ABPANC ABPANC Pain Management 1

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

The Behavioral Pain Scale (BPS) is validated for non-verbal or intubated adult patients who cannot self-report pain.

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

Multimodal analgesia combines opioid and non-opioid agents to improve pain control while reducing opioid-related adverse effects.

Question 3

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

Accepted Answer

Respiratory depression

Answer

Naloxone is the opioid antagonist used to reverse life-threatening respiratory depression, a critical opioid adverse effect.

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

New-onset motor block with epidural infusion may indicate excessive spread or epidural hematoma, requiring immediate anesthesia provider notification and neurological assessment.

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

A pain score of 5 or above on a 0–10 scale typically triggers reassessment and a pain management intervention per ASPAN guidelines.

ABPANC - American Board of Perianesthesia Nursing Certification Practice Test

ABPANC - American Board of Perianesthesia Nursing Certification Practice Test

ABPANC ABPANC Pain Management 1