LPN LPN Pain Management and Comfort Measures 3

Question 1

Which assessment finding best indicates that a patient's pain medication has been effective?

Accepted Answer

The patient reports pain decreased from 8/10 to 2/10 and is able to rest

Answer

The patient is sleeping and cannot be aroused

Answer

The patient's blood pressure has increased

Answer

The patient requests a higher medication dose

Question 2

A patient cannot swallow oral medications due to dysphagia. Which alternative route is most appropriate for analgesic delivery?

Accepted Answer

Rectal suppository or IV route per order

Answer

Subcutaneous injection

Answer

Oral liquid formulation

Answer

Topical lotion

Question 3

Breakthrough pain medication should be administered in which manner?

Accepted Answer

As needed (PRN) when the patient reports pain between scheduled doses

Answer

Only at scheduled intervals, never on demand

Answer

Only after the patient has tried non-pharmacological methods for 2 hours

Answer

At the nurse's discretion regardless of patient report

Question 4

In the PQRST pain assessment acronym, what does the letter 'Q' represent?

Accepted Answer

Quality — description of the pain character such as sharp, burning, or dull

Answer

Quantity — how much medication the patient needs

Answer

Quadrant — the body area where pain is located

Answer

Quick — how fast the pain came on

Question 5

A patient taking NSAIDs (e.g., ibuprofen) long-term should be monitored for which complication?

Accepted Answer

Gastrointestinal bleeding and renal impairment

Answer

Hypoglycemia

Answer

Hyponatremia and fluid overload

Answer

Respiratory alkalosis

Question 6

A nurse applies a cold pack to a patient's swollen ankle after a sprain. What is the primary therapeutic purpose?

Accepted Answer

Reduce inflammation, swelling, and pain through vasoconstriction

Answer

Increase circulation to promote healing

Answer

Relax the surrounding muscles

Answer

Prevent infection at the injury site