Fundamentals Of Nursing NCLEX Quiz 44

10 Questions | Total Attempts: 1477

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Fundamentals Of Nursing Quizzes & Trivia

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.


Questions and Answers
  • 1. 
    Place the examples of drugs in the order of usage according to the World Health Organization (WHO) analgesic ladder. (1. Morphine. hydromorphone. acetaminophen and lorazepam || 2. NSAIDs and corticosteroids || 3. Codeine. oxycodone and diphenhydramine)
    • A. 

      3 ,2 ,1

    • B. 

      2 ,3 ,1

    • C. 

      1 ,2 ,3

    • D. 

      1 ,3 ,2

  • 2. 
    • A. 

      An elderly chronic pain client with a hip fracture

    • B. 

      A client with a heroin addiction and back pain

    • C. 

      A young female client with advanced multiple myeloma

    • D. 

      A child with an arm fracture and cystic fibrosis

  • 3. 
    A client appears upset and tearful. but denies pain and refuses pain medication. because “my sibling is a drug addict and has ruined out lives.” What is the priority intervention for this client?
    • A. 

      Encourage expression of fears on past experiences.

    • B. 

      Provide accurate information about use of pain medication.

    • C. 

      Explain that addiction is unlikely among acute care clients.

    • D. 

      Seek family assistance in resolving this problem.

  • 4. 
    A client is being tapered off opioids and the nurse is watchful for signs of withdrawal. What is one of the first signs of withdrawal?
    • A. 

      Fever

    • B. 

      Nausea

    • C. 

      Diaphoresis

    • D. 

      Abdominal cramps

  • 5. 
    In caring for clients with pain and discomfort. which task is most appropriate to delegate to the nursing assistant?
    • A. 

      Assist the client with preparation of a sitz bath.

    • B. 

      Monitor the client for signs of discomfort while ambulating

    • C. 

      Coach the client to deep breathe during painful procedures

    • D. 

      Evaluate relief after applying a cold application.

  • 6. 
    • A. 

      Prepare the medication and hand it to the physician

    • B. 

      Check the hospital policy regarding use of the placebo.

    • C. 

      Follow a personal code of ethics and refuse to give it.

    • D. 

      Contact the charge nurse for advice.

  • 7. 
    • A. 

      Closely assess for nonverbal signs such as grimacing or rocking.

    • B. 

      Obtain baseline behavioral indicators from family members.

    • C. 

      Look at the MAR and chart. to note the time of the last dose and response.

    • D. 

      Give the maximum PRS dose within the minimum time frame for relief.

  • 8. 
    Which route of administration is preferable for administration of daily analgesics (if all body systems are functional)?
    • A. 

      IV

    • B. 

      IM or subcutaneous

    • C. 

      Oral

    • D. 

      Transdermal

    • E. 

      PCA

  • 9. 
    A first day postoperative client on a PCA pump reports that the pain control is inadequate. What is the first action you should take?
    • A. 

      Deliver the bolus dose per standing order.

    • B. 

      Contact the physician to increase the dose.

    • C. 

      Try non-pharmacological comfort measures.

    • D. 

      Assess the pain for location. quality. and intensity.

  • 10. 
    Which non-pharmacological measure is particularly useful for a client with acute pancreatitis?
    • A. 

      Diversional therapy. such as playing cards or board games

    • B. 

      Massage of back and neck with warmed lotion

    • C. 

      Side-lying position with knees to chest and pillow against abdomen

    • D. 

      Transcutaneous electrical nerve stimulation (TENS)