Study Guide for Fundamentals of Nursing The Art and Science of Nursing Care

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PRACTICING FOR NCLEX


MULTIPLE CHOICE QUESTIONS
Circle the letter that corresponds to the best
answer for each question.
1.Pain that is poorly localized and originates
in body organs is known as which of the
following?
a.Cutaneous pain
b.Somatic pain
c.Visceral pain
d.Perceived pain
2.You are visiting a patient at home who is
recovering from a bowel resection. She com-
plains of constant pain and discomfort and
displays signs of depression. When assessing
this patient for pain, you should be aware of
which of the following facts about pain?
a.As her primary healthcare giver, you are
the authority on the existence and nature
of your patient’s pain sensation.
b.The pain your patient is experiencing is
probably an emotional or psychological
problem due to depression.
c.A placebo should be administered to the
patient to see whether the pain is manu-
factured or psychogenic before starting
drug therapy.
d.The patient is the only authority on the ex-
istence and nature of her pain, and pain
management therapy should be reviewed
and revised if necessary.

3.Which of the following is a powerful vasodila-
tor that increases capillary permeability and
constricts smooth muscles, playing a role in
the chemistry of pain at the injury site?
a.Bradykinin
b.Prostaglandins
c.Substance P
d.Serotonin
4.Pain receptors consisting of free nerve
endings that are involved in fast-conducting,
acute, well-localized pain include which of
the following?
a.C fibers
b.Gamma fibers
c.B fibers
d.A-delta fibers
5.The highest level of integration of sensory
impulses of pain occurs in which of the
following regions?
a.Cortex
b.Medulla
c.CNS
d.Spinal cord
6.A patient who recently underwent amputation
of a leg complains of pain in the amputated
part. The nurse should explain to the patient
which of the following?
a.The pain cannot exist because the leg has
been amputated.
b.The pain is a phenomenon known as
“ghost pain.”

Comfort


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