Chapter 11: Pain Assessment
Jarvis: Physical Examination and Health Assessment, 8th Edition
MULTIPLE CHOICE
1. The nurse is evaluating a patient’s pain. Which is an example of acute pain?
a.
Fibromyalgia
b.
Arthritic pain
c.
Kidney stones
d.
Lower back pain
2. The nurse is teaching a class on pain at a local retirement community. Which statement about
the pain experienced by older adults should the nurse include in the instructions?
a.
“Older adults must learn to tolerate pain.”
b.
“Pain is a normal process of aging and is to be expected.”
c.
“Pain indicates a pathologic condition or an injury and is not a normal process of
aging.”
d.
“Older individuals perceive pain to a lesser degree than do younger individuals.”
3. A 4-year-old boy is brought to the emergency department by his mother. She says he points to
his stomach and says, “It hurts so bad.” Which pain assessment tool would be the best choice
when assessing this child’s pain?
a.
Descriptor scale
b.
Numeric rating scale
c.
Brief pain inventory
d.
Faces Pain Scale—Revised (FPS-R)
4. A patient states that the pain medication is “not working” and rates his postoperative pain at a
10 on a 1-to-10 scale. Which of these assessment findings indicates an acute pain response to
poorly controlled pain?
a.
Confusion
b.
Depression
c.
Hyperventilation
d.
Increased blood pressure and pulse
5. A 60-year-old woman has developed reflexive sympathetic dystrophy after arthroscopic repair
of her shoulder. Which is a key feature of this condition?
a.
Affected extremity will eventually regain its function.
b.
Pain is felt at one site but originates from another location.
c.
Patient’s pain will be associated with nausea, pallor, and diaphoresis.
d.
Slightest touch, such as a sleeve brushing against her arm, causes severe and
intense pain.
6. The nurse is assessing a patient’s pain. What should the nurse know is the most reliable
indicator of pain?
a.
Subjective report
b.
Physical examination
c.
Patient’s vital signs
d.
Results of a computerized axial tomographic scan
7. A patient has had arthritic pain in her hips for several years since a hip fracture. She is able to
move around in her room and has not offered any complaints so far this morning. However,
when asked, she states that her pain is “bad this morning” and rates it at an 8 on a 1–to-10
scale. What is the likely reason for this?
a.
The patient is addicted to her pain medications and cannot obtain pain relief.
b.
The patient does not want to trouble the nursing staff with her complaints.
c.
The patient is not in pain but rates it high to receive pain medication.
d.
The patient has experienced chronic pain for years and has adapted to it.
8. The nurse is reviewing the principles of pain. Which type of pain is due to an abnormal
processing of the pain impulse through the peripheral or central nervous system?
a.
Visceral
b.
Referred
c.
Cutaneous
d.
Neuropathic
9. When assessing the quality of a patient’s pain, the nurse should ask which question?
a.
“When did the pain start?”
b.
“Is the pain a stabbing pain?”
c.
“Is it a sharp pain or dull pain?”
d.
“What does your pain feel like?”
10. When assessing a patient’s pain, the nurse records that the patient has visceral pain. Which
condition would the patient have stated in order for the nurse document visceral pain?
a.
A hip fracture
b.
Cholecystitis
c.
Second-degree burns
d.
Pain after a leg amputation
11. The nurse is reviewing the principles of nociception. During which phase of nociception does
the conscious awareness of a painful sensation occur?
a.
Perception
b.
Modulation
c.
Transduction
d.
Transmission
12. When assessing the intensity of a patient’s pain, which question by the nurse is appropriate?
a.
“What does your pain feel like?”
b.
“How much pain do you have now?”
c.
“How does pain limit your activities?”
d.
“What makes your pain better or worse?”
13. A patient is complaining of severe knee pain after twisting it during a basketball game and is
requesting pain medication. Which action by the nurse is appropriate?
a.
Completing the physical examination first and then giving the pain medication
b.
Telling the patient that the pain medication must wait until after the x-ray images
are completed
c.
Evaluating the full range of motion of the knee and then medicating for pain
d.
Administering pain medication and then proceeding with the assessment
14. The nurse knows that which statement is true regarding the pain experienced by infants?
a.
Infants feel pain less than adults do.
b.
The FPS-R can be used to assess pain in infants.
c.
A procedure that induces pain in adults will also induce pain in the infant.
d.
Pain in infants can only be assessed by physiologic changes, such as an increased
heart rate.
15. A patient has been admitted to the hospital with vertebral fractures r/t osteoporosis. She is in
extreme pain. How should the nurse document this type of pain?
a.
Referred
b.
Cutaneous
c.
Visceral
d.
Deep somatic
MULTIPLE RESPONSE
1. During assessment of a patient’s pain, the nurse is aware that certain nonverbal behaviors are
associated with chronic pain. Which of these behaviors are associated with chronic pain?
(Select all that apply.)
a.
Bracing
b.
Rubbing
c.
Moaning
d.
Sleeping
e.
Diaphoresis
f.
Restlessness
2. During an admission assessment of a patient with dementia, the nurse assesses for pain
because the patient has recently had several falls. Which of these are appropriate for the nurse
to assess in a patient with dementia? (Select all that apply.)
a.
Ask the patient, “Do you have pain?”
b.
Have the patient rate pain on a 1-to-10 scale.
c.
Assess the patient’s breathing independent of vocalization.
d.
Note whether the patient is calling out, groaning, or crying.
e.
Observe the patient’s body language for pacing and agitation.
