ELNEC UPDATED Actual Questions and CORRECT Answers
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Course
ELNEC
Institution
ELNEC
ELNEC UPDATED Actual Questions and
CORRECT Answers
Mr. F has advanced prostate cancer with bone metastasis. He is unresponsive and is being
cared for at home by his daughter. You are teaching the daughter about assessing her father's
pain. Which statement by the daughter indicates an underst...
ELNEC UPDATED Actual Questions and
CORRECT Answers
Mr. F has advanced prostate cancer with bone metastasis. He is unresponsive and is being
cared for at home by his daughter. You are teaching the daughter about assessing her father's
pain. Which statement by the daughter indicates an understanding of her father's pain status?
A. If he is not moaning, he's probably not experiencing pain.
B. I'll have to guess when he is in pain since he can't tell me.
C. Now that he's unable to communicate, we can stop his pain medication.
D. Since he was in pain when he was conscious, I assume he's still in pain. - CORRECT
ANSWER- ✔✔D
Joey is a 3-month-old who has a serious illness and will probably die in the next few months.
His mother is concerned that he looks like he is in pain whenever she has to change his
diaper. Your best response to her is:
A. Don't worry, Joey is too young to feel real pain.
B. All 3-month-old babies hate to have their diaper changed, he is just responding normally.
C. I will ask the doctor if it is possible for him to have pain with this illness.
D. Can you explain to me what Joey looks like that makes you concerned he is in pain? -
CORRECT ANSWER- ✔✔D
Yolanda has osteoarthritis of the left knee for which she is receiving acetaminophen 1000mg
every six hours. She rates her pain at a 4 every time you ask. What do you think an
appropriate next step would be at this time?
,A. Discuss increasing the acetaminophen to every four hours with the IDT.
B. Discuss adding an immediate-release opioid with the IDT.
C. Ask Yolanda what an acceptable pain score is for her.
D. Ask the IDT if Yolanda would benefit from an antidepressant for pain. - CORRECT
ANSWER- ✔✔C
During your pain assessment, Randall describes his pain as a burning pain in his lower
extremities. What type of pain does this describe?
A. Nociceptive pain
B. Acute pain
C. Neuropathic pain
D. Spiritual pain - CORRECT ANSWER- ✔✔C
Mr. Jones is taking two oxycodone/acetaminophen 5/325 mg tablets every four hours for
bone pain related to metastatic cancer. His pain is a constant 6 on a 0 to 10 scale. Since the
current regimen is not meeting his goals, and is keeping him from moving, you decide to call
his physician. The doctor suggests increasing the medication to two tablets every three hours
around-the-clock. What would your action be?
A. Question the safety of the total daily dose of acetaminophen that Mr. Jones would be
taking.
B. Accept the orders and provide education to Mr. Jones on the change.
C. Accept the orders but tell Mr. Jones to continue taking the medication every four hours.
D. Tell the physician that this medication is not appropriate for this type of pain. - CORRECT
ANSWER- ✔✔A
, 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 - CORRECT ANSWER- ✔✔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. - CORRECT
ANSWER- ✔✔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 - CORRECT ANSWER- ✔✔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?
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