Kozier & Erb’s Fundamentals of Nursing, 9/E
Chapter 46
Question 1
Type: MCSA
The nurse is caring for an 8-month-old infant. What is the best tool the nurse should use for evaluating pain in this
infant?
1. FLACC scale
2. Wong-Baker FACES
3. Visual analog scale
4. Numeric rating scale
Question 2
Type: MCSA
The nurse is preparing to discharge a client home with a prescription for ibuprofen (Motrin). What should the
nurse instruct as a common side effect of this medication?
1. Gastrointestinal (GI) distress
2. Shakiness
3. Tremors
4. Rash
Question 3
Type: MCSA
Which of the following objective assessment data will the nurse obtain before administering a prescribed opioid
medication to a client?
1. Pain level as stated by client
2. Any nausea the client may be feeling
3. Respiratory rate
4. Color of skin
Question 4
Type: MCSA
The nurse provides an oral opiate to a client with pain. In how many hours should the nurse expect the client to
need another dose of the medication?
1. 2 hours
2. 4 hours
3. 6 hours
4. 8 hours
Question 5
Type: MCSA
The nurse is to administer acetaminophen (Tylenol) prn to a client for a headache; however, the client has been
vomiting all day. Which route should the nurse use to administer the medication?
1. Oral
2. Vaginal
3. Rectal
4. Intravenous
Question 6
Type: MCSA
A client recovering from a left below-the-knee amputation is experiencing left foot pain. The nurse realizes the
client is experiencing which type of pain?
1. Phantom limb pain
2. Acute pain
3. Chronic pain
4. Narcotic-induced pain
Question 7
Type: MCSA
The nurse is providing discharge instructions to a client prescribed an opioid medication. What should the nurse
suggest to decrease the risk of constipation with this medication?
1. Take an antihistamine three times per day.
2. Drink 6 to 8 glasses of water per day.
3. Assess respiratory rate before taking medication.
4. Assess heart rate before taking medication.
Question 8
Type: MCSA
The nurse is caring for a client who is using morphine through patient-controlled analgesia (PCA). What
medication should the nurse have readily available?
1. Naloxone hydrochloride (Narcan)
2. Acetaminophen (Tylenol)
3. Diphenhydramine hydrochloride (Benadryl)
4. Normal saline
Question 9
Type: MCSA
The client is taking meperidine (Demerol) and experiencing pruritus. Which medication should the nurse expect
the physician to order?
1. Naloxone hydrochloride (Narcan)
2. Acetaminophen (Tylenol)
3. Diphenhydramine hydrochloride (Benadryl)
4. Normal saline
Question 10
Type: MCSA
The nurse is admitting a client to the emergency department with complaints of severe abdominal pain. What is
the nurse’s first action?
1. Administer IV pain medication as ordered.
2. Start an IV line of lactated Ringer’s.
3. Assess pain using a scale of 1 to 10.
4. Place a Foley catheter to bedside drainage.
Question 11
Type: MCSA
A client is surprised to learn of the diagnosis of a heart attack when there was no chest pain experienced but only
some left shoulder pain. The nurse should explain that the client experienced which type of pain?
1. Phantom pain
2. Referred pain
3. Visceral pain
4. Chronic pain
Question 12
Type: MCSA
A client rates pain as being 7 on a scale from 0 to 10. What should the nurse document as this client’s pain
intensity?
1. Mild pain
2. Moderate pain
3. Severe pain
4. Physiological pain
Question 13
Type: MCSA
A client is experiencing pain after spraining an ankle. The nurse realizes that the client is most likely experiencing
which type of pain?
1. Mild pain
2. Severe pain
3. Somatic pain
4. Visceral pain
Question 14
Type: MCSA
The client scheduled to undergo minor surgery states, “The physician will not give me pain medication after
surgery because my surgery is only minor.” What is the best response by the nurse?
1. “You can experience pain after minor surgery, so you can have pain medication.”
2. “You are correct. The physician will not order any pain medication.”
3. “You are correct. I will need to teach you nonpharmacologic pain relief measures.”
4. ” You can only have about half the dose because your surgery is minor.”
Page Number: 1105
Question 15
Type: MCSA
The nurse is performing discharge teaching for a client taking an NSAID. The client states he has heard that
taking an antacid with this medication will help decrease the incidence of upset stomach. What is the nurse’s best
response?
1. “Antacids reduce the absorption and therefore the effectiveness of the NSAID.”
2. “Antacids help to reduce the incidence of gastric bleeding that could occur with the use of NSAIDs.”
3. “Antacids should never be taken with an NSAID.”
4. “Antacids help to reduce the incidence of pain.”
Question 16
Type: MCSA
The nurse is caring for a postpartum client receiving pain medication through an epidural catheter. Which
assessment finding should the nurse report immediately to the physician?
1. Pulse rate: 80
2. Respiratory rate: 8
3. Blood pressure: 120/80
4. Pain rating of 4 on scale of 1 to 10
Question 17
Type: MCSA
A client states that a cramping pain started 2 hours ago and is not accompanied by any nausea or vomiting. Which
type of pain is this client most likely experiencing?
1. Chronic pain
2. Phantom pain
3. Visceral pain
4. Acute pain
Question 18
Type: MCMA
The nurse is preparing to conduct a pain assessment. What should the nurse include in this assessment?
Standard Text: Select all that apply.
1. Duration
2. Location
3. Intensity
4. Etiology
5. Neurology
Question 19
Type: MCSA
A client experiencing pain has been prescribed aspirin. The nurse realizes that this medication will affect which
pain process?
1. Transduction
2. Transmission
3. Perception
4. Modulation
Question 20
Type: MCSA
A client is complaining of having the same type of pain that he experienced prior to being diagnosed with cancer.
The nurse realizes that which process will influence this client’s perception of pain?
1. Transmission
2. Modulation
3. Perception
4. Transduction
Question 21
Type: MCSA
A client tells the nurse that an ice pack works well to reduce the intensity of back pain. The nurse realizes that the
client is implementing
1. a placebo.
2. distraction.
3. guided imagery.
4. the gate control theory of pain.
Question 22
Type: MCSA
A client recovering from hip surgery is reluctant to ambulate because of the amount of pain that occurred with
walking prior to the surgery. What can the nurse do to help this client with pain control?
1. Provide pain medication before every ambulation session.
2. Address the client’s fear of pain with walking.
3. Tell the client that the pain is now gone.
4. Explain that the client is confusing postoperative pain with the pain before the surgery.
Question 23
Type: MCMA
The nurse is caring for an adolescent client who is experiencing postoperative pain. What interventions should the
nurse use to help this client?
Standard Text: Select all that apply.
1. Talk with the client about pain.
2. Provide privacy.
3. Present choices for dealing with pain.
4. Encourage distraction with music or television.
5. Allay fears and anxiety.