ATI PROCTORED MED SURG
2025
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,1. Which question asked by the nurse will give the most information about the
patient’s metastatic bone cancer pain?
o a. “How long have you had this pain?”
o b. “How would you describe your pain?”
o c. “How often do you take pain medication?”
o d. “How much medication do you take for the pain?”
o Answer: b. "How would you describe your pain?"
2. A patient who has had good control for chronic pain using a fentanyl (Duragesic)
patch reports rapid onset pain at a level 9 (0 to 10 scale) and requests
"something for pain that will work quickly." How will the nurse document the type
of pain reported by this patient?
o a. Somatic pain
o b. Referred pain
o c. Neuropathic pain
o d. Breakthrough pain
o Answer: d. Breakthrough pain
3. The nurse teaches a student nurse about the action of ibuprofen. Which
statement, if made by the student, indicates that teaching was effective?
o a. "The drug decreases pain impulses in the spinal cord."
o b. "The drug decreases sensitivity of the brain to painful stimuli."
o c. "The drug decreases production of pain-sensitizing chemicals."
o d. "The drug decreases the modulating effect of descending nerves."
o Answer: c. "The drug decreases production of pain-sensitizing
chemicals."
4. A 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?
o a. "I'm not anxious during the day."
o b. "Every night I get 8 hours of sleep."
o c. "I can accomplish activities without much discomfort."
, o d. "I feel less depressed since I've been taking the Tofranil."
o Answer: c. "I can accomplish activities without much discomfort."
5. 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?
o a. "The strategies work by affecting the perception of pain."
o b. "These techniques block the pain pathways of the nerves."
o c. "These strategies prevent transmission of stimuli from the back to the
brain."
o d. "The therapies slow the release of chemicals in the spinal cord that
cause pain."
o Answer: a. "The strategies work by affecting the perception of pain."
6. A patient who is receiving sustained-release morphine sulfate (MS Contin) every
12 hours for chronic pain experiences level 9 (0 to 10 scale) breakthrough pain
and anxiety. Which action by the nurse is appropriate for treating this change in
assessment?
o a. Administer lorazepam (Ativan) 1 mg orally.
o b. Give ibuprofen 400 to 800 mg orally.
o c. Offer immediate-release morphine 30 mg orally.
o d. Suggest the patient take amitriptyline 10 mg orally.
o Answer: c. Offer immediate-release morphine 30 mg orally.
7. A patient with chronic neck pain is seen in the clinic for follow-up. To evaluate
whether the pain management is effective, which question is best for the nurse
to ask?
o a. “Has there been a change in pain location?”
o b. “Can you describe the quality of your pain?”
o c. “How would you rate your pain on a 0 to 10 scale?”
o d. “Does pain keep you from activities that you enjoy?”
o Answer: d. "Does pain keep you from activities that you enjoy?"
8. A patient with a deep partial thickness burn has been receiving hydromorphone
through patient-controlled analgesia (PCA) for 1 week. The nurse caring for the
2025
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,1. Which question asked by the nurse will give the most information about the
patient’s metastatic bone cancer pain?
o a. “How long have you had this pain?”
o b. “How would you describe your pain?”
o c. “How often do you take pain medication?”
o d. “How much medication do you take for the pain?”
o Answer: b. "How would you describe your pain?"
2. A patient who has had good control for chronic pain using a fentanyl (Duragesic)
patch reports rapid onset pain at a level 9 (0 to 10 scale) and requests
"something for pain that will work quickly." How will the nurse document the type
of pain reported by this patient?
o a. Somatic pain
o b. Referred pain
o c. Neuropathic pain
o d. Breakthrough pain
o Answer: d. Breakthrough pain
3. The nurse teaches a student nurse about the action of ibuprofen. Which
statement, if made by the student, indicates that teaching was effective?
o a. "The drug decreases pain impulses in the spinal cord."
o b. "The drug decreases sensitivity of the brain to painful stimuli."
o c. "The drug decreases production of pain-sensitizing chemicals."
o d. "The drug decreases the modulating effect of descending nerves."
o Answer: c. "The drug decreases production of pain-sensitizing
chemicals."
4. A 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?
o a. "I'm not anxious during the day."
o b. "Every night I get 8 hours of sleep."
o c. "I can accomplish activities without much discomfort."
, o d. "I feel less depressed since I've been taking the Tofranil."
o Answer: c. "I can accomplish activities without much discomfort."
5. 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?
o a. "The strategies work by affecting the perception of pain."
o b. "These techniques block the pain pathways of the nerves."
o c. "These strategies prevent transmission of stimuli from the back to the
brain."
o d. "The therapies slow the release of chemicals in the spinal cord that
cause pain."
o Answer: a. "The strategies work by affecting the perception of pain."
6. A patient who is receiving sustained-release morphine sulfate (MS Contin) every
12 hours for chronic pain experiences level 9 (0 to 10 scale) breakthrough pain
and anxiety. Which action by the nurse is appropriate for treating this change in
assessment?
o a. Administer lorazepam (Ativan) 1 mg orally.
o b. Give ibuprofen 400 to 800 mg orally.
o c. Offer immediate-release morphine 30 mg orally.
o d. Suggest the patient take amitriptyline 10 mg orally.
o Answer: c. Offer immediate-release morphine 30 mg orally.
7. A patient with chronic neck pain is seen in the clinic for follow-up. To evaluate
whether the pain management is effective, which question is best for the nurse
to ask?
o a. “Has there been a change in pain location?”
o b. “Can you describe the quality of your pain?”
o c. “How would you rate your pain on a 0 to 10 scale?”
o d. “Does pain keep you from activities that you enjoy?”
o Answer: d. "Does pain keep you from activities that you enjoy?"
8. A patient with a deep partial thickness burn has been receiving hydromorphone
through patient-controlled analgesia (PCA) for 1 week. The nurse caring for the
