Exam (elaborations)
NURSE MISC Chapter 9: PainTest Bank
- Course
- Institution
NURSE MISC Chapter 9: PainTest Bank
[Show more]
Seller
Follow
FLOYYD
Reviews received
Content preview
Chapter 9:Pain Test Bank
MULTIPLE CHOICE
1. Which question asked by the nurse will give the most
information about the patient’s metastatic bone cancer pain?
a. “How long have you had
this pain?”
b. “How would you describe your
pain?”
c. “How much medication do you
take for the pain?”
d. “How many times a day do you
take medication for the pain?”
ANS: B
Because pain is a multidimensional experience, asking a question that
addresses the patient’s experience with the pain will elicit more infor-
mation than the more specific information asked in the other three re-
sponses. All of these questions are appropriate, but the response be-
ginning “How would you describe your pain?” is the best initial ques-
tion.
DIF: Cognitive Level: Apply (application) REF: 115
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
2. A patient who uses a fentanyl (Duragesic) patch for chronic cancer
pain suddenly complains of rapid onset pain at a level 9 (0 to 10
scale) and requests “something for pain that will work now.” How will
the nurse document the type of pain reported by this patient?
a. Somatic pain
b. Referred pain
c. Neuropathic pain
d. Breakthrough pain
ANS: D
Pain that occurs beyond the chronic pain already being treated by ap-
propriate analgesics is termed breakthrough pain. Neuropathic pain is
caused by damage to peripheral nerves or the central nervous system
(CNS). Somatic pain is localized and arises from bone, joint, muscle,
skin, or connective tissue. Referred pain is pain that is localized in unin-
jured tissue.
, DIF: Cognitive Level: Apply (application) REF: 121
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological In-
tegrity
3. The nurse teaches a student nurse about the action of ibuprofen.
Which statement, if made by the student, indicates that teaching was
effective?
a. “The drug decreases pain
im- pulses in the spinal
cord.”
b. “The drug decreases sensitivity
of the brain to painful stimuli.”
c. “The drug decreases production
of pain-sensitizing chemicals.”
d. “The drug decreases the
modu- lating effect of
descending
nerves.”
ANS: C
Nonsteroidal antiinflammatory drugs (NSAIDs) provide analgesic ef-
fects by decreasing the production of pain-sensitizing chemicals such
as prostaglandins at the site of injury. Transmission of impulses through
the spinal cord, brain sensitivity to pain, and the descending nerve
pathways are not affected by NSAIDs.
DIF: Cognitive Level: Understand (comprehension) REF: 116
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological In-
tegrity
4. A nurse assesses a patient with chronic cancer pain who is receiving
imipramine (Tofranil) in addition to long-acting morphine. Which
state- ment, if made by the patient, indicates to the nurse that the
patient is receiving adequate pain control?
a. “I’m not anxious at all.”
b. “I sleep 8 hours every night.”
c. “I feel much less depressed since
I’ve been taking the Tofranil.”
d. “The pain is manageable and I
can accomplish my desired activ-
ities.
ANS: D
Imipramine is being used in this patient to manage chronic pain and
improve functional ability. Although the medication is also prescribed
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller FLOYYD. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
64438 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now