Question 1

Pain that extends beyond the period of healing and often lacks an identified pathology is known as _______________.

Accepted Answer

chronic pain
Chronic pain or persistent pain extends beyond the period of healing,often lacks identified pathology,rarely has autonomic signs,does not provide a protective function,disrupts sleep and activities of daily living,degrades the health and function of an individual,and may be cancer or noncancer/nonmalignant in origin.

Question 2

A nurse checks the continuous intravenous (IV)infusion for the intraspinal analgesia.The IV setup should be changed if:

Accepted Answer

A) tubing with a Y-port is attached. 
B) an infusion pump is attached. 
C) the tubing connections are all taped. 
D) a diluted,preservative-free medication is used. 
A) tubing with a Y-port is attached. 
B) an infusion pump is attached. 
C) the tubing connections are all taped. 
D) a diluted,preservative-free medication is used. A

Question 3

The nurse who is caring for a patient postoperatively notes that he is expressing discomfort and is diaphoretic.Which of the following interventions is most appropriate?

Accepted Answer

A) Straighten the bed linens. 
B) Change the saturated surgical dressing. 
C) Administer prescribed pain medications. 
D) Check for displaced equipment underneath the patient. 
A) Straighten the bed linens. 
B) Change the saturated surgical dressing. 
C) Administer prescribed pain medications. 
D) Check for displaced equipment underneath the patient. C

Question 4

Before administering an epidural medication,the nurse aspirates and suspects that the catheter has migrated into the subarachnoid space when:

Accepted Answer

A) clear drainage is noted. 
B) no drainage is noted. 
C) purulent drainage is noted. 
D) redness,warmth,and edema are noted. 
A) clear drainage is noted. 
B) no drainage is noted. 
C) purulent drainage is noted. 
D) redness,warmth,and edema are noted.

Question 5

Pain is experienced differently by different people,because pain perception is based on which of the following? (Select all that apply. )

Accepted Answer

A) Past pain experiences 
B) Personal values 
C) Cultural expectations 
D) Emotions 
A) Past pain experiences 
B) Personal values 
C) Cultural expectations 
D) Emotions

Question 6

________________ draws on internal experiences of memories,dreams,fantasies,and visions;explores the inner world of experience;protects the privacy of the patient;and fosters the imagination.

Accepted Answer

Guided imagery
Guided imagery,a form of

Question 7

The patient voices concern to the nurse regarding his patient-controlled analgesia (PCA)pump.He states that he is afraid of getting an overdose if he pushes the button too many times.The nurse reassures the patient that: (Select all that apply. )

Accepted Answer

A) there is a time delay (lockout)between patient doses. 
B) there is a maximum dose the patient can receive. 
C) the patient has a right to be concerned and needs to be careful. 
D) the patient could be put on a continuous infusion instead,because it is safer. 
A) there is a time delay (lockout)between patient doses. 
B) there is a maximum dose the patient can receive. 
C) the patient has a right to be concerned and needs to be careful. 
D) the patient could be put on a continuous infusion instead,because it is safer.

Question 8

When assessing a local infusion pump site,the nurse notes that which of the following requires an intervention?

Accepted Answer

A) The device is labeled,indicating that an anesthetic is being used. 
B) The catheter connections are loose. 
C) Surgical dressings are dry and intact. 
D) No blood backup is present in the tubing. 
A) The device is labeled,indicating that an anesthetic is being used. 
B) The catheter connections are loose. 
C) Surgical dressings are dry and intact. 
D) No blood backup is present in the tubing.

Question 9

Which of the following are characteristics of cancer pain? (Select all that apply. )

Accepted Answer

A) It may be acute. 
B) It may be chronic. 
C) It usually is related to tumor recurrence or treatment. 
D) It often is of less intensity than the patient reports. 
A) It may be acute. 
B) It may be chronic. 
C) It usually is related to tumor recurrence or treatment. 
D) It often is of less intensity than the patient reports.

Question 10

________________ is a method of preventing pain while reducing overall opioid use.

Accepted Answer

Preemptive analgesia
Preemptiv

Question 11

Massaging upward and outward from the vertebral column and back again is known as __________________.

Accepted Answer

effleurage
Effleurage is massaging upwar

Question 12

The nurse knows that an advantage of intraspinal analgesia is the:

Accepted Answer

A) smaller doses of epidural than intrathecal medication. 
B) lack of significant patient complications. 
C) systemic distribution of morphine faster than fentanyl. 
D) ability to achieve appropriate analgesia with smaller dosages. 
A) smaller doses of epidural than intrathecal medication. 
B) lack of significant patient complications. 
C) systemic distribution of morphine faster than fentanyl. 
D) ability to achieve appropriate analgesia with smaller dosages.

Question 13

The nurse is caring for a patient who is a devout Orthodox Jew.The patient is on a patient-controlled analgesia (PCA)pump.What accommodations might the nurse have to make to conform to the patient's cultural needs?

Accepted Answer

A) Ask the patient whether he will need alternative forms of medication for the Sabbath. 
B) Ask the patient specific questions because Jews tend to be stoic regarding pain. 
C) Medicate the patient "around the clock" instead of as needed ("prn"). 
D) Understand that Jews believe that suffering is a consequence of actions in a previous life. 
A) Ask the patient whether he will need alternative forms of medication for the Sabbath. 
B) Ask the patient specific questions because Jews tend to be stoic regarding pain. 
C) Medicate the patient "around the clock" instead of as needed ("prn"). 
D) Understand that Jews believe that suffering is a consequence of actions in a previous life.

Question 14

__________________ is an interactive method of pain management that permits patient control over pain through self-administration of analgesics.

Accepted Answer

Patient-controlled analgesia (PCA)
Patie

Question 15

The patient is scheduled for surgery late in the afternoon.His postoperative orders include patient-controlled analgesia (PCA)therapy.Which of the following nursing interventions is appropriate to perform?

Accepted Answer

A) Teach the patient about PCA after the patient comes out of recovery. 
B) Teach the patient about PCA before surgery and before preoperative medication administration. 
C) Tell the patient not to use PCA unless he can no longer tolerate the pain. 
D) Inform the patient's family to watch him carefully and to depress the PCA administration button whenever they think he needs it. 
A) Teach the patient about PCA after the patient comes out of recovery. 
B) Teach the patient about PCA before surgery and before preoperative medication administration. 
C) Tell the patient not to use PCA unless he can no longer tolerate the pain. 
D) Inform the patient's family to watch him carefully and to depress the PCA administration button whenever they think he needs it.

Question 16

The nurse frequently must assess a patient who is experiencing pain.When assessing the intensity of the pain,the nurse should:

Accepted Answer

A) ask whether there are any precipitating factors. 
B) question the patient about the location of the pain. 
C) offer the patient a pain scale to objectify the information. 
D) use open-ended questions to find out about the sensation. 
A) ask whether there are any precipitating factors. 
B) question the patient about the location of the pain. 
C) offer the patient a pain scale to objectify the information. 
D) use open-ended questions to find out about the sensation.

Question 17

The patient is in the hospital undergoing major abdominal surgery.When the patient returns from the recovery room,the nurse expects that he most likely will be receiving pain medication:

Accepted Answer

A) by mouth. 
B) intramuscularly. 
C) via the epidural route. 
D) intravenously. 
A) by mouth. 
B) intramuscularly. 
C) via the epidural route. 
D) intravenously.

Question 18

The patient states that the patient-controlled analgesia (PCA)is not controlling his pain.The nurse checks the infusion setup and IV site and then evaluates the patient's ability to use the system.All looks in order.The nurse should notify the physician to: (Select all that apply. )

Accepted Answer

A) report suspected drug-seeking behavior. 
B) possibly change the drug being used. 
C) adjust the dosage of the drug being used. 
D) request placebo medication to evaluate true pain. 
A) report suspected drug-seeking behavior. 
B) possibly change the drug being used. 
C) adjust the dosage of the drug being used. 
D) request placebo medication to evaluate true pain.

Question 19

The application of touch and movement to muscles,tendons,and ligaments without manipulation of the joints is called _________________.

Accepted Answer

massage
A gentle massage,a for

Question 20

Drugs administered in the epidural space spread by: (Select all that apply. )

Accepted Answer

A) diffusion through the dura mater. 
B) transport through blood vessels. 
C) absorption by fat. 
D) absorption through muscle. 
A) diffusion through the dura mater. 
B) transport through blood vessels. 
C) absorption by fat. 
D) absorption through muscle.

Exam 16: Pain Management

Pain that extends beyond the period of healing and often lacks an identified pathology is known as _______________.

A nurse checks the continuous intravenous (IV)infusion for the intraspinal analgesia.The IV setup should be changed if:

The nurse who is caring for a patient postoperatively notes that he is expressing discomfort and is diaphoretic.Which of the following interventions is most appropriate?

Before administering an epidural medication,the nurse aspirates and suspects that the catheter has migrated into the subarachnoid space when:

Pain is experienced differently by different people,because pain perception is based on which of the following? (Select all that apply. )

________________ draws on internal experiences of memories,dreams,fantasies,and visions;explores the inner world of experience;protects the privacy of the patient;and fosters the imagination.

The patient voices concern to the nurse regarding his patient-controlled analgesia (PCA)pump.He states that he is afraid of getting an overdose if he pushes the button too many times.The nurse reassures the patient that: (Select all that apply. )

When assessing a local infusion pump site,the nurse notes that which of the following requires an intervention?

Which of the following are characteristics of cancer pain? (Select all that apply. )

________________ is a method of preventing pain while reducing overall opioid use.

Massaging upward and outward from the vertebral column and back again is known as __________________.

The nurse knows that an advantage of intraspinal analgesia is the:

The nurse is caring for a patient who is a devout Orthodox Jew.The patient is on a patient-controlled analgesia (PCA)pump.What accommodations might the nurse have to make to conform to the patient's cultural needs?

__________________ is an interactive method of pain management that permits patient control over pain through self-administration of analgesics.

The patient is scheduled for surgery late in the afternoon.His postoperative orders include patient-controlled analgesia (PCA)therapy.Which of the following nursing interventions is appropriate to perform?

The nurse frequently must assess a patient who is experiencing pain.When assessing the intensity of the pain,the nurse should:

The patient is in the hospital undergoing major abdominal surgery.When the patient returns from the recovery room,the nurse expects that he most likely will be receiving pain medication:

The patient states that the patient-controlled analgesia (PCA)is not controlling his pain.The nurse checks the infusion setup and IV site and then evaluates the patient's ability to use the system.All looks in order.The nurse should notify the physician to: (Select all that apply. )

The application of touch and movement to muscles,tendons,and ligaments without manipulation of the joints is called _________________.

Drugs administered in the epidural space spread by: (Select all that apply. )

Using Evidence in Practice

Admitting, Transfer, and Discharge

Communication and Collaboration

Documentation and Informatics

Vital Signs

Health Assessment

Specimen Collection

Diagnostic Procedures

Medical Asepsis

Sterile Technique

Safe Patient Handling, Transfer, and Positioning

Exercise Mobility

Support Surfaces and Special Beds

Patient Safety

Disaster Preparedness

Palliative Care

Personal Hygiene and Bed Making

Care of the Eye and Ear

Safe Medication Preparation

Administration of Nonparenteral Medications

Administration of Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Cardiac Care

Closed Chest Drainage Systems

Emergency Measure for Life Support

Intravenous and Vascular Access Therapy

Blood Therapy

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Intraoperative Care

Pressure Injury Prevention and Care

Wound Care and Irrigations

Dressings, Bandages, and Binders

Therapeutic Use of Heat and Cold

Home Care Safety

Home Care Teaching

Filters