NMNC 4310 HIC II Final Exam Study Guide Questions & Answers 2024/2025
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Course
NMNC 4310 HIC II
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NMNC 4310 HIC II
NMNC 4310 HIC II Final Exam Study Guide Questions & Answers 2024/2025
A patient who has frequent migraines tell the nurse, "My life feels chaotic and out of my control. I could not manage if anything else happens." Which response should the nurse make initially?
A. "Guided imagery can be help...
NMNC 4310 HIC II Final Exam Study
Guide Questions & Answers 2024/2025
A patient who has frequent migraines tell the nurse, "My life feels chaotic and out of my control. I could
not manage if anything else happens." Which response should the nurse make initially?
A. "Guided imagery can be helpful in regaining control."
B. "Your previous coping resources can be helpful to you now."
C. "Tell me more about how your life has been recently."
D. "Regular exercise may get your mind off the pain." - ANSWERSANS: C
A nurse prepares an adult patient with a severe burn injury for a dressing change. The nurse knows that
this is a painful procedure and wants to try providing music to help the patient relax. Which action is
best for the nurse to take?
A. Play music that does not have words
B. Select music that has 60 to 80 beats/minute
C. Ask the patient about music preferences
D. Use music composed by Mozart - ANSWERSANS: C
Which question asked by the nurse will give the most information about the patient's metastatic bone
cancer pain?
A. "How would you describe your pain?"
B. "How much medication do you take for the pain?"
C. "How long have you had this pain?"
D. "How often do you take pain medication?" - ANSWERSANS: A
A patient who has good control for chronic pain using a fentanyl patch (Duragesic) patch reports rapid
onset pain at a level 9 (0-10 scale) and requests "something for pain that will work quickly." How will the
nurse document the type of pain reported by this patient?
A. Somatic pain
,B. Breakthrough pain
C. Referred pain
D. Neuropathic pain - ANSWERSANS: B
The nurse assesses a patient with chronic cancer pain who is receiving imipramine (Tofranil) in addition
to long-acting morphine (MS Contin). Which statement, if made by the patient indicates to the nurse
that the patient is receiving adequate pain control?
A. "Every night I get 8 hours of sleep."
B. "I feel less depressed since I've been taking the Tofranil."
C. "I can accomplish activities without much discomfort."
D. "I'm not anxious during the day" - ANSWERSANS: C
A patient with chronic back pain has learned to control the pain with the use of imagery and hypnosis.
The patient's spouse asks the nurse how these techniques work. Which response by the nurse is
accurate?
A. "These techniques block the pain pathways of the nerves."
B. "The strategies work by affecting the perception of pain."
C. "The therapies slow the release of chemicals in the spinal cord that cause pain."
D. "These strategies prevent transmission of stimuli from the back to the brain." - ANSWERSANS: B
A patient with chronic neck pain is seen in the pain clinic for follow-up. To evaluate whether the pain
management is effective, which question is best for the nurse to ask?
A. "Has there been a change in pain location?"
B. "Does the pain keep you from activities that you enjoy?"
C. "How would you rate your pain on a 0-10 scale?"
D. "Can you describe the quality of your pain?" - ANSWERSANS: B
The nurse is caring for a patient who had abdominal surgery yesterday and is receiving morphine
through patient-controlled analgesia (PCA). What action by the nurse is a priority?
A. Assessing for nausea
B. Evaluating for sacral redness
,C. Auscultating bowel sounds
D. Checking the respiratory rate - ANSWERSANS: D
A patient who has just started taking sustained-release morphine sulfate (MS Contin) for chronic arthritic
joint pain after a traumatic injury complains of nausea and abdominal fullness. Which action should the
nurse take initially?
A. Consult with the health care provider about using a different opioid
B. Tell the patient that the nausea should subside in about a week
C. Administer the ordered antiemetic medication
D. Order the patient a clear liquid diet until the nausea decreases - ANSWERSANS: C
A nurse assesses a postoperative patient 2 days after chest surgery. What findings indicate that the
patient requires better pain management? (select all that apply)
A. Shallow breathing
B. Confusion
C. Elevated temperature
D. Hypoglycemia - ANSWERSANS: A, B, C
A patient with chronic pain who has been receiving morphine sulfate 20 mg IV over 24 hours is to be
discharged home on oral sustained-release morphine (MS Contin) administered twice a day. What
dosage of MS Contin will be needed for each dose to obtain an equianalgesic dose for the patient?
(Morphine sulfate 10 mg IV is equianalgesic to morphine sulfate 30 mg orally.)
A. MS Contin 120 mg/dose
B. MS Contin 60 mg/dose
C. MS Contin 30 mg/dose
D. MS Contin 15 mg/dose - ANSWERSANS: C
Morphine sulfate 20 mg IV over 24 hours will be equianalgesic to MS Contin 60 mg in 24 hours. Because
the total dose needs to be divided into two doses, each dose should be 30 mg.
Which action by the nurse will be most helpful to a patient who is expected to ambulate, deep breath,
and cough on the first postoperative day?
A. Schedule the activity to begin after the patient has taken a nap
, B. Administer prescribed analgesic medications before the activities
C. Encourage the patient to state the purpose of splinting the incision
D. Ask the patient to state two possible complications of immobility - ANSWERSANS: B
A patient who had knee surgery received IV ketorolac 30 minutes ago and continues to complain of pain
at a level of 7 (0-10 scale). Which action is most effective for the nurse to take at this time?
A. Administer the prescribed prn IV morphine sulfate
B. Notify the health care provider about the ongoing pain
C. Teach the patient that the effects of ketorolac typically last about 6 to 8 hours
D. Reassure the patient that postoperative pain is expected after knee surgery - ANSWERSANS: A
A patient with metastatic cancer of the colon experiences severe vomiting after each administration of
chemotherapy. Which action, if taken by the nurse, is appropriate?
A. Administer prescribed antiemetics 1 hour before the treatments
B. Give the patient a glass of a citrus fruit beverage during treatments
C. Offer dry crackers and carbonated fluids during chemotherapy
D. Have the patient eat large meals when nausea is not present - ANSWERSANS: A
A patient who has severe pain associated with terminal pancreatic cancer is being cared for at home by
family members. Which finding by the nurse indicates that teaching regarding pain management has
been effective?
A. The patient states the non-opioid analgesics may be used when the maximal dose of the opioid is
reached without adequate pain relief
B. The patient uses the ordered opioid pain medication whenever the pain is greater than 5 (0-10 pain
scale)
C. The patient takes opioids around the clock on a regular schedule and uses additional doses when
breakthrough pain occurs
D. The patient agrees to take the medications by the IV route in order to improve analgesic effectiveness
- ANSWERSANS: C
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