NCLEX, True/False, Fill-in Blank Questions: Pain

Study online at quizlet.com/_hxy7h

1.

Patients in a coma do not feel pain

because they are unconscious.

Answer:
False

When establishing a plan for

pain control, what question
would the nurse first ask the
patient?
A. "How long have you been
having this pain?"
B. "What measures relieve
your pain?"
C. "How does the presence of
this pain affect your life?"
D. "Aren't you tired of being in
pain?"

Answer:
C. "How does the presence
of this pain affect your life?"

8.

The use of percutaneous

electrical stimulation (TENS
unit) as an effective means to
control pain is based on
which of the following?
A. Gate-control theory
B. Concept of therapeutic
touch
C. Idea of using distraction
D. Theory of using heat
application

Answer:
A. Gate-control theory

9.

Mr. Zenobia's chronic pain

associated with his
metastatic prostate cancer
has recently increased, and
he asks the home health
nurse what can be done. In
relationship to his long-acting
morphine, which of the
following is an appropriate
response by the nurse?
A. "If you take more
morphine, it will not change
your pain relief."
B. "I'll call the physician and
see if you can get a higher
dose."
C. "The amount you are taking
now is really all I can give
you."
D. "I'm worried if we increase
your dose that you will
become addicted."

Answer:
B. "I'll call the physician and
see if you can get a higher
dose."

10.

The presence of ascites is an

example of a type of
_________________________
stimuli.

Answer:
mechanical

11.

The
_________________________
pain rating scale would be
used to assess pain in a
patient with expressive
aphasia.

Answer:
Wong-Baker

7.

Rationale:
Pain impulses will still
be transmitted to the
cortex, but an
unconscious person will
not be able to
consciously respond to
the impulses.
2.

Experiencing pain is always a

negative event for patients.

Answer:
False
Rationale:
Pain can be a warning
about something that
might harm the body.

3.

The liver has more nociceptors than

the back of the hand.

Answer:
False
Rationale:
The skin has more
nociceptors than solid
organs.

4.

5.

6.

A pain-treatment plan should

address both the physical and
emotional aspects of the client's
pain.

Answer:
True

A blood pressure of 140/90 mm Hg

is obtained during a severe episode
of pain; it drops to 120/70 mm Hg.
This does not necessarily indicate
pain relief.

Answer:
True

Mr. Mitchell and Mr. Farrell have

both had their gallbladders removed
laparoscopically. Mr. Mitchell is
rating his pain at a 5 on a 10-point
scale and states he does not require
medication. Mr. Farrell is rating his
pain at a 5 on a 10-point scale and is
demanding something stronger for
his pain. This is an example of a
difference in which of the following?
A. Surgeons' skill
B. Patients' pain thresholds
C. Patients' personalities
D. Patients' pain tolerances

Answer:
D. Patients' pain
tolerance

Response:
Eventually the body will
adapt to the initial
sympathetic
stimulation. In addition,
there may be other
factors affecting the
change in blood
pressure.

Rationale:
Both patients would
perceive the surgical
incision to be painful at
about the same point.
Mr. Mitchell is able to
tolerate his pain when it
is rated at a 5, whereas
Mr. Farrell is not. The
patient's personality is
a factor that affects
pain tolerance.

Rationale:
Before developing a plan for
controlling a patient's pain,
the nurse must elicit
information about the
patient's perception of his
pain.

Rationale:
There is no ceiling on the
analgesic effect of opioid
narcotics. Patients develop a
tolerance to the effects,
which often necessitates an
increase in the dose.
Addiction requires a
psychological dependence on
the drug for its euphoric
effect, not its analgesic
effect.

12.

A fentanyl analgesic patch must be changed every _____ hours.

Answer:
72