HESI Case Study – Pain Practice Test 2023.An adult female, mother of two, visits the pain clinic of the regional medical center in her community. She arrives at the pain management clinic with complaints of back pain rated 6 out of 10. She tells the nurse "the pain is so bad at times, that I am unable to take care of my children." Which information obtained by the nurse is most likely to influence the client's perception of her pain?
A: the client's younger child is an infant who feeds every 3 hours
B: client's 4-year old enjoys being 'big brother' to his baby sister
C: client was a first grade teacher before having children but now stays home
D: Client's parents live in the same neighborhood and often help with children - Answer
A: the client's younger child is an infant who feeds every 3 hours
To assess the quality of the client's pain, the nurse would ask which question?
A: on a scale of 0-10, how would you rate your pain?
B: how would you describe the pain you are experiencing?
C: what actions do you take to relieve the pain?
D: when did your pain begin? - Answer B: how would you describe the pain you are experiencing?Which behavior does the client exhibit, that the nurse documents as objective signs of acute pain?
A: states pain level of 5 out of 10
B: complains of shortness of breath
C: difficulty concentrating
D: frequent grimacing - Answer D: frequent grimacing The nurse would predict what physiological effects of the client's pain? (select all that apply)
A: Tachycardia
B: Hyperthermia
C: decreased or slower movement
D: increased blood pressure - Answer A: Tachycardia
C: decreased or slower movement
D: increased blood pressure 1 / 2
After completing the pain assessment, the nurse develops a plan of care identifying pain and anxiety as priority problems.The nurse considers interventions to include in the plan of care. Before implementing any interventions, what action is the most important for the nurse to take?
A: place a copy of the plan of care in the client's chart
B: evaluate the client's response to the interventions
C: review interventions in a care plan manual
D: discuss the plan of care with the client - Answer D: discuss the plan of care with the client which nursing intervention(s) would the nurse choose to implement to determine the etiology of the client's anxiety? (select all that apply)
A: refer client to psychologist
B: continue to interview the client
C: provide an anxiety screening tool for the client to utilize
D: obtain client's medical history - Answer B: continue to interview the client
C: provide an anxiety screening tool for the client to utilize
D: obtain client's medical history
which is the best goal for the nurse to include in the plan of care related to the problem statement of "acute pain related to strain on muscles with movement"?
A: client reports pain of less than 1 on a 0-10 scale
B: client will verbalize pain control methods
C: client will learn alternative methods for pain control
D: client will learn to live with long-term pain - Answer A: client reports pain of less than
- on a 0-10 scale
The nurse consults with the clinic director, a pain management physician, who recommends the use of NSAIDs and alternating heat and cold applications, as well as back exercises. The nurse provides client teaching about these treatments. The client tells the nurse that she does not know what an NSAID is.Which medication should the nurse suggest as a common NSAID?
A: Diphenhydramine
B: Alprazolam
C: Calcium carbonate
D: Ibuprofen - Answer D: Ibuprofen The client states that she has ASA at home she uses for fever that should help with the pain and inflammation. She comments that when her 4-yr old child had a virus she almost gave them half a dose of ASA for their fever but didnt know if she should.
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