ELNEC Exam Questions Solved with
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During your pain assessment, Lenora describes her pain as an aching and cramping
pain in her lower abdomen. What type of pain does this usually describe?
A. Nociceptive pain
B. Acute pain
C. Neuropathic pain
D. Psychological pain - ✔✔A
You are caring for Ms. P, a 55-year-old woman with cancer. She received pain
medication less than two hours ago. A nursing assistant reports that Mrs. P is
complaining of pain again. The nursing assistant says, "She can't be hurting as much
as she says she is." What is the most appropriate response?
A. Pain is whatever the patient says it is. Let's assess her further.
B. Maybe she is just drug-seeking.
,C. I will tell her gently that she must wait four hours between doses.
D. I just gave her pain medication. She can't need anything again so soon. - ✔✔A
What is the most common adverse effect related to the use of acetaminophen?
A. GI bleeding
B. Liver dysfunction
C. Constipation
D. Respiratory depression - ✔✔B
Mr. Johnson tells you that although the oral morphine prescription he just started
for his cancer pain says to take one tablet every 12 hours, he has found that if he
takes it every 6 hours, his pain is much less. What behavior does this represent?
A. Addiction
B. Physical dependence
C. Tolerance
D. Substance misuse - ✔✔D
Mr. T's wife tells the nurse she doesn't want him to take the morphine the
doctor ordered for his cancer pain because she heard from a friend that he could
stop breathing because of it. Your best response would be:
A. That is just an old belief that you don't need to worry about.
, B. It could happen, but the most important thing is that he needs to take the
medication for pain.
C. The side effects of these strong narcotics are scary- you should watch his
breathing carefully.
D. Breathing problems are rare when these medications are used as ordered. - ✔✔D
Geraldine is an 80-year-old woman with Parkinson's disease. She is still functioning at
home and is able to safely care for herself. Ever since her diagnosis she has been extremely
anxious about her disease and how debilitated she might get as it progresses. Which of the
following interventions is most appropriate to help treat her anxiety?
A. A benzodiazepine like valium
B. Active listening and presence as she talks about her fears and concerns
C. Activities to distract her from her anxiety so she won't dwell on the future
D. Suggest she go to an exercise class to preserve her balance and strength - ✔✔B
You are caring for the following four patients. Which patient is at the highest risk
for developing constipation?
A. A 48-year-old with metastatic cancer of the breast on high doses of opioids for pain.
B. A 76-year-old who has had a recent history of diarrhea associated with a C-
difficile infection.
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