ABPANC ABPANC Pain Management

Question 1

Which pain assessment scale is most appropriate for a non-verbal adult patient in the PACU?

Accepted Answer

Behavioral Pain Scale (BPS)

Answer

Wong-Baker FACES scale

Answer

Numeric Rating Scale (NRS)

Answer

Visual Analog Scale (VAS)

Question 2

A patient in Phase I PACU reports pain rated 8/10 after a total knee replacement. Which analgesic approach aligns with multimodal pain management?

Accepted Answer

Combine IV opioid with a non-opioid such as IV acetaminophen

Answer

Administer IV opioid only

Answer

Withhold analgesics until the surgeon is notified

Answer

Increase IV fluid rate to dilute the pain medication

Question 3

Which side effect of opioid analgesics requires the perianesthesia nurse to have naloxone immediately available?

Accepted Answer

Respiratory depression

Answer

Nausea and vomiting

Answer

Urinary retention

Answer

Pruritis

Question 4

A patient recovering from abdominal surgery has a continuous epidural infusion of bupivacaine and fentanyl. The nurse notes bilateral lower extremity weakness. What is the priority action?

Accepted Answer

Notify the anesthesia provider and assess sensory level

Answer

Document the finding as expected

Answer

Increase the epidural infusion rate

Answer

Administer IV naloxone immediately

Question 5

Which numerical pain score on a 0–10 scale generally indicates the need for reassessment and intervention according to ASPAN standards?

Accepted Answer

5 or above

Answer

1–2

Answer

3–4

Answer

Any score above 0

Question 6

Ketorolac is administered to a post-surgical patient for pain management. Which contraindication is most important to verify before administration?

Accepted Answer

Renal impairment or recent renal surgery

Answer

History of seasonal allergies

Answer

Mild hypertension

Answer

Previous use of acetaminophen