Question 24
Type: MCMA
An older client who refuses medication for pain is irritable and unable to sleep. What should the nurse explain to
the client to encourage the use of pain medication?
Standard Text: Select all that apply.
1. There are high-dose medications that will eradicate the pain.
2. The lack of pain control is causing the inability to sleep.
3. The lack of pain control is causing irritability.
4. The risks of taking pain medication are low in the older population.
5. The lack of pain control will affect mobility and activity tolerance.
Question 25
Type: MCSA
A client with pain has had previous episodes of uncontrolled pain in the past and is worried about the current pain
pattern. Which diagnosis would be appropriate for the nurse to include for this client?
1. Anxiety
2. Ineffective Coping
3. Deficient Knowledge
4. Hopelessness
Question 26
Type: MCMA
From an assessment, the nurse learns that the client is having difficulty sleeping because of pain in the hips and
knees due to arthritis. The client is weak and fatigued. Which diagnoses would be applicable to the client at this
time?
Standard Text: Select all that apply.
1. Anxiety
2. Hopelessness
3. Ineffective Health Maintenance
4. Insomnia
5. Impaired Physical Mobility
Question 27
Type: MCSA
A client experiencing chronic pain is not getting relief with pain medication. What should the nurse do to help this
client?
1. Ask the physician to change the prescribed pain medication.
2. Reassess the pain and consider another pain relief measure.
3. Limit interaction with the client.
4. Stop using alternative pain relief measures, if not effective.
Question 28
Type: MCSA
A client’s pain level is assessed as being severe. Which intervention would be the most applicable for the client at
this time?
1. Provide NSAID medication as prescribed.
2. Coach the client with guided imagery.
3. Suggest the client read or watch television until the pain subsides.
4. Provide opioid analgesic as prescribed.
Question 29
Type: MCSA
A client recovering from back surgery is refusing pain medication for fear of becoming addicted. What should the
nurse say to the client?
1. “I understand.”
2. “There are ways to treat addictions to pain medications.”
3. “If the medication is taken to treat pain, you will not become addicted to it.”
4. “All pain medication causes addiction. There is nothing that can be done to prevent it.”
Question 30
Type: MCSA
A client experiencing pain after surgery says “Something must be wrong” because the pain is so severe. What is
the best response for the nurse to make to the client?
1. “The amount of tissue disrupted from the surgery is not related to the degree of pain you feel.”
2. “That could be so.”
3. “Taking pain medication for many years has made the medication ineffective now.”
4. “Are you sure the pain is as bad as you are saying it is?”
Question 31
Type: MCSA
A client has been taking medication for back pain for several months, and has seen several different health care
providers in efforts to receive pain medication. The nurse is concerned that the client is exhibiting
1. tolerance.
2. addiction.
3. physical dependence.
4. pseudoaddiction.
Question 32
Type: MCSA
A client repeatedly asks the nurse “How much longer until I can get more pain medication?” Once the medication
is provided, the client stops asking for it. The nurse identifies the client’s behavior as being
1. addiction.
2. tolerance.
3. pseudoaddiction.
4. physical dependence.
Question 33
Type: MCMA
A client experiencing pain has been prescribed a coanalgesic. The nurse should prepare to administer what
medications to the client?
Standard Text: Select all that apply.
1. Nortriptyline
2. Amitriptyline
3. Tramadol
4. Meloxicam
5. Gabapentin
Question 34
Type: MCMA
A client reports pain as being a 2 on a scale from 0 to 10. Which pain medications should the nurse consider for
the client at this time?
Standard Text: Select all that apply.
1. Acetaminophen (Tylenol)
2. Ibuprofen (Motrin)
3. Naproxen (Naprosyn)
4. Hydrocodone (Vicodin)
5. Methadone (Dolophine)
Question 35
Type: MCSA
After receiving medication for mild pain, the client states that the pain is getting worse. What should the nurse
plan to do for this client?
1. Administer another dose of a nonopioid medication.
2. Administer an opioid for severe pain.
3. Administer an opioid for moderate pain.
4. Administer two doses of an opioid for moderate pain.
Question 36
Type: MCMA
A client is prescribed a medication that is a blend of an opioid analgesic with an NSAID. The nurse realizes that
this medication will have which effects on the client?
Standard Text: Select all that apply.
1. Encourage the development of tolerance.
2. Encourage the development of addiction.
3. Maximize pain control while minimizing toxicity.
4. Maximize pain control while minimizing side effects.
5. Reduce the onset of pseudoaddiction.