NUR 120 PAIN EXAM QUESTIONS WITH
CORRECT VERIFIED SOLUTIONS 100%
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A client who suffers from arthritis complains of sharp pain in her knees and
elbows. The nurse recognizes this is what type of pain?
Visceral
Somatic
Cutaneous
Referred - ANS ✓Somatic
Pain nociception has various locations. Visceral pain originates from abdominal
organs; patients often describe this pain as crampy or gnawing. Somatic pain
originates from skin, muscles, bones, and joints; patients usually describe
somatic pain as sharp (D'Arcy, 2014). Cutaneous pain derives from the dermis,
epidermis, and subcutaneous tissues. It is often burning or sharp, such as with a
partial-thickness burn. Referred pain originates from a specific c site, but the
person experiencing it feels the pain at another site along the innervating spinal
nerve (Fig. 6.3).
The nurse should assess for which pain complaints from a client diagnosed with
Type II Diabetes Mellitus?
Sharp, stabbing
Aching, gnawing
Burning, tingling
Pain only on movement - ANS ✓Burning, tingling
The nurse should assess for neuropathic pain associated with diabetic neuropath.
Neuropathic pain: Pain that results from damage to nerves in the peripheral or
central nervous system (Staats, et al., 2004). Examples of neuropathic pain
include diabetic peripheral neuropathy, post herpetic neuralgia, and
postmastectomy pain. You should also be alert for the common terms that
patients use to report neuropathic pain, such as burning, painful tingling, pins
and needles, and painful numbness.
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The U.S. government has created guidelines for health care providers caring for
clients in pain. Which of the following reflect these guidelines?
Joint Commission Standards for Pain Management.
National Institutes of Health Standards for Pain Treatment.
American Cancer Society Guidelines for Pain Management.
American Pain Society Guidelines for Pain Management. - ANS ✓Joint
Commission Standards for Pain Management.
Joint Commission Standards for Pain Management were revised and published in
2000-2001. The standards require health care providers and organizations to
improve pain assessment and management for all patients.
When providing information to a client concerning the client's osteoarthritic,
nociceptive pain, the nurse should include which statements about this type of
pain? Select all that apply.
The trigger is a direct injury to either the peripheral or central nervous systems.
Neurotransmitters like endorphins and histamines regulate this pain.
The pain is associated with the inflammatory process.
This form of pain can be either chronic or acute in nature.
It is a form of idiopathic pain. - ANS ✓Neurotransmitters like endorphins and
histamines regulate this pain.
The pain is associated with the inflammatory process.
This form of pain can be either chronic or acute in nature.
Pain related to tissue damage is termed nociceptive somatic. Nociceptive pain
can be either acute and remitting or chronic and persistent. This form of pain is
mediated by the afferent A-delta and C-fibers of the sensory system that respond
to noxious stimuli and is modulated by both neurotransmitters and psychological
processes. Modulating neurotransmitters include endorphins, histamines,
acetylcholine, and monoamines like serotonin, norepinephrine, and dopamine.
These afferent nociceptors can be sensitized by inflammatory mediators. Pain
resulting from direct injury to the peripheral or central nervous system is termed
neuropathic. Idiopathic pain is not a form of nociceptive pain but rather a specific
form of pain that has an unidentifiable cause.
A client describes pain in the soles of both feet as constantly burning. Which type
of pain should the nurse suspect this client is experiencing?
somatic
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referred
visceral
neuropathic - ANS ✓neuropathic
Pain resulting from direct injury to the peripheral or central nervous system is
termed neuropathic. Over time, neuropathic pain may become independent of
the inciting injury and be described as burning. Somatic pain originates from
skin, muscles, bones, and joints and is usually described as sharp. Referred pain
is pain felt in a body area, away from the pain source. Visceral pain originates
from abdominal organs and is usually described as cramping or gnawing.
The Joint Commission mandates that nurses assess and reassess a client's pain
level. A nurse's healthcare facility mandates pain reassessment at 30 minutes for
any drug given intravenously. This mandate is based on what?
The research supporting intravenous medications given for pain take half as long
to work as oral medications
The time it takes a pain medication to block pain in a client
The time it takes a pain medication to decrease pain intensity
The median half-life of an intravenous pain medication - ANS ✓The time it takes
a pain medication to decrease pain intensity
Most healthcare facilities have a standard time frame for reassessment, such as 1
hour for oral medication and 30 minutes for pain medication given
intravenously. Standards are based on the time it takes a pain medication to
provide a noticeable decrease in pain intensity. The mandate from The Joint
Commission does not look at the half-life of the pain medication, because the
half-life would differ from drug to drug, and no drug is listed in the question. The
pain medication does not block pain, but decreases the pain intensity. Research
does not support that intravenous medication take half as long to work as oral
medication, because this information depends on the individual drug and the
chemical makeup of the drug.
Which of the following best describes neuropathic pain?
Described as sharp, or dull and aching
May be labelled as central pain
Associated with organs in the thorax, abdomen, and pelvis
Labelled as musculoskeletal pain - ANS ✓May be labelled as central pain
Neuropathic pain is described as burning, tingling, numbness, stabbing, shooting,
or electric, and if the problem is in the central nervous system, the pain may be
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