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BNS Exam 4

Quiz by Cynthia Perez

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21 questions
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  • Q1
    A nurse is caring for a client with cancer who is experiencing pain. What would be the most appropriate assessment of the client’s pain?
    The nurse’s impression of the client’s pain
    The client’s recent responses to pain and to pain medication
    Nonverbal cues of the client
    The client’s pain based on a pain rating
    30s
  • Q2
    A nurse is caring for a client who was administered opioid narcotics. The client reports constipation. What is another potential side effect of opioid narcotics?
    Insomnia
    Sedation
    Diarrhea
    Anxiety
    30s
  • Q3
    A nurse is caring for a client who has undergone a surgical intervention in which the pain pathways in the spinal cord have been interrupted to control pain in his back. The nurse knows that the client has undergone which treatment?
    Cordotomy
    Rhizotomy
    Osteotomy
    Tubectomy
    30s
  • Q4
    A nurse is caring for a client with dull ache in her abdomen. On the way to the health care facility, the client vomits and shows symptoms of pallor. What kind of pain is the client experiencing?
    Somatic pain
    Visceral pain
    Cutaneous pain
    Neuropathic pain
    30s
  • Q5
    A middle-age client with cancer has been prescribed patient-controlled analgesia (PCA). The nurse caring for the client explains the functioning of PCA. What is the main advantage of PCA?
    The client obtains pain relief slowly and steadily.
    The client requires less nursing care.
    The client is able to have long hours of rest.
    The client is actively involved in pain management.
    30s
  • Q6
    A nurse is assessing a mentally challenged adult client who is in pain after a fall from a staircase. Which scale should the nurse use to assess the client’s pain?
    Numeric scale
    Word scale
    FACES scale
    Linear scale
    30s
  • Q7
    A physician has ordered a nurse to perform transcutaneous electrical nerve stimulation (TENS) for a client with back pain. Which candidate is most suitable for TENS?
    Client who is pregnant
    Client with a cardiac pacemaker
    Client prone to irregular heartbeats.
    Client involved in sports activities
    30s
  • Q8
    A nurse is caring for a client with an amputated limb. The client tells the nurse that he has a burning sensation in his amputated limb. How should the nurse document this pain?
    Phantom pain
    Cutaneous pain
    Visceral pain
    Referred pain
    30s
  • Q9
    A nurse is caring for an older adult client who is unable to walk without a support due to knee pain. During his initial assessment, however, the client does not mention pain. Which belief common in older adult clients may cause them to underreport their pain?
    Pain will draw their families closer to them
    Pain is a normal part of aging
    Pain is harmless
    Pain can be eliminated with medication
    30s
  • Q10
    The nurse is caring for a client who has a long history of using opioid pain medication. When the client reports back pain of “10” on a “1-10” scale, what is the appropriate nursing action?
    Acknowledge the pain as the client reports it.
    Recognize that clients who take opioids have less pain than clients who do not.
    Reassure the client that the pain is not excruclating, since they take opioids.
    Document that pain is “5” on “1-10” scale
    30s
  • Q11
    A client has been admitted to the health care facility for less than 24 hours for observation. The client has a gold ring, watch, reading glasses, and other personal belongings. What care should the nurse take with regard to these objects?
    Hand over the belongings to the admitting department.
    Keep the client’s belongings secured in a locker.
    Ask the client’s relatives to take the belongings home
    Allow the client to wear them unless moving out of the room.
    30s
  • Q12
    A nurse is taking a note of a client’s belongings by recording their details in the medical record. How should the nurse best describe a client’s ring?
    Describe the size of the ring
    Describe the weight of the ring.
    Describe the type of metal and stones in the ring.
    Describe the color of the ring.
    30s
  • Q13
    When keeping a client’s personal belongings in a locker, the nurse should ensure that the envelope is sealed and signed by which of the following people?
    Supervisor and nurse
    Client, supervisor, and nurse
    Client and a relative
    Client and a colleague
    30s
  • Q14
    A physician is examining the client during the client’s initial physical examination. After collecting all the data, the physician writes R/O in the medical records and suggests some more tests and examinations. What does the physician mean by R/O?
    Refill out
    Record out
    Rule out
    Revise order
    30s
  • Q15
    Once a client is admitted and all the admission data are collected, the nurse is expected to develop an initial plan for the client’s care. By what point after admission should the nurse develop the plan?
    No later than 30 hours
    No later than 72 hours
    No later than 48 hours
    No later than 24 hours
    30s

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