ABPANC ABPANC Pain Management 2

Question 1

A PACU patient reports severe incisional pain but has already received the maximum ordered opioid dose. Which non-pharmacological intervention is most appropriate?

Accepted Answer

Apply ice packs to the incision site as ordered

Answer

Ice application reduces inflammation and local pain signals and can be used as an adjunct to pharmacological management when the maximum opioid dose has been reached.

Question 2

What is the primary goal of a patient-controlled analgesia (PCA) pump in the perianesthesia setting?

Accepted Answer

To allow patients to self-administer analgesic within prescribed limits

Answer

PCA allows patients to self-administer preset analgesic doses, improving pain control and patient satisfaction while maintaining safety through lockout intervals.

Question 3

Which finding in a patient on IV opioid PCA should prompt the nurse to stop the infusion immediately?

Accepted Answer

Respiratory rate of 10 breaths/min with SpO2 of 88%

Answer

A respiratory rate of 10 with SpO2 of 88% indicates opioid-induced respiratory depression and hypoxia, requiring immediate cessation of the PCA and administration of naloxone.

Question 4

A perianesthesia nurse is educating a patient about the pain scale before surgery. Which statement best describes the purpose of preoperative pain education?

Accepted Answer

To set realistic expectations and improve postoperative pain reporting accuracy

Answer

Preoperative pain education sets realistic expectations and teaches patients how to accurately use the pain scale, improving postoperative pain management outcomes.

Question 5

Which drug class is commonly used as part of a 'pre-emptive analgesia' strategy before surgical incision?

Accepted Answer

COX-2 inhibitors or NSAIDs

Answer

COX-2 inhibitors and NSAIDs given pre-operatively reduce central sensitization and decrease postoperative opioid requirements.

ABPANC - American Board of Perianesthesia Nursing Certification Practice Test

ABPANC - American Board of Perianesthesia Nursing Certification Practice Test

ABPANC ABPANC Pain Management 2