How does it travel?
Type of pain
Next Action
How do you do it?
Adult Normal VS
100

Spreads to another area

What is 

Radiating Pain?

100

Severe abdominal cramping

What is 

Colicky?

100

Patient complains of pain in his back that is 8/10? What is your first action?

Can you describe the pain?

100

Assess pulse deficit

What is obtain apical pulse at the same time another nurse obtains the radial pulse?

What is assess apical and radial pulse at same time?

100

Heart rate

What is 60-100?

200

Felt in an area away from the actual source of pain.

What is 

Referred Pain?


200

Sharp pain such as associated with a skin laceration

What is

Cutaneous Pain?

200

You notice indications of respiratory distress. What is the nurse's first action?

What is assess vital signs especially respiratory rate and oxygen saturation?

200

Assess the pain in someone with the inability to communicate

What are

Assess for non-verbal S/S of pain: restlessness, facial grimacing, guarding

Vital signs S/S of pain: increased BP, HR, and RR

200

Respiratory rate

What is 12-20?

300

Sudden, sharp pain that is short in duration

What is 

Acute Pain?

300

Pins and Needles pain in leg and or foot

What is

Neuropathic Pain?

300

Client has dizziness when changing positions. What is your next action?

What is assess blood pressure sitting and standing?

300

Questions to ask related to recent activities before taking a blood pressure?

What is 

Have you smoked, exercised, or had caffeine within the last 30 minutes?

300

BP

What is Systolic less than 120 

and 

Diastolic less than 80

400

Pain that lasts more than 3 months and may be described as disabling.

Pain that lasts more than 3 months and may be described as disabling.

400

Another name for musculoskeletal pain

What is 

Somatic pain?

400

Client is complaining of pain and chills after surgery. What is your first assessment? 

What is vital signs?

400

Questions to ask before taking an oral temperature?

What is 

Have you smoked, eaten or drank anything in the last 15-30 minutes?

400

Oral Temperature

What is 97.5 to 99.5 ?

500

Severe, unrelenting pain that does not respond to pain relief measures

What is 

Intractable Pain?

500

Pain that is felt even after the affected body part has been removed

What is

Phantom Limb Pain?

500

Client has respirations of 8. What is your first action? 

What is assess oxygen saturation? 

500

You are taking a BP in the upper arm. Name three Physical assessments that you need to assess before continuing?

(Not missing an arm 🤪)

What is a mastectomy, location of IV, or rash/sore on arm?

500

Oxygen Saturation

What is 

Greater than (>) 95%