Test Bank for Prioritization Delegation and Assignment 5th
Edition By LaCharity, Kumagai, and Hosler (STUVIA)
,Chapter 1. Pain
MULTIPLE CHOICE
1.A hospital patient tells the practicing nurse that she rarely experiences pain, but when she does, she
seeks medicalattention. The practicing nurse realizes this hospital patient understands that pain is
important because it:
1. is a protective system.
2. includes the automatic withdrawal reflex.
3. creates sensitivity to pain.
4. helps with healing.
RIGHT SOLUTION<>>>> 1
DETAILED ANSWER>>>> Pain is a protective system that includes protection from unsafe
behaviors by use of reflexes, memory, and avoidance. Even though the automatic withdrawal
reflex is a part of the pain response, it does not explain why pain is important. Pain does not
create sensitivity to pain. Paindoes not help with healing.
PTS: 1 DIF: Analyze REF: Definitions and Implications of Pain
2.A hospital patient complains that the bed sheets touching his skin are extremely painful.
The practicing nurserealizes this hospital patient is experiencing:
1. allodynia.
2. modulation.
3. kinesthesia.
4. proprioception.
RIGHT SOLUTION<>>>> 1
DETAILED ANSWER>>>> Allodynia or hyperalgesia is a state where a slight or nonpainful
stimulus is interpreted as verypainful. Kinesthesia is the awareness of movement. Proprioception is
the awareness of body position. Modulation is an influencing factor in the perception of pain.
PTS: 1 DIF: Analyze REF: Peripheral Nervous System
3.A hospital patient is complaining of severe abdomen pain. The practicing nurse realizes this
hospital patient is experiencingwhich type of pain?
1. Neuralgia
2. Pathological
3. Somatic
4. Visceral
RIGHT SOLUTION<>>>> 4
DETAILED ANSWER>>>> Visceral pain is pain arising from the body organs or
gastrointestinal tract. Somatic pain is painthat originates from the bone, joints, muscles, skin, or
connective pain. Neuralgia and
,pathological pain are both types of pain that result from injury to a nerve or malfunction of the
neuronal transmission process or due to impaired regulation.
PTS:1DIF:AnalyzeREF:Types of Pain
4.A hospital patient, diagnosed with acute appendicitis, is experiencing abdominal pain. The
best way forthe practicing nurse to describe this hospital patients pain would be:
1. chronic.
2. neuropathic.
3. referred.
4. acute.
RIGHT SOLUTION<>>>> 4
DETAILED ANSWER>>>> Acute pain onset is sudden and of short duration. Chronic pain is a
sudden or slow onset of mildto severe pain that lasts longer than 6 months. Referred pain is the
result of the transfer of visceral pain sensations to a body surface at a distance from the actual
origin. Neuropathic pain is paroxysmal pain that occurs along the branches of a nerve.
PTS:1DIF:ApplyREF:Types of Pain
5.A hospital patient is observed holding a pillow over the abdominal region with both knees
flexed in aside-lying position. Vital signs assessment reveals an elevated blood pressure and
heart rate. Which of the following should the practicing nurse say to this hospital patient?
1. Can I get you anything?
2. Would you like something for pain?
3. You look comfortable.
4. Your blood pressure is up.
RIGHT SOLUTION<>>>> 2
DETAILED ANSWER>>>> Sympathetic responses to pain include elevated blood pressure and
heart rate. And since the hospital patient is hugging a pillow over the abdominal region with both
knees flexed in a side-lying position, the best thing for the practicing nurse to say to this hospital
patient is Would you like something for pain? The other responses are incorrect because they do
not acknowledge that the hospital patient is experiencingpain.
PTS: 1 DIF: Apply REF: Assessing the Clinical Manifestations of Pain
6.A hospital patient experiencing chronic pain asks the practicing nurse why she is not
prescribed Demerol like shereceived when she had a total knee replacement. Which of the
following should the practicing nurse respond to this hospital patient?
1. You don’t need something that strong.
2. That medication does not exist anymore.
3. That medication does not last very long.
4. It can cause you have high blood pressure.
, RIGHT SOLUTION<>>>> 3
DETAILED ANSWER>>>> Meperidine is no longer a major drug for acute or chronic pain due
to its short analgesic durationof 2 to 3 hours and the potential for accumulative toxic effects of
its metabolite, normeperidine. The best response for the practicing nurse to make to the hospital
patient would be that medication does not last verylong. The other responses are inaccurate.
PTS:1DIF:ApplyREF:Opioid Analgesics
7.A hospital patient is informed that a tricyclic antidepressant medication is going to help
control hischronic pain. The practicing nurse would expect the physician to prescribe:
1. Amitriptyline.
2. Baclofen.
3. Gabapentin.
4. Diazepam.
RIGHT SOLUTION<>>>> 1
DETAILED ANSWER>>>> Amitriptyline is an antidepressant. Gabapentin is an
anticonvulsant. Baclofen is a musclerelaxant. Diazepam is a benzodiazepine.
PTS: 1 DIF: Analyze REF: Adjuvant Medications
8.A hospital patient receiving around-the-clock medication for terminal cancer experiences
additional painwhen performing activities of daily living. The practicing nurse realizes this
hospital patient is experiencing:
1. breakthrough pain.
2. intractable pain.
3. psychosomatic pain.
4. acute pain.
RIGHT SOLUTION<>>>> 1
DETAILED ANSWER>>>> Breakthrough pain is commonly seen in the advanced stages of
cancer. It is spontaneous, unpredictable, and can be initiated by certain activities such as during
activities of daily living. Intractable pain is resistant to some or all forms of therapy.
Psychosomatic pain is that which hasa psychological origin. The hospital patient is diagnosed
with terminal cancer. Acute pain has a sudden onset and resolves within 6 months.
PTS:1DIF:AnalyzeREF:Breakthrough Pain
9.A hospital patient recovering from surgery tells the practicing nurse that she is nauseated and is
experiencing anincrease in pain. Which of the following does this hospital patients symptoms
suggest to the practicing nurse?
1 The hospital patient is becoming dependent upon the pain medication.
.
2 The hospital patients pain threshold is lower when experiencing nausea.
.
3 The hospital patient is experiencing withdrawal symptoms from pain medication.
.
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