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
How will the nurse and Carla know that the treatment plan has been effective?
Correct Answer: B
Rationale: The treatment plan is effective if Carla achieves her functional goal of completing a walking tour with minimal pain and occasional rest (
B), aligning with her stated goals of 1/10 pain at rest and 3/10 with activity. Complete pain relief with high acetaminophen doses (
A) risks toxicity, ignoring medications (
C) indicates nonadherence, and doubling doses (
D) is unsafe.
Question 2 of 5
During postconference, nursing students are exploring definitions of pain and its nature. Which statements should be included in this discussion? Select all that apply.
Correct Answer: B,C,F
Rationale: Pain is defined as whatever the patient says it is (
B), an emotional and sensory reaction to tissue damage (
C), and classified by duration, location, source, transmission, and etiology (F). It is not defined by the provider (
A), nor is it simple or universal (
D). Pain without an identifiable cause is not necessarily psychological (E).
Question 3 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 4 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 5 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.