Ouch
Supplementation
You are what you eat
Pain Process
100

_________ is a modality that requires the patient to focus on something other than the pain

Distraction

100

What are the Fat soluble vitamins 

A,K,E,D

100

Tell whether the following statement is true or false.

Red meat is an incomplete protein.

              A. True

              B. False

Answer: B. False

Rationale: Red meat is a complete protein.

100

Tell whether the following statement is true or false.

              The best judge of the existence and severity of a patient’s pain is the physician or nurse caring for the patient.

              A. True

              B. False

Answer: B. False

Rationale: The best judge of the existence and severity of a patient’s pain is the patient.

200

This is a pain that originates in a different part of the body but is perceived in the area distant from that point of origin so an example of this would be a woman who has a heart attack and has pain in her shoulder

Referred pain

200

This organ stores glucose and regulates entry into the blood

liver

200

Tell whether the following statement is true or false.

Food is more vital to life than water because it provides the medium necessary for all chemical reactions and it is not stored in the body.

A. True

B. False

Answer: B. False

Rationale: Water is more vital to life than food because it provides the medium necessary for all chemical reactions and it is not stored in the body.

200

Which following pain assessment tool is recommended for use with neonates ages 0 to 6 months?

              A. Oucher Pain Scale

              B. Wong-Baker FACES

              C. FLACC Pain Scale

              D. CRIES Pain Scale

Answer: D. CRIES Pain Scale

Rationale: The CRIES Pain Scale is a tool intended for use with neonates and infants from 0 to 6 months.

300

Moaning, crying, and acting restlessness are all examples of what type of response to pain?

 Behavioral. 

300

Short term dietary support can be administered through this and placement is confirmed with Xray. 

NG tube/ NG tube feedings. 

300

This macronutrient provides the most energy

Carbohydrate. 

300

Which modulator of pain is thought to reduce pain sensation by inhibiting the release of substance P from the terminals of afferent neurons?

              A. Endorphins

              B. Dynorphins

              C. Enkephalins

              D. Nociceptors

Answer: C. Enkephalins

 Rationale: Enkephalins are thought to reduce pain by inhibiting the release of substance P from the terminals of afferent neurons. Endorphins and dynorphins are released when certain measures are used to relieve pain. Nociceptors are the peripheral nerve fibers that transmit pain.

400

This is pain that is resistant to therapy meaning that despite multiple types of interventions the patient is still experiencing pain

Intractable pain

400

Which one of the following vitamins affects visual acuity in dim light, formation and maintenance of skin and mucous membranes, and the immune function?

              A. Vitamin A

              B. Vitamin D

              C. Vitamin E

              D. Vitamin K

Answer: A. Vitamin A

  Rationale: Vitamin A affects visual acuity, skin and mucous membranes, and immune function. Vitamin D provides calcium and phosphorus metabolism and stimulates calcium absorption. Vitamin E is an antioxidant that protects Vitamin A. Vitamin K helps the synthesis of certain proteins necessary for blood clotting.


400

This is the number of calories required to fuel the involuntary activities of the body at rest after 12 hours; energy needed to sustain metabolic activities of cells and tissues

BMR

400

A patient who has bone cancer is most likely experiencing which of the following types of pain?

              A. Cutaneous

              B. Somatic

              C. Visceral

              D. Referred


Answer: B. Somatic

 Rationale: Deep somatic pain is diffuse or scattered and originates in tendons, ligaments, bones, blood vessels, and nerves. Cutaneous pain usually involves the skin or subcutaneous tissue. Visceral pain is poorly localized and originates in body organs. Referred pain is pain that originates in one part of the body and is perceived in an area distant to that part.

500

What part of the pain process does activation of pain receptors occur?

Transduction

500

True or false? 

TPN is administered through a Peripheral IV catheter. 

False tpn or total parenteral nutrition needs to be administered through a Central venous catheter or central line/Hickmann.  

500

Obesity is considered when a BMI is equal to or greater than what?

30

500

A sedated patient is frequently drowsy and drifts off during his conversation with the nurse. What number on the sedation scale best describes this patient?

              A. 1

              B. 2

              C. 3

              D. 4

scale: 

•S: sleep, easy to arouse: no action necessary

•1: awake and alert; no action necessary

•2: occasionally drowsy, but easy to arouse; no action necessary

•3: frequently drowsy, drifts off to sleep during conversation; reduce dosage

•4: somnolent with minimal or no response to stimuli;  discontinue opioid, consider use of naloxone


Answer: C. 3

   Rationale: 3 denotes that the patient is frequently drowsy and hard to awake. 1 means the patient is awake and alert. 2 denotes the patient is occasionally drowsy, but easy to arouse. At 4, the patient is somnolent, with minimal or no response to stimuli.


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