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 Apply eutectic mixture of local anesthetic cream 30 minutes prior to the procedure.
B Inject lidocaine 2% with epinephrine locally around the potential procedure site.
C Give an oral opioid analgesic 30 minutes before the procedure.
D Apply diclofenac gel over the site 1 hour before the procedure.
Question #2
A Acute pain
B Neuropathic pain
C Chronic pain
D Referred pain
Question #3
A ginseng
B kava–kava
C chamomile
D valerian
Question #4
A Placebo
B Addiction
C Tolerance
D Dependence
Question #5
A hepatotoxicity
B gastrointestinal effects
C renal toxicity
D bleeding
Question #6
A The pain medication will be administered when the level of pain tolerance has been exceeded.
B The pain medication will be administered before the pain becomes severe.
C The pain medication will be administered before the pain is experienced.
D The pain medication will be administered when the pain is at its peak.
Question #7
A Heart rate of 96 beats/minute
B Respiratory rate of 10 breaths/minute
C Temperature of 99F
D Blood pressure 100/60 mm Hg
Question #8
A tolerance
B drug allergy
C poor quality control by the drug manufacturer
D addiction
Question #9
A Administer the prescribed medication.
B Wake the client and ask about her pain rating.
C Instruct the son about lack of client consent.
D Refuse to administer the pain medication.
Question #10
A Administering the analgesics every three hours
B Administering the analgesics on an as-needed basis
C Administering the analgesics intravenously
D Administering analgesics with increased dosage
Question #11
A Obtain a pain scale with faces for the client to measure her pain.
B Medicate the client for pain based on the highest number of “8.”
C Record each of the numbers the client stated for her pain.
D Average the numbers and report that number as the client’s level of pain.
Question #12
A Acetylcholine
B Endorphins
C Serotonin
D Substance P
Question #13
A When the pain is chronic
B When the client’s expressions of pain are incongruent with the nurse’s expectations
C When a numeric scale is used to assess pain intensity
D When analgesics are contraindicated for the client’s condition
Question #14
A Provide patient-controlled analgesia.
B Administer oral opioids as needed.
C Administer analgesics around the clock.
D Administer pain medication through a transdermal patch.
Question #15
A Older people are more sensitive to drugs.
B Older people metabolize drugs more rapidly.
C Older people have lower ratios of body fat and muscle mass.
D Older people have increased hepatic, renal, and gastrointestinal function.
Question #16
A Tramadol
B Hydromorphone
C Ketamine
D Gabapentin
Question #17
A “Don’t you know that you can cause bleeding when you take that medication so often?”
B “It would be best to contact the physician prior to take any over-the-counter medications.”
C “You should never take ibuprofen; it can cause considerable problems.”
D “Ibuprofen is contraindicated when taking a proton pump inhibitor.”
Question #18
A Hypotension
B Dry skin
C Pallor
D Bradycardia
Question #19
A although clients may need increasing levels of opioids, they are not addicted.
B addiction to opioids often develops.
C tolerance to opioids is uncommon.
D the nurse must be primarily concerned about the development of addiction by a client in pain.
Question #20
A Asystole
B Tachycardia
C Bradypnea
D Hypertension
Question #21
A Burning
B Intermittent
C Severe
D Chronic
Question #22
A Visceral Pain
B Chronic Pain
C Somatic Pain
D Neuropathic Pain
Question #23
A visceral
B deeper somatic
C neuropathic
D chronic
Question #24
A Discontinue drugs gradually.
B Administer subtherapeutic doses.
C Increase dosage of the drug.
D Administer adjuvant drugs along with the prescribed drug.
Question #25
A That the client’s past experiences with pain may influence her perception of current pain
B That based on her past experiences the client’s perception of pain should be less
C That the client is experiencing pain relating to the burn injuries from several years ago
D That the client has become dependent on drugs from her previous experience of burns
Question #26
A “A lot of people have a similar problem with this medication.”
B “I will notify your physician.”
C “What do you mean by the word sick?”
D “A nausea medication has been prescribed that I will give you.”
Question #27
A “Only you are to push the button for medication.”
B “Whenever you hurt, push the button.”
C “This will completely relieve your pain.”
D “Wait until your pain is severe before pushing the button.”
Question #28
A Gingko
B Kava
C Echinacea
D Willow
Question #29
A balanced analgesia.
B dependence.
C addiction.
D tolerance.
Question #30
A Provide the client with a fresh gown.
B Encourage the client to eat crackers.
C Consult with the health care prescriber to include hydroxyzine with the opioid.
D Position the client for comfort.
Question #31
A A migraine headache
B Appendicitis
C Intervertebral disk herniation
D Angina
Question #32
A A child quickly removing a hand when touching a hot object
B A patient taking tramadol to enhance pain management
C A mother in labor utilizing imagery to reduce pain
D A surgeon making an incision to perform surgery
Question #33
A Inform the client that you will ask the physician to order a non-narcotic analgesic.
B Inform the client that he will not be able to receive more medication than the physician has ordered.
C Consult with the prescriber regarding the need for an increased dose of the drug and not to reduce the frequency of administration.
D Suggest a consultation with a psychiatrist to treat the client’s addiction.
Question #34
A Hyperventilation
B Hyperalertness
C Insomnia
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 using milk of magnesia 30 mL every day
D inserting a bisacodyl (Dulcolax) rectal suppository every morning
Question #36
A Consult with the healthcare provider to reduce the dose.
B Ensure naloxone is available.
C Administer one–half of the prescribed opioid dose.
D Withhold the hydromorphone.
Question #37
A Pain tolerance
B Pain threshold
C Sensitization
D Dependence
Question #38
A Slower entry into bloodstream
B Short duration
C Long duration
D No risk of respiratory depression
Question #39
A Ensure the client is prescribed large doses of opioids postoperatively.
B Educate the client that this goal may not be achievable.
C Plan to use medication and nonpharmacologic interventions.
D Notify the surgeon of the client’s goal of “0.”
Question #40
A “You are so right to not take your pain medication. You can become dependent on the medication.”
B “I saw you grimacing during the dressing change. Please explain the reason you refused the pain medication.”
C “You are so brave to not take your pain medication when the dressing change will hurt.”
D “If you need pain relief, I can give you some medication when I have completed the dressing change.”
Question #41
A Placebo
B Addiction
C Dependence
D Tolerance
Question #42
A Diarrhea
B Altered mobility
C Risk for injury
D Risk for impaired gas exchange
Question #43
A Avoid harsh sunlight.
B Reduce fiber intake.
C Follow a bowel regimen.
D Exercise regularly.
Question #44
A Severity of the pain as judged by the patient
B Medical interventions for pain management
C Anticipated duration of the pain
D Anticipated harmful effects of the pain experience
Question #45
A Alternate drug therapy
B Replacement drug therapy
C Withdrawal therapy
D Adjuvant drug therapy
Question #46
A Referred pain
B Chronic pain
C Neuropathic pain
D Acute pain
Question #47
A quality, location, intensity, and family history
B nutritional deficiencies, onset, duration, and effects of pain
C location, onset, alleviating factors, and aggravating factors
D intensity, variations, range of motion, and the client’s goal for pain control
Question #48
A The pump will deliver a preset amount of medication.
B The client should wait until the pain is severe to push the button to prevent overdose.
C Chance of sedation is rare when using a PCA pump.
D Teach the client to avoid pushing the button multiple times because additional doses will be given.
Question #49
A Pruritus
B Nausea and vomiting
C Respiratory depression
D Constipation
Question #50
A Oral mucosa
B Epidural space
C Rectal
D Subcutaneous
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 Consume the medications just before or along with meals.
C Minimize fiber intake during the therapy.
D Avoid harsh sunlight for 2 hours after administering analgesic agents or salicylates.
Question #52
A A placebo effect is an indication that the client does not have pain.
B A positive response to a placebo indicates that the client’s pain is not real.
C Placebos should never be used to test a client’s truthfulness about pain.
D A placebo should be used as the first line of treatment for a client.
Question #53
A aspirin
B ibuprofen
C diphenhydramine
D naloxone
Question #54
A Bradypnea
B Hypertension
C Asystole
D Tachycardia
Question #55
A If the nurse is going to be late with administration, have an extra dose of medication available.
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 Increase the dosage of the medication so the client will stay medicated longer.
Question #56
A Perception
B Transmission
C Modulation
D Transduction
Question #57
A Reducing the dosage of the narcotic analgesic
B Reducing the frequency of administration of the narcotic analgesic
C Programming the dosage and time interval into the device
D Reducing the dosage of the narcotic analgesic