ELNEC Exam Questions With 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 he...
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. - 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? -
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. - 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 - 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. - 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 - 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. - answer✔A
What is the most common adverse effect related to the use of acetaminophen?
A. GI bleeding
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