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NMNC 4310 HIC II FINAL EXAM STUDY GUIDE QUESTIONS WITH 100% CORRECT ANSWERS!!
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NMNC 4310 HIC II FINAL EXAM STUDY GUIDE QUESTIONS WITH 100% CORRECT ANSWERS!!
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NMNC 4310 HIC II FINAL EXAM STUDY GUIDEQUESTIONS WITH 100% CORRECT
ANSWERS!!
A patient who has frequent migraines tell the nurse, "My life feels chaotic and
out of my control. I could not manage if anything else happens." Which
response should the nurse make initially?
A. "Guided imagery can be helpful in regaining control."
B. "Your previous coping resources can be helpful to you now."
C. "Tell me more about how your life has been recently."
D. "Regular exercise may get your mind off the pain." Answer - ANS: C
A nurse prepares an adult patient with a severe burn injury for a dressing
change. The nurse knows that this is a painful procedure and wants to try
providing music to help the patient relax. Which action is best for the nurse to
take?
A. Play music that does not have words
B. Select music that has 60 to 80 beats/minute
C. Ask the patient about music preferences
D. Use music composed by Mozart Answer - ANS: C
Which question asked by the nurse will give the most information about the
patient's metastatic bone cancer pain?
A. "How would you describe your pain?"
B. "How much medication do you take for the pain?"
C. "How long have you had this pain?"
,D. "How often do you take pain medication?" Answer - ANS: A
A patient who has good control for chronic pain using a fentanyl patch
(Duragesic) patch reports rapid onset pain at a level 9 (0-10 scale) and requests
"something for pain that will work quickly." How will the nurse document the
type of pain reported by this patient?
A. Somatic pain
B. Breakthrough pain
C. Referred pain
D. Neuropathic pain Answer - ANS: B
The nurse assesses a patient with chronic cancer pain who is receiving
imipramine (Tofranil) in addition to long-acting morphine (MS Contin). Which
statement, if made by the patient indicates to the nurse that the patient is
receiving adequate pain control?
A. "Every night I get 8 hours of sleep."
B. "I feel less depressed since I've been taking the Tofranil."
C. "I can accomplish activities without much discomfort."
D. "I'm not anxious during the day" Answer - ANS: C
A patient with chronic back pain has learned to control the pain with the use of
imagery and hypnosis. The patient's spouse asks the nurse how these
techniques work. Which response by the nurse is accurate?
A. "These techniques block the pain pathways of the nerves."
B. "The strategies work by affecting the perception of pain."
C. "The therapies slow the release of chemicals in the spinal cord that cause
pain."
D. "These strategies prevent transmission of stimuli from the back to the
brain." Answer - ANS: B
,A patient with chronic neck pain is seen in the pain clinic for follow-up. To
evaluate whether the pain management is effective, which question is best for
the nurse to ask?
A. "Has there been a change in pain location?"
B. "Does the pain keep you from activities that you enjoy?"
C. "How would you rate your pain on a 0-10 scale?"
D. "Can you describe the quality of your pain?" Answer - ANS: B
The nurse is caring for a patient who had abdominal surgery yesterday and is
receiving morphine through patient-controlled analgesia (PCA). What action by
the nurse is a priority?
A. Assessing for nausea
B. Evaluating for sacral redness
C. Auscultating bowel sounds
D. Checking the respiratory rate Answer - ANS: D
A patient who has just started taking sustained-release morphine sulfate (MS
Contin) for chronic arthritic joint pain after a traumatic injury complains of
nausea and abdominal fullness. Which action should the nurse take initially?
A. Consult with the health care provider about using a different opioid
B. Tell the patient that the nausea should subside in about a week
C. Administer the ordered antiemetic medication
D. Order the patient a clear liquid diet until the nausea decreases Answer -
ANS: C
A nurse assesses a postoperative patient 2 days after chest surgery. What
findings indicate that the patient requires better pain management? (select all
that apply)
, A. Shallow breathing
B. Confusion
C. Elevated temperature
D. Hypoglycemia Answer - ANS: A, B, C
A patient with chronic pain who has been receiving morphine sulfate 20 mg IV
over 24 hours is to be discharged home on oral sustained-release morphine
(MS Contin) administered twice a day. What dosage of MS Contin will be
needed for each dose to obtain an equianalgesic dose for the patient?
(Morphine sulfate 10 mg IV is equianalgesic to morphine sulfate 30 mg orally.)
A. MS Contin 120 mg/dose
B. MS Contin 60 mg/dose
C. MS Contin 30 mg/dose
D. MS Contin 15 mg/dose Answer - ANS: C
Morphine sulfate 20 mg IV over 24 hours will be equianalgesic to MS Contin 60
mg in 24 hours. Because the total dose needs to be divided into two doses,
each dose should be 30 mg.
Which action by the nurse will be most helpful to a patient who is expected to
ambulate, deep breath, and cough on the first postoperative day?
A. Schedule the activity to begin after the patient has taken a nap
B. Administer prescribed analgesic medications before the activities
C. Encourage the patient to state the purpose of splinting the incision
D. Ask the patient to state two possible complications of immobility Answer -
ANS: B
A patient who had knee surgery received IV ketorolac 30 minutes ago and
continues to complain of pain at a level of 7 (0-10 scale). Which action is most
effective for the nurse to take at this time?
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