Navigation » List of Schools » Pierce College » Nursing » Nursing 406 – Adult Health Care » Spring 2020 » Chapter 12 Quiz
Below are the questions for the exam with the choices of answers:
Question #1
A Give an oral opioid analgesic 30 minutes before the procedure.
B Apply eutectic mixture of local anesthetic cream 30 minutes prior to the procedure.
C Inject lidocaine 2% with epinephrine locally around the potential procedure site.
D Apply diclofenac gel over the site 1 hour before the procedure.
Question #2
A Acute pain
B Referred pain
C Neuropathic pain
D Chronic pain
Question #3
A kava–kava
B ginseng
C chamomile
D valerian
Question #4
A Addiction
B Placebo
C Dependence
D Tolerance
Question #5
A gastrointestinal effects
B bleeding
C hepatotoxicity
D renal toxicity
Question #6
A The pain medication will be administered before the pain becomes severe.
B The pain medication will be administered before the pain is experienced.
C The pain medication will be administered when the level of pain tolerance has been exceeded.
D The pain medication will be administered when the pain is at its peak.
Question #7
A Heart rate of 96 beats/minute
B Blood pressure 100/60 mm Hg
C Temperature of 99F
D Respiratory rate of 10 breaths/minute
Question #8
A addiction
B poor quality control by the drug manufacturer
C drug allergy
D tolerance
Question #9
A Refuse to administer the pain medication.
B Wake the client and ask about her pain rating.
C Instruct the son about lack of client consent.
D Administer the prescribed medication.
Question #10
A Administering analgesics with increased dosage
B Administering the analgesics intravenously
C Administering the analgesics every three hours
D Administering the analgesics on an as-needed basis
Question #11
A Average the numbers and report that number as the client’s level of pain.
B Record each of the numbers the client stated for her pain.
C Medicate the client for pain based on the highest number of “8.”
D Obtain a pain scale with faces for the client to measure her pain.
Question #12
A Substance P
B Endorphins
C Serotonin
D Acetylcholine
Question #13
A When a numeric scale is used to assess pain intensity
B When the pain is chronic
C When analgesics are contraindicated for the client’s condition
D When the client’s expressions of pain are incongruent with the nurse’s expectations
Question #14
A Provide patient-controlled analgesia.
B Administer analgesics around the clock.
C Administer oral opioids as needed.
D Administer pain medication through a transdermal patch.
Question #15
A Older people have increased hepatic, renal, and gastrointestinal function.
B Older people metabolize drugs more rapidly.
C Older people have lower ratios of body fat and muscle mass.
D Older people are more sensitive to drugs.
Question #16
A Ketamine
B Gabapentin
C Hydromorphone
D Tramadol
Question #17
A “Don’t you know that you can cause bleeding when you take that medication so often?”
B “Ibuprofen is contraindicated when taking a proton pump inhibitor.”
C “You should never take ibuprofen; it can cause considerable problems.”
D “It would be best to contact the physician prior to take any over-the-counter medications.”
Question #18
A Hypotension
B Bradycardia
C Pallor
D Dry skin
Question #19
A the nurse must be primarily concerned about the development of addiction by a client in pain.
B tolerance to opioids is uncommon.
C although clients may need increasing levels of opioids, they are not addicted.
D addiction to opioids often develops.
Question #20
A Tachycardia
B Bradypnea
C Hypertension
D Asystole
Question #21
A Burning
B Intermittent
C Chronic
D Severe
Question #22
A Somatic Pain
B Visceral Pain
C Chronic Pain
D Neuropathic Pain
Question #23
A chronic
B deeper somatic
C neuropathic
D visceral
Question #24
A Increase dosage of the drug.
B Administer subtherapeutic doses.
C Discontinue drugs gradually.
D Administer adjuvant drugs along with the prescribed drug.
Question #25
A That the client is experiencing pain relating to the burn injuries from several years ago
B That based on her past experiences the client’s perception of pain should be less
C That the client’s past experiences with pain may influence her perception of current pain
D That the client has become dependent on drugs from her previous experience of burns
Question #26
A “A nausea medication has been prescribed that I will give you.”
B “I will notify your physician.”
C “What do you mean by the word sick?”
D “A lot of people have a similar problem with this medication.”
Question #27
A “This will completely relieve your pain.”
B “Whenever you hurt, push the button.”
C “Wait until your pain is severe before pushing the button.”
D “Only you are to push the button for medication.”
Question #28
A Willow
B Gingko
C Echinacea
D Kava
Question #29
A addiction.
B tolerance.
C dependence.
D balanced analgesia.
Question #30
A Provide the client with a fresh gown.
B Consult with the health care prescriber to include hydroxyzine with the opioid.
C Position the client for comfort.
D Encourage the client to eat crackers.
Question #31
A Angina
B Intervertebral disk herniation
C A migraine headache
D Appendicitis
Question #32
A A mother in labor utilizing imagery to reduce pain
B A child quickly removing a hand when touching a hot object
C A patient taking tramadol to enhance pain management
D A surgeon making an incision to perform surgery
Question #33
A Consult with the prescriber regarding the need for an increased dose of the drug and not to reduce the frequency of administration.
B Inform the client that he will not be able to receive more medication than the physician has ordered.
C Inform the client that you will ask the physician to order a non-narcotic analgesic.
D Suggest a consultation with a psychiatrist to treat the client’s addiction.
Question #34
A Insomnia
B Hyperalertness
C Hyperventilation
D Confusion
Question #35
A increasing the amount of bran and fresh fruits and vegetables
B ingesting up to 6 glasses of fluids per day
C inserting a bisacodyl (Dulcolax) rectal suppository every morning
D using milk of magnesia 30 mL every day
Question #36
A Ensure naloxone is available.
B Administer one–half of the prescribed opioid dose.
C Withhold the hydromorphone.
D Consult with the healthcare provider to reduce the dose.
Question #37
A Pain threshold
B Pain tolerance
C Sensitization
D Dependence
Question #38
A Long duration
B Short duration
C No risk of respiratory depression
D Slower entry into bloodstream
Question #39
A Ensure the client is prescribed large doses of opioids postoperatively.
B Notify the surgeon of the client’s goal of “0.”
C Plan to use medication and nonpharmacologic interventions.
D Educate the client that this goal may not be achievable.
Question #40
A “You are so brave to not take your pain medication when the dressing change will hurt.”
B “You are so right to not take your pain medication. You can become dependent on the medication.”
C “I saw you grimacing during the dressing change. Please explain the reason you refused the pain medication.”
D “If you need pain relief, I can give you some medication when I have completed the dressing change.”
Question #41
A Addiction
B Dependence
C Tolerance
D Placebo
Question #42
A Altered mobility
B Risk for impaired gas exchange
C Risk for injury
D Diarrhea
Question #43
A Avoid harsh sunlight.
B Follow a bowel regimen.
C Exercise regularly.
D Reduce fiber intake.
Question #44
A Anticipated duration of the pain
B Medical interventions for pain management
C Severity of the pain as judged by the patient
D Anticipated harmful effects of the pain experience
Question #45
A Withdrawal therapy
B Alternate drug therapy
C Adjuvant drug therapy
D Replacement drug therapy
Question #46
A Acute pain
B Neuropathic pain
C Chronic pain
D Referred pain
Question #47
A nutritional deficiencies, onset, duration, and effects of pain
B quality, location, intensity, and family history
C intensity, variations, range of motion, and the client’s goal for pain control
D location, onset, alleviating factors, and aggravating factors
Question #48
A The client should wait until the pain is severe to push the button to prevent overdose.
B Chance of sedation is rare when using a PCA pump.
C Teach the client to avoid pushing the button multiple times because additional doses will be given.
D The pump will deliver a preset amount of medication.
Question #49
A Constipation
B Respiratory depression
C Pruritus
D Nausea and vomiting
Question #50
A Subcutaneous
B Oral mucosa
C Rectal
D Epidural space
Question #51
A Inform the primary health care provider about the use of salicylates before any procedure, and avoid over-the-counter analgesics consistently without consulting a physician.
B Avoid harsh sunlight for 2 hours after administering analgesic agents or salicylates.
C Consume the medications just before or along with meals.
D Minimize fiber intake during the therapy.
Question #52
A A placebo should be used as the first line of treatment for a client.
B A placebo effect is an indication that the client does not have pain.
C A positive response to a placebo indicates that the client’s pain is not real.
D Placebos should never be used to test a client’s truthfulness about pain.
Question #53
A aspirin
B naloxone
C ibuprofen
D diphenhydramine
Question #54
A Bradypnea
B Hypertension
C Asystole
D Tachycardia
Question #55
A Increase the dosage of the medication so the client will stay medicated longer.
B Provide the client with a patient-controlled analgesia (PCA) pump.
C Increase the frequency of the medication so that the client will have less time to wait.
D If the nurse is going to be late with administration, have an extra dose of medication available.
Question #56
A Transmission
B Modulation
C Transduction
D Perception
Question #57
A Reducing the dosage of the narcotic analgesic
B Reducing the frequency of administration of the narcotic analgesic
C Reducing the dosage of the narcotic analgesic
D Programming the dosage and time interval into the device