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 Give an oral opioid analgesic 30 minutes before the procedure.
B Apply diclofenac gel over the site 1 hour before the procedure.
C Apply eutectic mixture of local anesthetic cream 30 minutes prior to the procedure.
D Inject lidocaine 2% with epinephrine locally around the potential procedure site.
Question #2
A Chronic pain
B Acute pain
C Neuropathic pain
D Referred pain
Question #3
A chamomile
B valerian
C ginseng
D kava–kava
Question #4
A Tolerance
B Addiction
C Placebo
D Dependence
Question #5
A renal toxicity
B bleeding
C hepatotoxicity
D gastrointestinal effects
Question #6
A The pain medication will be administered before the pain becomes severe.
B The pain medication will be administered when the pain is at its peak.
C The pain medication will be administered when the level of pain tolerance has been exceeded.
D The pain medication will be administered before the pain is experienced.
Question #7
A Heart rate of 96 beats/minute
B Blood pressure 100/60 mm Hg
C Respiratory rate of 10 breaths/minute
D Temperature of 99F
Question #8
A drug allergy
B tolerance
C poor quality control by the drug manufacturer
D addiction
Question #9
A Wake the client and ask about her pain rating.
B Administer the prescribed medication.
C Refuse to administer the pain medication.
D Instruct the son about lack of client consent.
Question #10
A Administering the analgesics intravenously
B Administering the analgesics on an as-needed basis
C Administering the analgesics every three hours
D Administering analgesics with increased dosage
Question #11
A Medicate the client for pain based on the highest number of “8.”
B Obtain a pain scale with faces for the client to measure her pain.
C Average the numbers and report that number as the client’s level of pain.
D Record each of the numbers the client stated for her pain.
Question #12
A Acetylcholine
B Substance P
C Serotonin
D Endorphins
Question #13
A When the client’s expressions of pain are incongruent with the nurse’s expectations
B When the pain is chronic
C When analgesics are contraindicated for the client’s condition
D When a numeric scale is used to assess pain intensity
Question #14
A Administer oral opioids as needed.
B Provide patient-controlled analgesia.
C Administer pain medication through a transdermal patch.
D Administer analgesics around the clock.
Question #15
A Older people are more sensitive to drugs.
B Older people have lower ratios of body fat and muscle mass.
C Older people metabolize drugs more rapidly.
D Older people have increased hepatic, renal, and gastrointestinal function.
Question #16
A Gabapentin
B Ketamine
C Hydromorphone
D Tramadol
Question #17
A “Don’t you know that you can cause bleeding when you take that medication so often?”
B “You should never take ibuprofen; it can cause considerable problems.”
C “It would be best to contact the physician prior to take any over-the-counter medications.”
D “Ibuprofen is contraindicated when taking a proton pump inhibitor.”
Question #18
A Dry skin
B Hypotension
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 Bradypnea
B Tachycardia
C Hypertension
D Asystole
Question #21
A Burning
B Severe
C Chronic
D Intermittent
Question #22
A Chronic Pain
B Somatic Pain
C Neuropathic Pain
D Visceral Pain
Question #23
A visceral
B deeper somatic
C neuropathic
D chronic
Question #24
A Discontinue drugs gradually.
B Administer subtherapeutic doses.
C Administer adjuvant drugs along with the prescribed drug.
D Increase dosage of the drug.
Question #25
A That the client has become dependent on drugs from her previous experience of burns
B That the client’s past experiences with pain may influence her perception of current pain
C That the client is experiencing pain relating to the burn injuries from several years ago
D That based on her past experiences the client’s perception of pain should be less
Question #26
A “I will notify your physician.”
B “A lot of people have a similar problem with this medication.”
C “A nausea medication has been prescribed that I will give you.”
D “What do you mean by the word sick?”
Question #27
A “Only you are to push the button for medication.”
B “This will completely relieve your pain.”
C “Whenever you hurt, push the button.”
D “Wait until your pain is severe before pushing the button.”
Question #28
A Willow
B Gingko
C Kava
D Echinacea
Question #29
A tolerance.
B addiction.
C balanced analgesia.
D dependence.
Question #30
A Encourage the client to eat crackers.
B Provide the client with a fresh gown.
C Consult with the health care prescriber to include hydroxyzine with the opioid.
D Position the client for comfort.
Question #31
A Appendicitis
B Angina
C A migraine headache
D Intervertebral disk herniation
Question #32
A A mother in labor utilizing imagery to reduce pain
B A patient taking tramadol to enhance pain management
C A surgeon making an incision to perform surgery
D A child quickly removing a hand when touching a hot object
Question #33
A Suggest a consultation with a psychiatrist to treat the client’s addiction.
B Inform the client that he will not be able to receive more medication than the physician has ordered.
C Inform the client that you will ask the physician to order a non-narcotic analgesic.
D Consult with the prescriber regarding the need for an increased dose of the drug and not to reduce the frequency of administration.
Question #34
A Hyperventilation
B Confusion
C Insomnia
D Hyperalertness
Question #35
A ingesting up to 6 glasses of fluids per day
B inserting a bisacodyl (Dulcolax) rectal suppository every morning
C increasing the amount of bran and fresh fruits and vegetables
D using milk of magnesia 30 mL every day
Question #36
A Ensure naloxone is available.
B Administer one–half of the prescribed opioid dose.
C Withhold the hydromorphone.
D Consult with the healthcare provider to reduce the dose.
Question #37
A Pain tolerance
B Pain threshold
C Dependence
D Sensitization
Question #38
A Long duration
B No risk of respiratory depression
C Short duration
D Slower entry into bloodstream
Question #39
A Educate the client that this goal may not be achievable.
B Plan to use medication and nonpharmacologic interventions.
C Ensure the client is prescribed large doses of opioids postoperatively.
D Notify the surgeon of the client’s goal of “0.”
Question #40
A “I saw you grimacing during the dressing change. Please explain the reason you refused the pain medication.”
B “You are so right to not take your pain medication. You can become dependent on the 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 Addiction
B Dependence
C Placebo
D Tolerance
Question #42
A Risk for injury
B Altered mobility
C Risk for impaired gas exchange
D Diarrhea
Question #43
A Avoid harsh sunlight.
B Reduce fiber intake.
C Follow a bowel regimen.
D Exercise regularly.
Question #44
A Medical interventions for pain management
B Anticipated duration of the pain
C Severity of the pain as judged by the patient
D Anticipated harmful effects of the pain experience
Question #45
A Withdrawal therapy
B Adjuvant drug therapy
C Alternate drug therapy
D Replacement drug therapy
Question #46
A Referred pain
B Neuropathic pain
C Acute pain
D Chronic pain
Question #47
A quality, location, intensity, and family history
B intensity, variations, range of motion, and the client’s goal for pain control
C location, onset, alleviating factors, and aggravating factors
D nutritional deficiencies, onset, duration, and effects of pain
Question #48
A Chance of sedation is rare when using a PCA pump.
B Teach the client to avoid pushing the button multiple times because additional doses will be given.
C The client should wait until the pain is severe to push the button to prevent overdose.
D The pump will deliver a preset amount of medication.
Question #49
A Nausea and vomiting
B Respiratory depression
C Pruritus
D Constipation
Question #50
A Rectal
B Epidural space
C Subcutaneous
D Oral mucosa
Question #51
A Minimize fiber intake during the therapy.
B Avoid harsh sunlight for 2 hours after administering analgesic agents or salicylates.
C 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.
D Consume the medications just before or along with meals.
Question #52
A A positive response to a placebo indicates that the client’s pain is not real.
B A placebo effect is an indication that the client does not have pain.
C A placebo should be used as the first line of treatment for a client.
D Placebos should never be used to test a client’s truthfulness about pain.
Question #53
A aspirin
B naloxone
C ibuprofen
D diphenhydramine
Question #54
A Hypertension
B Tachycardia
C Bradypnea
D Asystole
Question #55
A If the nurse is going to be late with administration, have an extra dose of medication available.
B Increase the dosage of the medication so the client will stay medicated longer.
C Provide the client with a patient-controlled analgesia (PCA) pump.
D Increase the frequency of the medication so that the client will have less time to wait.
Question #56
A Transmission
B Perception
C Transduction
D Modulation
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