1. A child who is terminally ill with bone cancer is in severe pain. Nursing interventions should be based
on knowledge that:
A. Children tend to be overmedicated for pain
B. Giving large doses of opioids causes euthanasia
C. Narcotic addiction is common in terminally ill children
D. Large doses of opioids are justified when there are no other treatment options
2. Which of the following is the most consistent indicator of pain in infants?
A. Increased respirations
B. Increased heart rate
C. Clenching the teeth and lips
D. Facial expression of discomfort
3. The nurse is starting an intravenous (IV) line on a school-age child with cancer. The child says, “I have
had a million IVs. They hurt.” The nurse’s response should be based on the knowledge that:
A. Children tolerate pain better than adults
B. Children become accustomed to painful procedures
C. Children often lie about experiencing pain
D. Children often show increased behavioral signs of discomfort with repeated painful procedures
4. Which of the following is an important consideration when using the FACES Pain Rating Scale with
children?
A. Children color the face with the color they choose to best describe their pain
B. The scale can be used with most children as young as 3 years of age
C. The scale is not appropriate for use with adolescents
D. The scale is useful in pain assessment, but is not as accurate when assessing physiologic responses
5. Nonpharmacologic strategies for pain management:
A. May reduce pain perception
B. Make pharmacologic strategies unnecessary
C. Usually take too long to implement
D. Trick children into believing they do not have pain
6. The nurses caring for a child are concerned about the child’s frequent requests for pain medication.
During a team conference a nurse suggests that they consider administering a placebo instead of the
usual pain medication. This decision should be based on knowledge of which of the following?
A. This practice is unjustified and unethical
B. This practice is effective in determining whether a child’s pain is real
C. The absence of a response to a placebo means the child’s pain has an organic basis
D. A positive response to a placebo will not occur if the child’s pain has an organic basis
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