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
The nurse is assessing the pain of a neonate who is admitted to the NICU with a heart defect. Which pain assessment scale would be the best tool to use with this patient?
Correct Answer: A
Rationale: The CRIES Pain Scale is designed for neonates and infants from 0 to 6 months (
A), making it ideal for a NICU neonate. COMFORT (
B) is for critically ill pediatric patients, FLACC (
C) for infants and children 2 months to 7 years, and FACES (
D) for children who can compare pain to facial expressions.
Question 2 of 5
When the nurse assists a patient recovering from abdominal surgery to walk, the nurse observes that the patient grimaces, moves stiffly, and becomes pale. The nurse received in shift report that the patient has consistently refused pain medication. To help promote comfort, which additional data will the nurse gather? Select all that apply.
Correct Answer: A,B,C,D
Rationale:
To promote comfort, the nurse should assess fears of analgesics (
A), current pain (
B), anxiety or stressors (
C), and incision for infection (
D), as these may explain refusal and pain behaviors. Diet (E) and spirometer use (F) are less directly related to pain management.
Question 3 of 5
When developing the care plan for a patient with chronic pain, the nurse plans interventions based on the knowledge that chronic pain not related to cancer or palliative/end-of-life care is most effectively relieved through which method?
Correct Answer: C
Rationale: Multimodal nonpharmacologic and nonopioid therapies (
C) are preferred for chronic pain unrelated to cancer or palliative care. High-dose PRN opioids (
A) are not ideal, nonopioids should not be used conservatively (
B), and continuous IV infusions (
D) are typically for acute or palliative settings.
Question 4 of 5
When assessing pain in a child, the nurse needs to be aware of what considerations?
Correct Answer: B
Rationale: Inadequate or inconsistent pain relief in children is a widespread issue (
B). Children feel pain, reliable assessment tools exist, and opioids can be used safely with careful monitoring, making A, C, and D incorrect.
Question 5 of 5
A pregnant woman has received an epidural analgesic prior to delivery. Assessment for which outcome to the medication will the nurse prioritize?
Correct Answer: D
Rationale: Respiratory depression (
D) is the priority outcome to monitor with epidural opioids, as it is life-threatening. Pruritus, urinary retention, and vomiting (A, B,
C) are less critical side effects.