Ch 34 Comfort & Pain Management NCLEX Practice Questions

1. A nurse instructor is teaching a class of student nurses about the nature of pain. Which statements accurately describe this phenomenon? Select all that apply.

a. Pain is whatever the physician treating the pain says it is.

b. Pain exists whenever the person experiencing it says it exists.

c. Pain is an emotional and sensory reaction to tissue damage.

d. Pain is a simple, universal, and easy-to-describe phenomenon.

e.. Pain that occurs without a known cause is psychological in nature.

f. Pain is classified by duration, location, source, transmission, and etiology.

b. Pain exists whenever the person experiencing it says it exists.

c. Pain is an emotional and sensory reaction to tissue damage.

d. Pain is a simple, universal, and easy-to-describe phenomenon.

e.. Pain that occurs without a known cause is psychological in nature.

f. Pain is classified by duration, location, source, transmission, and etiology.

2. One of the most common distinctions of pain is whether it is acute or chronic. Which examples describe chronic pain? Select all that apply.

a. A patient is receiving chemotherapy for bladder cancer.

b. An adolescent is admitted to the hospital for an appendectomy.

c. A patient is experiencing a ruptured aneurysm.

d. A patient who has fibromyalgia requests pain medication.

e. A patient has back pain related to an accident that occurred last year.

f. A patient is experiencing pain from second-degree burns.

a. A patient is receiving chemotherapy for bladder cancer.

d. A patient who has fibromyalgia requests pain medication.

e. A patient has back pain related to an accident that occurred last year.

3. A patient complains of abdominal pain that is difficult to localize. The nurse documents this as which type of pain?

a. Cutaneous

b. Visceral

c. Superficial

d. Somatic

b. Visceral
4. A female patient who is having a myocardial infarction complains of pain that is situated in her jaw. The nurse documents this as what type of pain?

a. Transient pain

b. Superficial pain

c. Phantom pain

d. Referred pain

d. Referred pain
5. The three types of responses to pain are physiologic, behavioral, and affective. Which are examples of behavioral responses to pain? Select all that apply.

a. A patient cradles a wrist that was injured in a car accident.

b. A child is moaning and crying due to a stomachache.

c. A patient’s pulse is increased following a myocardial infarction.

d. A patient in pain strikes out at a nurse who attempts to bathe him.

e. A patient who has chronic cancer pain is depressed and withdrawn.

f. A child pulls away from a nurse trying to give him an injection.

a. A patient cradles a wrist that was injured in a car accident.

b. A child is moaning and crying due to a stomachache.

f. A child pulls away from a nurse trying to give him an injection.

6. An elderly patient is confined to bedrest following cervical spine surgery to treat nerve pinching. The nurse is vigilant about turning the patient and assessing the patient regularly to prevent the formation of pressure ulcers. What type of agent is the stimulus for pressure ulcers?

a. Mechanical

b. Thermal

c. Chemical

d. Electrical

a. Mechanical
7. A nurse uses a whirlpool to relax a patient following intense physical therapy to restore movement in her legs. What is a potent pain-blocking neuromodulator, released through relaxation techniques?

a. Prostaglandins

b. Substance P

c. Endorphins

d. Serotonin

c. Endorphins
8. A patient is postoperative following an emergency cesarean section birth. The patient asks the nurse about the use of pain medications following surgery. What would be a correct response by the nurse?

a. “It’s not a good idea to ask for pain medication regularly as it can be addictive.”

b. “It is better to wait until the pain gets unbearable before asking for pain medication.”

c. “It’s natural to have to put up with pain after surgery and it will lessen in intensity in a few days.”

d. “Your doctor has ordered pain medications for you, which you should not be afraid to request any time you have pain.”

d. “Your doctor has ordered pain medications for you, which you should not be afraid to request any time you have pain.”
9. Applying the gate control theory of pain, what would be an effective nursing intervention for a patient with lower back pain?

a. Encouraging regular use of analgesics

b. Applying a moist heating pad to the area at prescribed intervals

c. Reviewing the pain experience with the patient

d. Ambulating the patient after administering medication

b. Applying a moist heating pad to the area at prescribed intervals
10. The nurse is assessing the pain of a neonate who is admitted to the NICU with a heart defect. Which pain assessment scale would be the best tool to use with this patient?

a. CRIES scale

b. COMFORT scale

c. FLACC scale

d. FACES scale

a. CRIES scale
11. Mr. Wright is recovering from abdominal surgery. When the nurse assists him to walk, she observes that he grimaces, moves stiffly, and becomes pale. She is aware that he has consistently refused his pain medication. What would be a priority nursing diagnosis for this patient?

a. Acute Pain related to fear of taking prescribed postoperative medications

b. Impaired Physical Mobility related to surgical procedure

c. Anxiety related to outcome of surgery

d. Risk for Infection related to surgical incision

a. Acute Pain related to fear of taking prescribed postoperative medications
12. When developing the plan of care for a patient with chronic pain, the nurse plans interventions based on the knowledge that chronic pain is most effectively relieved when analgesics are administered in what matter?

a. On a PRN (as needed) basis

b. Conservatively

c. Around the clock (ATC)

d. Intramuscularly

c. Around the clock (ATC)
13. When assessing pain in a child, the nurse needs to be aware of what considerations?

a. Immature neurologic development results in reduced sensation of pain.

b. Inadequate or inconsistent relief of pain is widespread.

c. Reliable assessment tools are currently unavailable.

d. Narcotic analgesic use should be avoided.

b. Inadequate or inconsistent relief of pain is widespread.
14. A pregnant woman is receiving an epidural analgesic prior to delivery. The nurse provides vigilant monitoring of this patient to prevent the occurrence of:

a. Pruritus

b. Urinary retention

c. Vomiting

d. Respiratory depression

d. Respiratory depression
15. When assessing a patient receiving a continuous opioid infusion, the nurse immediately notifies the physician when the patient has:

a. A respiratory rate of 10/min with normal depth

b. A sedation level of 4

c. Mild confusion

d. Reported constipation

b. A sedation level of 4
source
(Taylor 1191-1192)Taylor, Carol. Fundamentals of Nursing. Wolters Kluwer Health, 10/2014. VitalBook file.