy reports a burning, electrical-type in the lower extremities that is not responding to NSAIDs. You anticipate that the physician will order which adjuvant medication for this type of pain?

Methylphenidate (Ritalin)

Amitriptyline (Elavil)

Lorazepam (Ativan)

Corticosteroids

8 / 10

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

Coach the client to deep breathe during painful procedures

Monitor the client for signs of discomfort while ambulating

Evaluate relief after applying a cold application.

Assist the client with preparation of a sitz bath.

9 / 10

Which client(s) would be appropriate to assign to a newly graduated RN, who has recently completed orientation? Choose all that apply.

A client who is being discharged with a surgically implanted catheter

An anxious, chronic pain client who frequently uses the call button

A client with HIV who reports headache and abdominal and pleuritic chest pain

A client second day post-op who needs pain medication prior to dressing changes

10 / 10

Which client(s) are appropriate to assign to the LPN/LVN, who will function under the supervision of the RN or team leader? (Choose all that apply.)

A client who needs pre-op teaching for use of a PCA pump

A client post-op toe amputation with diabetic neuropathic pain

A client with terminal cancer and severe pain who is refusing medication

A client with a leg cast who needs neurologic checks and PRN hydrocodone

Your score is

The average score is 70%

Q.1 A client with diabetic neuropathy reports a burning, electrical-type in the lower extremities that is not responding to NSAIDs. You anticipate that the physician will order which adjuvant medication for this type of pain?

A. Amitriptyline (Elavil)

B. Corticosteroids

C. Methylphenidate (Ritalin)

D. Lorazepam (Ativan)

View Answer

Q.2 In applying the principles of pain treatment, what is the first consideration?

A. Treatment is based on client goals.

B. A multidisciplinary approach is needed.

C. The client must be believed about perceptions of own pain.

D. Drug side effects must be prevented and managed.

View Answer

Q.3 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.4 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.5 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.6 What is the best way to schedule medication for a client with constant pain?

A. PRN at the client’s request

B. Prior to painful procedures

C. IV bolus after pain assessment

D. Around-the-clock

View Answer

Q.7 Which client(s) are appropriate to assign to the LPN/LVN, who will function under the supervision of the RN or team leader? (Choose all that apply.)

A. A client who needs pre-op teaching for use of a PCA pump

B. A client with a leg cast who needs neurologic checks and PRN hydrocodone

C. A client post-op toe amputation with diabetic neuropathic pain

D. A client with terminal cancer and severe pain who is refusing medication

View Answer

Q.8 For a client who is taking aspirin, which laboratory value should be reported to the physician?

A. Potassium 3.6 mEq/L

B. Hematocrit 41%

C. PT 14 seconds

D. BUN 20 mg/dL

View Answer

Q.9 Which client(s) would be appropriate to assign to a newly graduated RN, who has recently completed orientation? Choose all that apply.

A. An anxious, chronic pain client who frequently uses the call button

B. A client second day post-op who needs pain medication prior to dressing changes

C. A client with HIV who reports headache and abdominal and pleuritic chest pain

D. A client who is being discharged with a surgically implanted catheter

View Answer

Q.10 A family member asks you, “Why can’t you give more medicine? He is still having a lot of pain.” What is your best response?

A. “The doctor ordered the medicine to be given every 4 hours.”

B. “If the medication is given too frequently he could suffer ill effects.”

C. “Please tell him that I will be right there to check of him.”

D. “Let’s wait about 30-40 minutes. If there is no relief I’ll call the doctor.”

View Answer

Pain Management Practice Quiz 1

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Topics

Guidelines

Q.1 A client with diabetic neuropathy reports a burning, electrical-type in the lower extremities that is not responding to NSAIDs. You anticipate that the physician will order which adjuvant medication for this type of pain?

Q.2 In applying the principles of pain treatment, what is the first consideration?

Q.3 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

Q.4 In caring for clients with pain and discomfort, which task is most appropriate to delegate to the nursing assistant?

Q.5 For a cognitively impaired client who cannot accurately report pain, what is the first action that you should take?

Q.6 What is the best way to schedule medication for a client with constant pain?

Q.7 Which client(s) are appropriate to assign to the LPN/LVN, who will function under the supervision of the RN or team leader? (Choose all that apply.)

Q.8 For a client who is taking aspirin, which laboratory value should be reported to the physician?

Q.9 Which client(s) would be appropriate to assign to a newly graduated RN, who has recently completed orientation? Choose all that apply.

Q.10 A family member asks you, “Why can’t you give more medicine? He is still having a lot of pain.” What is your best response?

Question Details: