A patient is complaining of severe knee pain after twisting it during a basketball game and is requesting pain medication.

NURS330 Individual Assessment

Chapter 11 Quiz

Question 1A patient is complaining of severe knee pain after twisting it during a basketball game and is requesting pain medication. Which action by the nurse is appropriate?

 

  Completing the physical examination first and then giving the pain medication

 

  Telling the patient that the pain medication must wait until after the x-ray images are completed

 

  Evaluating the full range of motion of the knee and then medicating for pain

 

  Administering pain medication and then proceeding with the assessment

 

Question 2The nurse is reviewing the principles of pain. Which type of pain is due to an abnormal processing of the pain impulse through the peripheral or central nervous system?

 

  Visceral

 

  Referred

 

  Cutaneous

 

  Neuropathic

 

Question 3When assessing the intensity of a patient’s pain, which question by the nurse is appropriate?

 

  “What does your pain feel like?”

 

  “How much pain do you have now?”

 

  “How does pain limit your activities?”

 

  “What makes your pain better or worse?”

 

Question 4When assessing a patient’s pain, the nurse records that the patient has visceral pain. Which condition would the patient have stated in order for the nurse document visceral pain?

 

  A hip fracture

 

  Cholecystitis

 

  Second-degree burns

 

  Pain after a leg amputation

 

Question 5The nurse is reviewing the principles of nociception. During which phase of nociception does the conscious awareness of a painful sensation occur?

 

  Perception

 

  Modulation

 

  Transduction

 

  Transmission

 

Question 6During assessment of a patient’s pain, the nurse is aware that certain nonverbal behaviors are associated with chronic pain. Which of these behaviors are associated with chronic pain? (Select all that apply.)

 

  Bracing

 

  Rubbing

 

  Moaning

 

  Sleeping

 

  Diaphoresis

 

  Restlessness

 

Question 7A 4-year-old boy is brought to the emergency department by his mother. She says he points to his stomach and says, “It hurts so bad.” Which pain assessment tool would be the best choice when assessing this child’s pain?

 

  Descriptor scale

 

  Numeric rating scale

 

  Brief pain inventory

 

  Faces Pain Scale—Revised (FPS-R)

 

 Question 8A patient states that the pain medication is “not working” and rates his postoperative pain at a 10 on a 1-to-10 scale. Which of these assessment findings indicates an acute pain response to poorly controlled pain?

 

  Confusion

 

  Depression

 

  Hyperventilation

 

  Increased blood pressure and pulse

 

Question 9A patient has had arthritic pain in her hips for several years since a hip fracture. She is able to move around in her room and has not offered any complaints so far this morning. However, when asked, she states that her pain is “bad this morning” and rates it at an 8 on a 1-to-10 scale. What is the likely reason for this?

 

  The patient is addicted to her pain medications and cannot obtain pain relief.

 

  The patient does not want to trouble the nursing staff with her complaints.

 

  The patient is not in pain but rates it high to receive pain medication.

 

  The patient has experienced chronic pain for years and has adapted to it.

 

 Question 10During an admission assessment of a patient with dementia, the nurse assesses for pain because the patient has recently had several falls. Which of these are appropriate for the nurse to assess in a patient with dementia? (Select all that apply.)

 

  Ask the patient, “Do you have pain?”

 

  Have the patient rate pain on a 1-to-10 scale.

 

  Assess the patient’s breathing independent of vocalization.

 

  Note whether the patient is calling out, groaning, or crying.

  Observe the patient’s body language for pacing and agitation.

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