Chapter 43 Pain Management (NCLEX)
Questions And Answers 2023 A+
1. What is the most appropriate way to assess the pain of a patient who is oriented and
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has recently had surgery?
• Assess the patient's body language.
• Observe cardiac monitor for increased heart rate.
• Ask the patient to rate the level of pain.
• Ask the patient to describe the effect of pain on the ability to cope. - Answer-Ask the
patient to rate the level of pain. Correct
2. A nurse is caring for a patient who recently had an abdominal hysterectomy and
states that she is experiencing
severe pain. The patient's blood pressure is 110/60, and her heart rate is 60.
Additionally, the patient does not
appear to be in any distress. Which response by the nurse is most therapeutic?
• "Your vitals do not show that you are having pain; can you describe your pain?"
• "You do not look like you are in pain."
• "OK, I will go get you some narcotic pain relievers immediately."
• "What would you like to try to alleviate your pain?" - Answer-"What would you like to
try to alleviate your pain?"
3. Which of the following statements made by a patient reflects that the patient
understands the relationship
between the gate control theory of pain and the use of meditation to relieve pain?
• "Meditation controls pain by blocking pain impulses from coming through the gate."
• "Meditation will help me sleep through the pain because it opens the gate."
• "Meditation stops the occurrence of pain stimuli."
• "Meditation alters the chemical composition of pain neuroregulators, which closes the
gate." - Answer-"Meditation controls pain by blocking pain impulses from coming
through the gate."
4. A nursing student is planning care for an elderly patient who is experiencing pain.
Which of the following
statements made by the nursing student indicates the need for the nursing professor to
clarify the nursing
student's knowledge?
• "Older patients often have difficulty determining what is causing their pain."
• "It is safe to administer opioids to older adults as long as you start with small doses
and frequently assess the patient's response to the medication."
• "As adults age, their ability to perceive pain decreases."
• "Patients who have dementia probably experience pain, and their pain is not always
well controlled." - Answer-It is safe to administer opioids to older adults as long as you
start with small doses and frequently assess the patient's response to the medication."
Correct
5. The nurse is caring for two patients; both are having a hysterectomy. The first patient
is having the hysterectomy
after a complicated birth. The second patient has uterine cancer. What will most likely
influence the experience of
pain for these two patients?
• Neurological factors
• Competency of the surgeon
• Meaning of pain
• Postoperative support personnel - Answer-Meaning of pain Correct
6. The nurse anticipates administering an opioid fentanyl patch to which patient?
• A 15-year-old adolescent with a broken femur
• A 30-year-old adult with cellulitis
• A 50-year-old patient with prostate cancer
• An 80-year-old patient with a broken hip - Answer-A 50-year-old patient with prostate
cancer Correct
7. What nursing intervention is most effective in preventing injury to a patient following
administration of epidural
anesthesia?
• Keeping the reversal agent in a syringe in the patient's bedside table
• Applying a gauze dressing to the epidural catheter insertion site
• Labeling the tubing that leads to the epidural catheter
• Asking the nursing assistive personnel to check on the patient at least once every 2
hours - Answer-Labeling the tubing that leads to the epidural catheter Correct
8. A 24-year-old Asian woman is in labor and refuses to receive any sort of anesthesia
medication. Which alternative
treatment is best for this patient?
• Relaxation and guided imagery
• Transcutaneous electrical nerve stimulation (TENS)
• Herbal supplements with analgesic effects
• Pudendal block - Answer-Relaxation and guided imagery Correct
9. Which of the following statements made by the patient indicates to the nurse that
teaching on a patient-controlled
analgesia (PCA) device has been effective?
• "This is the only pain medication I will need to be on."
• "I can administer the pain medication as frequently as I need to"
• "I feel less anxiety about the possibility of overdosing."
• "I will need the nurse to notify me when it is time for another dose." - Answer-"I feel
less anxiety about the possibility of overdosing."
10. A nurse is caring for a patient who is experiencing pain following abdominal surgery.
What information is
important for the nurse to tell the patient when providing patient education about
effective pain management?
• "To prevent overdose, you need to wait to ask for pain medication until you begin to
experience pain."
• "You should take your medication after you walk to make sure you do not fall while
you are walking."
• "We should work together to create a regular schedule of medications that does not
allow for breakthrough pain."
• "You need to take oral pain medications when you experience severe pain." - Answer-
"We should work together to create a regular schedule of medications that does not
allow for breakthrough pain." Correct
11. A nurse is caring for a patient who recently had spinal surgery. The nurse knows
that patients usually experience
acute pain following this type of surgery. The patient refuses to get up and walk and is
not moving around in the bed.
However, the patient is stoic and denies experiencing pain at this time. What most
likely explains this patient's
behavior and response to surgery?
• The surgery successfully cured the patient's pain.
• The patient's culture is possibly influencing the patient's experience of pain.
• The patient is experiencing urinary retention because of manipulation of the spine
during surgery; this is preventing the patient from experiencing pain.
• The nurse is allowing personal beliefs about pain to influence pain management at
this time. - Answer-The patient's culture is possibly influencing the patient's experience
of pain. Correct
12. A nurse is providing discharge teaching for a patient with a fractured humerus. The
patient is going home with
Vicodin (5/325). What important patient education does the nurse provide?
• "Be sure to eat a meal high in fat before taking the medication, to avoid a stomach
ulcer."
• "Narcotics can be addictive, so do not take them unless you are in severe pain."
• "You need to drink plenty of fluids and eat a diet high in fiber."
• "As your pain severity lessens, you will begin to give yourself once-daily intramuscular
injections." - Answer-"You need to drink plenty of fluids and eat a diet high in fiber."
13. A patient arrives at the emergency department experiencing a headache and rates
the pain as 7 on a 0 to 10
pain scale. What nonpharmacological intervention does the nurse implement for this
patient while awaiting
orders for pain medication from the health care provider?... [Show Less]