WCTC College Module 4 Pain and Infection Quiz

LPN Progression Transition

Question 1How should the nurse classify pain that a patient with lung cancer is experiencing?

Cutaneous

 Deep Somatic

   Visceral

 Neuropathic

 Question 2The nurse is assessing an intubated patient who returned from coronary artery bypass surgery 3 hours ago. Which assessment finding might indicate that this patient is experiencing pain?

Blood pressure 160/82 mm Hg

 Temperature 100.6°F (38.1°C)

 Heart rate 80 beats/min

 Oxygen saturation 95%

 Question 3A patient prescribed a nonsteroidal anti-inflammatory drug (NSAID), naproxen, for the treatment of arthritis reports stomach upset. What should the nurse instruct the patient to do?

Take the medication on an empty stomach.

 Take the medication with food.

 Take the medication with 8 ounces of water.

 Take the medication before bedtime.

 Question 4A 64-year-old female patient just returned from surgery. She is breathing rapidly and moving constantly in bed. She states, “I am scared, and I hurt so much.” What would be appropriate interventions? Select all that apply.

   Immediately notify the surgeon of these data (physical symptoms and patient’s statement).

State calmly, “I am going to do everything I can to make you more comfortable.”

Tell the patient, “Let’s take some deep breaths together; watch me, and we will breathe together.”

   Have the unlicensed assistive personnel (UAP) stay with the patient, and prepare to administer an analgesic.

Ask the patient to describe where she is hurting and the intensity of the pain.

Question 5The nurse is caring for a patient in the late stage of Alzheimer’s disease who is noncommunicative. The nurse suspects the patient is experiencing acute pain based on which assessment findings? Select all that apply.

Rapid blinking

Labored breathing

Reduced respiratory rate

 Eating food regularly

Restlessness

Question 6The pediatric nurse is caring for a 4-year-old child who is experiencing chronic pain secondary to tissue and joint injury from past sickle cell anemia crises. Which nonpharmacological pain reduction intervention might the nurse have the child try?

Perform vigorous activity.

 Practice visualization.

 Listen to rap music.

Watch a funny movie

 Question 7When should the nurse assess pain?

With a change in the patient’s condition

 After the nurse finishes charting

Every 4 hours for the first 2 days after surgery

 Only when the patient reports pain

Question 8Which expected outcome is best for the patient with a nursing diagnosis of Acute Pain related to movement and secondary to surgical resection of a ruptured spleen and possible inadequate analgesia?

The patient will verbalize reduction in pain after receiving pain medication and repositioning.

 The patient will rest quietly when undisturbed

   On a scale of 0 to 10, the patient will rate pain as a 3 while in bed or as a 4 during ambulation.

The patient will receive pain medication every 2 hours, as prescribed.

 Question 9What is the primary reason the nurse incorporates pain assessment as a part of routine care?

Asking about pain may prompt patients to report pain more readily.

 Frequent pain assessment is required by the state’s nurse practice act.

 Pain is a vital sign much like blood pressure and heart rate.

 Performing a pain assessment indicates the nurse cares about the patient.

 Question 10The nurse meets with a patient with chronic pain who has tried a new program to manage pain. On a scale of 1 to 10, the patient reports pain reduction from an 8 to a 5. Which questions would the nurse ask to further evaluate the effectiveness of this program? Select all that apply.

Does this reduction in pain allow you to perform daily activities?”

 “Are you satisfied with the degree of pain relief you have achieved?”

 “May I review what you have recorded in your pain journal?”

“Is the pain less than before you started the program?”

 “How is your quality of life, according to the family’s standards?”