Midwifery Licensure Exam Reviewer in Fundamentals of Health Care Part 5

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Question 1 of 20

1. Question
- Simple description pain intensity scale
- 0-10 numeric pain scale
- Faces pain-rating scale
- McGill-Melzack pain questionnaire
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Question 2 of 20

2. Question
- Treatment is based on client goals
- A multidisciplinary approach is needed
- The client must be believed about perceptions of own pain
- Drug side effects must be prevented and managed
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Question 3 of 20

3. Question
- Intraspinal
- Patient-controlled analgesia (PCA)
- Intravenous (IV)
- Sublingual
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Question 4 of 20

4. Question
- Administer smallest dose that provides relief with the fewest side effects
- Titrate upward until the client is pain free
- Titrate downwards to prevent toxicity
- Ensure that the drug is adequate to meet the client’s subjective needs
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Question 5 of 20

5. Question
- Therapeutic touch
- Use of heat and cold applications
- Meditation
- Transcutaneous electrical nerve stimulation (TENS)
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Question 6 of 20

6. Question
A. Morphine, hydromorphone, acetaminophen and lorazepam
B. NSAIDs and corticosteroids
C. Codeine, oxycodone and diphenhydramine
- A, B, C
- B, C, A
- C, B, A
- A, C, B
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Question 7 of 20

7. Question
- An elderly chronic pain client with a hip fracture
- A client with a heroin addiction and back pain
- A young female client with advanced multiple myeloma
- A child with an arm fracture and cystic fibrosis
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Question 8 of 20

8. Question
- Encourage expression of fears on past experiences
- Provide accurate information about use of pain medication
- Explain that addiction is unlikely among acute care clients
- Seek family assistance in resolving this problem
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Question 9 of 20

9. Question
- Fever
- Nausea
- Diaphoresis
- Abdominal cramps
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Question 10 of 20

10. Question
- Assist the client with preparation of a sitz bath
- Monitor the client for signs of discomfort while ambulating
- Coach the client to deep breathe during painful procedures
- Evaluate relief after applying a cold application
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Question 11 of 20

11. Question
- Prepare the medication and hand it to the physician
- Check the hospital policy regarding use of the placebo
- Follow a personal code of ethics and refuse to give it
- Contact the charge nurse for advice
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Question 12 of 20

12. Question
- Closely assess for nonverbal signs such as grimacing or rocking
- Obtain baseline behavioral indicators from family members
- Look at the MAR and chart, to note the time of the last dose and response
- Give the maximum PRS dose within the minimum time frame for relief
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Question 13 of 20

13. Question
- IV
- IM or subcutaneous
- Oral
- Transdermal
- PCA
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Question 14 of 20

14. Question
- Deliver the bolus dose per standing order
- Contact the physician to increase the dose
- Try non-pharmacological comfort measures
- Assess the pain for location, quality, and intensity
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Question 15 of 20

15. Question
- Diversional therapy, such as playing cards or board games
- Massage of back and neck with warmed lotion
- Side-lying position with knees to chest and pillow against abdomen
- Transcutaneous electrical nerve stimulation (TENS)
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Question 16 of 20

16. Question
- PRN at the client’s request
- Prior to painful procedures
- IV bolus after pain assessment
- Around-the-clock
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Question 17 of 20

17. Question
A. A client who needs pre-op teaching for use of a PCA pump
B. A client with a leg cast who needs neurologic checks and PRN hydrocodone
C. A client post-op toe amputation with diabetic neuropathic pain
D. A client with terminal cancer and severe pain who is refusing medication
- B, C
- A, B
- D, A
- All
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Question 18 of 20

18. Question
- Potassium 3.6 mEq/L
- Hematocrit 41%
- PT 14 seconds
- BUN 20 mg/dL
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Question 19 of 20

19. Question
- An anxious, chronic pain client who frequently uses the call button
- A client second day post-op who needs pain medication prior to dressing changes
- A client with HIV who reports headache and abdominal and pleuritic chest pain
- A client who is being discharged with a surgically implanted catheter
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Question 20 of 20

20. Question
- “The doctor ordered the medicine to be given every 4 hours.”
- “If the medication is given too frequently he could suffer ill effects.”
- “Please tell him that I will be right there to check of him.”
- “Let’s wait about 30-40 minutes. If there is no relief I’ll call the doctor.”
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