Wk. 14 - Pain Management Practice Questions

Which of the following best describes nociceptive pain? A. Pain caused by damage to nerve fibers B. Pain caused by tissue injury C. Pain without tissue or nerve damage D. Chronic pain caused by fibromyalgia

B

Neuropathic pain is typically described by patients as: A. Cramping and stiffness B. Dull and aching C. Shooting and electrical shock-like D. Throbbing and pulsating

C

Which condition is an example of nociplastic pain? A. Fracture B. Diabetic neuropathy C. Fibromyalgia D. Amputation

C

Which statement about acute pain is correct? A. It lasts longer than 3 months. B. It improves as healing occurs. C. It is usually resistant to analgesics. D. It often causes emotional distress disproportionate to injury.

B

What is the correct sequence for the nociceptive pain pathway? A. Perception → Transduction → Transmission → Modulation B. Transduction → Transmission → Perception → Modulation C. Transmission → Transduction → Perception → Modulation D. Transmission → Modulation → Perception → Transduction

B

Acetaminophen is most appropriately used for: A. Severe inflammatory pain B. Neuropathic pain C. Mild-to-moderate somatic pain D. Chronic pain unresponsive to opioids

C

The maximum recommended daily dose of acetaminophen in a healthy adult is: A. 1000 mg B. 2000 mg C. 3000 mg D. 4000 mg

D

Which of the following is true about NSAIDs? (Select all that apply) A. They only inhibit COX-2 enzymes. B. They reduce inflammation and fever. C. They do not cause GI bleeding. D. They are contraindicated in cardiovascular disease.

B,D

Celecoxib (Celebrex) is classified as: A. A nonselective COX inhibitor B. A selective COX-2 inhibitor C. A prostaglandin agonist D. A serotonin reuptake inhibitor

B

Which medication is an opioid antagonist? A. Morphine B. Naloxone C. Buprenorphine D. Tramadol

B

Which of the following are side effects of opioids? (Select all that apply.) A. Nausea and vomiting B. Constipation C. Hypertension D. Respiratory depression E. Diarrhea

A,B,D

Nursing considerations when administering acetaminophen include: (Select all that apply.) A. Monitor total daily intake from all sources B. Avoid in patients with severe liver disease C. Monitor for signs of kidney damage D. Always give with food E. Educate about the risk of hepatotoxicity

A,B,E

Indications for naloxone (Narcan) administration include: (Select all that apply.) A. Acute opioid overdose B. Severe opioid-induced respiratory depression C. Chronic pain control D. Prevention of opioid withdrawal symptoms E. Unresponsiveness with suspected opioid use

A,B,E

What are examples of nociceptive pain? (Select all that apply.) A. Appendicitis B. Postherpetic neuralgia C. Osteoarthritis D. Fibromyalgia E. Bone fracture

A,C,E

Which are nursing priorities when managing a patient with regional anesthesia? (Select all that apply.) A. Monitor vital signs and oxygenation B. Assess motor and sensory function C. Educate about catheter site care D. Immediately remove catheter if numbness occurs E. Collaborate with anesthesia team

A,B,C,E

True or False: Acute pain typically lasts longer than 6 months.

False

True or False: Chronic pain often persists beyond normal tissue healing time.

True

True or False: Acetaminophen has strong anti-inflammatory properties.

False

True or False: Buprenorphine acts as a partial agonist at opioid receptors.

True

True or False: Celecoxib increases the risk for gastrointestinal bleeding more than traditional NSAIDs.

False

True or False: Opioids activate descending inhibitory pathways to help reduce pain transmission.

True

True or False: NSAIDs inhibit prostaglandin synthesis to produce their analgesic and anti-inflammatory effects.

True

True or False: Naloxone should be administered slowly to avoid abrupt withdrawal symptoms.

True

True or False: Gabapentinoids are commonly used to treat nociceptive pain.

False

True or False: PCA devices allow nurses to determine when a patient needs an opioid dose.

False

A patient with an MME >50 mg/day should: A. Be monitored for opioid withdrawal symptoms B. Be given additional opioid doses for breakthrough pain C. Receive overdose education and a naloxone prescription D. Discontinue all opioids immediately

C

Gabapentin is indicated for which type of pain? A. Acute surgical pain B. Neuropathic pain C. Nociceptive pain D. Cancer pain only

B

Which adjuvant medication group works by enhancing serotonin and norepinephrine levels? A. Skeletal muscle relaxants B. Corticosteroids C. Antidepressants D. Gabapentinoids

C

When administering an NSAID, which is the nurse’s highest priority assessment? A. Liver function tests B. GI history and bleeding risk C. Neurologic examination D. Urinary output

B

Which opioid side effect should the nurse address first? A. Nausea B. Constipation C. Respiratory depression D. Itching

C