WorksheetsPain Review
Total questions: 9
Worksheet time: 45mins
A nurse is caring for a 72-year-old patient with metastatic bone cancer who reports that their current pain regimen of acetaminophen 650 mg every 6 hours is no longer controlling their pain, which they now rate as 6/10 on the pain scale. The nurse notifies the healthcare provider.
Based on the WHO three-step analgesic ladder, which prescription should the nurse anticipate?
Increase the frequency of acetaminophen to every 4 hours without other changes
Add a weak opioid, such as tramadol, to the current non-opioid regimen
Switch directly to a strong opioid like morphine and stop acetaminophen
Use non-pharmacologic measures only, as opioids are inappropriate in elderly patients
Which non-pharmacologic intervention can be used to help manage acute pain?
High-intensity exercise
Ignoring the pain to build tolerance
Increasing caffeine intake
Ice package and relaxation techniques
A postoperative client rates pain as 9/10 and requests pain medication. The nurse notes the client’s blood pressure is elevated and the client is restless. What is the best nursing action?
Delay pain medication until vital signs normalize
Administer prescribed pain medication promptly
Reassure the client that pain will decrease over time
Encourage deep breathing exercises instead of medication
During pain assessment, a client describes the pain as "sharp and stabbing." This relates to which part of the PQRST acronym?
Radiation
Severity
Timing
Quality
Which of the following best describes the first step of the WHO analgesic ladder for pain management?
Use of opioids for moderate to severe pain
Use of adjuvant therapies only
Use of non-opioid analgesics such as acetaminophen or NSAIDs
Use of strong opioids like morphine regardless of pain level
A patient with moderate cancer pain is being assessed. According to the WHO three-step analgesic ladder, which medication should be considered next?
Morphine
Ibuprofen
Codeine
Amitriptyline
A nurse is caring for a patient experiencing severe cancer pain. The patient is currently on Step 2 medications but still reports high pain levels. What is the appropriate next step?
Increase the dose of NSAIDs
Add a benzodiazepine
Move to Step 3 and administer a strong opioid
Discontinue all medications and reassess in 24 hours
A nurse is assessing pain in a nonverbal 2-year-old child. Which pain assessment tool is most appropriate?
Numeric Rating Scale (0–10)
Wong-Baker FACES Pain Scale
FLACC Scale
Visual Analog Scale (VAS)
A patient with a broken arm has pain localized to the injury site. What type of pain is this?
Somatic pain
Visceral pain
Chronic pain
Neuropathic pain
