ATI Med-Surg Proctored Exam Question Bank Latest

ATI Med-Surg Proctored Exam Question Bank (Latest Updated 2022-2023, 100% Verified, A+ Grade) Pain Test Bank

MULTIPLE CHOICE

1.Which question asked by the nurse will give the most information about the patient’s metastatic bone cancer pain?

• “How long have you had this pain?”
• “How would you describe your pain?”
• “How much medication do you take for

the pain?”

• “How many times a day do you take

medication for the pain?”

ANS: B

2.A patient who uses a fentanyl (Duragesic) patch for chronic cancer pain suddenly complains of rapid onset pain at a level 9 (0 to 10 scale) and requests “something for pain that will work now.” How will the nurse document the type of pain reported by this patient?

• Somatic pain
• Referred pain
• Neuropathic pain
• Breakthrough pain

ANS: D

3.The nurse teaches a student nurse about the action of ibuprofen. Which statement, if made by the student, indicates that teaching was effective?

• “The drug decreases pain impulses in the

spinal cord.”

• “The drug decreases sensitivity of the

brain to painful stimuli.”

• “The drug decreases production of pain-

sensitizing chemicals.”

• “The drug decreases the modulating effect

of descending nerves.”

ANS: C

4.A nurse assesses a patient with chronic cancer pain who is receiving imipramine (Tofranil) in addition to long-acting morphine. Which statement, if made by the patient, indicates to the nurse that the patient is receiving adequate pain control?

• “I’m not anxious at all.”
• “I sleep 8 hours every night.”
• “I feel much less depressed since I’ve 1 / 4

been taking the Tofranil.”

• “The pain is manageable and I can

accomplish my desired activities.

ANS: D

• A patient with chronic back pain has learned to control the pain with the use of imagery and

hypnosis. The patient’s spouse asks the nurse how these techniques work. Which response by the nurse is best?

• “The strategies work by affecting the

perception of pain.”

• “These techniques block the pain

pathways of the nerves.”

• “Both strategies prevent transmission of

painful stimuli to the brain.”

• “The therapies slow the release of

chemicals in the spinal cord that cause pain.”

ANS: A

• A patient who is receiving sustained-release morphine sulfate (MS Contin) every 12 hours for

chronic pain experiences level 9 (0 to 10 scale) breakthrough pain and anxiety. Which action by the nurse is best?

• Provide amitriptyline (Elavil) 10 mg

orally.

• Administer lorazepam (Ativan) 1 mg

orally.

• Offer ibuprofen (Motrin) 400 to 800 mg

orally.

• Give immediate-release morphine 30 mg

orally.

ANS: D

• A patient with chronic neck pain is seen in the pain clinic for follow-up. In order to evaluate

whether the pain management is effective, which question is best for the nurse to ask?

• “Can you describe the quality of your

pain?”

• “Has there been a change in the pain

location?”

• “How would you rate your pain on a 0 to

10 scale?”

• “Does the pain keep you from doing

things you enjoy?”

ANS: D 2 / 4

• A patient with second-degree burns has been receiving hydromorphone through patient-

controlled analgesia (PCA) for a week. The patient wakes up frequently during the night complaining of pain. What action by the nurse is most appropriate?

• Administer a dose of morphine every 1 to
• hours from the PCA machine while the

patient is sleeping.

• Consult with the health care provider

about using a different treatment protocol to control the patient’s pain.

• Request that the health care provider order

a bolus dose of morphine to be given when the patient awakens with pain.

• Teach the patient to push the button every

10 minutes for an hour before going to sleep, even if the pain is minimal.

ANS: B

• The nurse assesses that a patient receiving epidural morphine has not voided for over 10 hours.

What action should the nurse take initially?

• Monitor for withdrawal symptoms.
• Place an indwelling urinary catheter.
• Ask if the patient feels the need to void.
• Document this allergic reaction in the

patient’s chart.

ANS: C

• When visiting a hospice patient, the nurse assesses that the patient has a respiratory rate of 11

breaths/minute and complains of severe pain. Which action is best for the nurse to take?

• Inform the patient that increasing the

morphine will cause the respiratory drive to fail.

• Tell the patient that additional morphine

can be administered when the respirations are 12.

• Titrate the prescribed morphine dose

upward until the patient indicates adequate pain relief.

• Administer a nonopioid analgesic, such as

a nonsteroidal antiinflammatory drug (NSAID), to improve patient pain control.

ANS: C

• The nurse is completing the medication reconciliation form for a patient admitted with chronic 3 / 4

cancer pain. Which medication is of most concern to the nurse?

• Amitriptyline (Elavil) 50 mg at bedtime
• Ibuprofen (Advil) 800 mg 3 times daily
• Oxycodone (OxyContin) 80 mg twice

daily

• Meperidine (Demerol) 25 mg every 4

hours

ANS: D

• The nurse reviews the medication administration record in order to choose the most appropriate

pain medication for a patient with cancer who describes the pain as “deep, aching and at a level 8 on a 0 to 10 scale”. Which medication should the nurse administer?

• Fentanyl (Duragesic) patch
• Ketorolac (Toradol) tablets
• Hydromorphone (Dilaudid) IV
• Acetaminophen (Tylenol) suppository

ANS: C

• The nurse is caring for a patient who has diabetes and complains of chronic burning leg pain

even when taking oxycodone (OxyContin) twice daily. When reviewing the orders, which prescribed medication is the best choice for the nurse to administer as an adjuvant to decrease the patient’s pain?

• Aspirin (Ecotrin)
• Celecoxib (Celebrex)
• Amitriptyline (Elavil)
• Acetaminophen (Tylenol)

ANS: C

• A patient who uses a fentanyl (Duragesic) patch for chronic abdominal pain caused by ovarian

cancer asks the nurse to administer the prescribed hydrocodone (Vicodin) tablets, but the patient is asleep when the nurse returns with the medication. Which action is best for the nurse to take?

• Wake the patient and administer the

hydrocodone.

• Wait until the patient wakes up and

reassess the pain.

• Suggest the use of nondrug therapies for

pain relief instead of additional opioids.

• Consult with the health care provider

about changing the fentanyl (Duragesic) dose.

ANS: A

• The following medications are prescribed by the health care provider for a middle-aged patient
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