AMSN Pain Management and Palliative Care 3

Question 1

A medical-surgical nurse is using non-pharmacological pain management. Which intervention has the strongest evidence for acute post-operative pain?

Accepted Answer

Multimodal approach combining ice/heat, positioning, relaxation techniques, and analgesics

Answer

Therapeutic touch alone

Answer

Guided imagery as the sole intervention

Answer

Distraction with television only

Question 2

Which tool is most appropriate for assessing pain in a non-verbal patient with dementia on a medical-surgical unit?

Accepted Answer

PAINAD (Pain Assessment in Advanced Dementia) scale

Answer

Numeric Rating Scale (NRS 0–10)

Answer

Visual Analog Scale (VAS)

Answer

Wong-Baker FACES scale

Question 3

A patient is to receive ketorolac (Toradol) IV for post-operative pain. The nurse knows that ketorolac should not be administered for more than:

Accepted Answer

5 days

Answer

24 hours

Answer

10 days

Answer

30 days

Question 4

A patient receiving a fentanyl transdermal patch for chronic pain needs to know that the patch should be:

Accepted Answer

Applied to clean, dry, non-irritated, non-irradiated skin on the upper arm, chest, or back and rotated sites

Answer

Applied to the chest over bony prominences for best absorption

Answer

Changed every 24 hours for consistent drug delivery

Answer

Heated with a blanket to increase absorption

Question 5

A patient with a history of opioid use disorder requires post-operative pain management. The nurse understands that:

Accepted Answer

Patients with opioid use disorder have the right to effective pain management; coordinate with pain/addiction specialists

Answer

Opioids must never be used in this patient under any circumstances

Answer

Lower than standard opioid doses should be used since the patient is drug-seeking

Answer

Only NSAIDs should be used regardless of pain severity

Question 6

A nurse is educating a patient about acetaminophen (Tylenol) use. The maximum recommended daily dose for a healthy adult is:

Accepted Answer

4 grams per day

Answer

1 gram per day

Answer

2 grams per day

Answer

6 grams per day