Answer each of the
following questions (there is only one correct answer to each question).
1
Pain is:
A. whatever the experiencing
person says it is, existing whenever he says it does
B. a sensation caused by
some type of noxious stimulus
C. an unpleasant, subjective
sensory and emotional experience associated with actual or potential
tissue damage, or described in terms of such damage
D. all of the above
2
The a-delta receptors contain
small, myelinated fibers that:
A. slowly transmit a long
lasting burning pain sensation
B. rapidly transmit acute
sharp pain signals
C. slowly transmit acute
sharp pain sensation
D. respond to non-painful
touch
3
Pain threshold is:
A. the earliest point at
which a person perceives stimuli as painful
B. the lowest level of
stimulation at which a person will stop, or seek to stop, the stimulus
C. a theory to explain
both the physiologic and psychologic aspects of pain
D. a type of pain originating
in the musculoskeletal system
4
Pain tolerance is:
A. the earliest point at
which a person perceives stimuli as painful
B. the lowest level of
stimulation at which a person will stop, or seek to stop, the stimulus
C. a theory to explain
both the physiologic and psychologic aspects of pain
D. a type of pain originating
in the musculoskeletal system
5
Visceral pain is:
A. a direct, acute and
localized sensation
B. a type of pain originating
in the musculoskeletal system
C. a diffuse, poorly localized
feeling emanating from body organs with hollow cavities
D. pain of short duration,
lasting less than six months
6
Which of the following statements
regarding the relationship between pain and aging is true ?
A. pain is a natural part
of aging
B. older adults have difficulty
articulating the presence and characteristics of pain
C. pain is often a symptom
of age-related illnesses
D. all of the above
7
In order to get an accurate pain
assessment from a quiet patient the nurse may need to:
A. actively elicit more
information
B. let a colleague from
the next shift talk with the patient
C. treat the patient with
the ordered pain medication, just in case he is in pain
D. speak with the patient's
roommate about the patient's behavior
8
An example of an effective way
to include a patient's family and friends in the pain management process
is to:
A. facilitate visits from
family and friends
B. limit visitation to
specific times and individuals
C. discuss behavioral interventions
with regular visitors
D. assume the patient prefers
solitude, and respect those wishes
9
Barriers to adequate pain management
include the misconception that:
A. drug abusers typically
underreact to pain
B. minor illnesses and
injuries are less painful than severe ones
C. long term use of opioid
medications for terminal cancer is appropriate
D. the best authority on
the patient's pain is the patient himself
10
The letters in the pain assessment
mnemonic PQRST stand for:
A. Pain, Quality, Region,
Symptoms, and Teaching
B. Pain, Quality, Region/Radiation,
Severity, and Temperature
C. Provoking Factors, Quality,
Region/Radiation, Standards and Temperature
D. Provoking Factors, Quality,
Region/Radiation, Severity/Symptoms and Timing
11
To ascertain the quality of pain
the nurse should:
A. ask the patient to
point to the area of the pain
B. ask open ended questions
C. take the patient's vital
signs
D. observe the patient's
reactions to prn medication
12
The visual analog scale is used
to measure pain:
A. location
B. severity
C. signs and symptoms
D. quality
13
The Wong-Baker Faces pain rating
scale is an appropriate alternative to the visual analog scale for use:
A. with patients who do
not have mastery of the English language
B. in determining the location
of pain
C. in obtaining consent
for non-pharmacologic interventions
D. with other healthcare
professionals only
14
All of the following behaviors
can indicate pain except :
A. guarding
B. refusal to eat
C. change in continence
D. excessive exercise
15
The most appropriate question
to ask a patient to determine if pain is affecting his ADLs is:
A. "Have you recently changed
jobs?"
B. "Do you golf as a hobby?"
C. "What new activities
have you recently begun?"
D. "What can you no longer
do because of your pain?"
16
Oxycodone is a(n):
A. non-opioid pain medication
B. weak opioid pain medication
C. strong opioid pain medication
D. adjuvant pain medication
17
Fentanyl is a(n):
A. non-opioid pain medication
B. weak opioid pain medication
C. strong opioid pain medication
D. adjuvant pain medication
18
Adjuvant medications for pain:
A. can be used to supplement
opioid and non-opioid medications
B. lack a primary indication
for pain management but have demonstrated analgesic effects
C. include tricyclic antidepressants
and anticonvulsants
D. all of the above
19
An equianalgesic chart shows practitioners:
A. all available adjuvant
medication options
B. equivalent potency regarding
dosage and route between narcotics
C. the best non-pharmacologic
options and equivalencies
D. appropriate dosages
based on the patient's weight, height and age
20
A ceiling dose is:
A. the individual starting
dosage for each patient receiving a narcotic
B. the highest level of
analgesia that can be achieved without significant side effects or toxicity
C. determined by the individual
patient's pain threshold
D. all of the above
21
The Pain Ladder, a widely accepted
3-step approach to implementing the three categories of pain medication,
was developed by the:
A. World Health Organization
B. Centers for Disease
Control
C. American Cancer Society
D. Food and Drug Administration
22
A non-pharmacologic intervention
for pain treatment that entails massaging specific trigger points is
called:
A. biofeedback
B. guided imagery
C. meditation
D. accupressure
23
A non-pharmacologic intervention
for the treatment of pain that uses a portable machine attached to the
patient's skin is called:
A. patient controlled analgesia
(PCA)
B. placebo
C. transcutaneous electrical
nerve stimulation (TENS)
D. acupuncture
24
When administering pain treatments,
especially non-pharmacologic options, it is important to:
A. obtain the patient's
consent before implementation
B. rely on the family to
choose the best option
C. teach the patient to
wait until the pain is severe before requesting treatment
D. incorporate therapeutic
touch into every intervention
25
Documentation should include all
of the following except :
A. assessment findings
B. sources of fundin g
C. treatment results
D. treatments offered and
utilized
26
A North American Nursing Diagnosis
Association diagnosis relevant to pain management is:
A. chronic pain
B. somatic pain
C. neuropathic pain
D. unrelieved pain
27
Identified barriers to treatment
of cancer pain include:
A. inadequately trained
pharmacy personnel
B. physicians' overprescribing
of narcotics
C. lack of knowledge among
healthcare professionals
D. families' insistence
on non-pharmacologic interventions
28
Institutionalizing of pain management
by healthcare professionals would result in:
A. increased pain attributable
to actions of hospital administrators
B. a higher priority for
pain management within the practice environment
C. decreased use of non-pharmacologic
interventions
D. delegation of pain assessment
to a group of specially trained providers
29
JCAHO standards apply to healthcare
organizations that are engaged in:
A. hospital care only
B. ambulatory care
C. long term health insurance
D. pharmaceutical research
30
The JCAHO Pain Standards for 2001
specifically require that pain be assessed in:
A. children and the elderly
B. patients diagnosed with
cancer
C. patients in hospice
care
D. all patients
Evaluation Thank you for choosing the National Center!
