Physiology of Pain
This change in a newborn’s vital signs often signals the body’s immediate response to pain.
What is increased heart rate?
T/F: Self-report, when developmentally appropriate, is the most reliable indicator of pain.
What is True
Which of the following best explains the use of non nutritive sucking (NNS) and sucrose in infants undergoing painful procedures?
A. NNS and sucrose reduce pain behaviors in neonates
B. Sucrose is safe in all doses
C. NNS and sucrose are ineffective in reducing pain
D. NNS and sucrose can only be used with other pharmaceutical methods
What is choice A. NNS and sucrose reduce pain behaviors in neonates.
A 16 year-old patient arrives at the emergency department with complaints of severe abdominal pain. The patient describes the pain as a deep, dull ache that seems to spread across the abdomen and sometimes radiates to the back. On assessment, the nurse notes nausea and diaphoresis. The patient denies any history of trauma.
A. Somatic pain
B. Visceral pain
C. Neuropathic pain
D. Chronic pain
What is Choice B. Visceral pain
Which of the following is the most comprehensive approach to evaluating a child’s pain management?
A. Measuring heart rate and blood pressure before and after intervention.
B. Observing facial expressions and crying during procedures.
C. Gather physiologic, behavioral, and self-reported data, with input from family.
D. Asking the parent to rate the child’s pain on a 0–10 scale.
What is C.
Gather physiologic, behavioral, and self-reported data, with input from family.
True or False? Moderate sedation in children allows them to maintain a patent airway and respond to physical or verbal stimulation.
What is True.
Which type of pain is described as burning, tingling, shooting, squeezing or spasm-like, often caused by malfunctioning of the peripheral or central nervous system?
What is Neuropathic Pain
Which pain assessment tool is most appropriate for a 3 year old child undergoing an IV insertion?
A. Numeric 0-10 Scale
B. Wong-Baker FACES Scale
C. Visual Analog Line
D. FLACC Behavior Scale
What is Choice B. Wong-Baker FACES scale
Substituting the painful experience for a pleasurable or positive thought is what type of non-pharmacologic management?
What is Thought Stopping
A 14 year old patient just came from a nephrolithotomy surgery and received opioids for pain relief along with Midazolam . What is the primary purpose of the benzodiazepine in this case?
A. To enhance the analgesic effect of the opioid
B. To relieve anxiety, promote sedation, and possibly produce amnesia
C. To prevent opioid-induced constipation post op
D. To reduce inflammation during surgery
What is choice B. To relieve anxiety, promote sedation, and possibly produce amnesia
You’re assessing an adolescent who seems tense, fidgety, and is guarding their abdomen, but they say “I’m fine” and avoid eye contact. What is a practical, teen-appropriate pain assessment intervention a nurse would perform first to ensure accurate reporting.
What is Privacy.
Before a heel stick, this skin-to-skin method is encouraged to provide comfort to newborns.
What is kangaroo care?
T/F: Large, fast nerve fibers carry nociceptive (pain) signals, while smaller, slower nerve fibers carry non-nociceptive, tactile information
What is False.
Large, fast nerve fibers carry non-nociceptive, tactile information, while smaller, slower nerve fibers carry nociceptive (pain) signals.
When providing epidural analgesia to children, nurses use this type of simple bedside test to assess sensory level spread and catch early signs of respiratory depression.
What is the cool stimulus test with water or an alcohol pad?
Formely called this,________is a type of transcutaneous Liposomal Lidocaine 5%, which is massaged into the skin without the need of a dressing.
What is ELA-Max.