ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 36 : Comfort and Pain Management Questions
Question 1 of 5
A nurse in a rehabilitation facility is evaluating patients with chronic pain to develop an interprofessional plan of care. Which patients would the nurse identify who could benefit from a multimodal approach to pain management? Select all that apply.
Correct Answer: A,D,E
Rationale: Chronic pain, lasting beyond the normal healing period, benefits from a multimodal approach. Patients with cancer pain (
A), fibromyalgia (
D), and chronic back pain (E) fit this criterion. Appendectomy (
B) and burns (F) typically involve acute pain, and a ruptured aneurysm (
C) is an emergency requiring immediate intervention.
Question 2 of 5
A patient reports diffuse abdominal pain that is difficult to localize. The nurse documents this as which type of pain?
Correct Answer: B
Rationale: Visceral pain is poorly localized and originates in body organs like the abdomen (
B). Cutaneous and superficial pain (A,
C) involve the skin or subcutaneous tissue, while somatic pain (
D) originates in tendons, ligaments, bones, or nerves and is more localized.
Question 3 of 5
Which question by the nurse will be most helpful in determining whether a patient who is experiencing a myocardial infarction has referred pain?
Correct Answer: D
Rationale: Referred pain is perceived in an area distant from its origin, such as arm or shoulder pain during a myocardial infarction (
D). Questions about duration (
A), surface location (
B), or phantom limb pain (
C) are less relevant to identifying referred pain in this context.
Question 4 of 5
A nurse is caring for patients who are nonverbal. What are examples of behavioral responses to pain? Select all that apply.
Correct Answer: A,B,D,F
Rationale: Behavioral responses include cradling an injured area (
A), moaning and crying (
B), striking out (
D), and pulling away (F). Increased pulse (
C) is a physiologic response, and depression/withdrawal (E) is an affective response.
Question 5 of 5
A nurse is caring for patients in a hospital setting. Which patient would the nurse place at risk for pain related to the mechanical activation of pain receptors?
Correct Answer: A
Rationale: Mechanical activation of pain receptors occurs from friction or pressure, such as pressure sores from bedrest in an older adult post-cervical spine surgery (
A). Sunburn (
B) and acid burns (
C) are thermal and chemical stimulants, respectively, while electrical shock (
D) is an electrical stimulant.