R.A. GAPUZ REVIEW CENTER, INC.

LOCALRN

CGFN
S

NCLE
X

TOEFL/TW
E

TSE IELTS

TEACHER
S

DENTISTRY

PERIOPERATIVE NURSING AND CONCEPT OF PAIN

PRE - TEST
1. Perioperative nursing practice involves the professional registered nurse caring for the patient during
a. The preoperative phase
b. The intraoperative phase
c. The postoperative phase
d. The admission procedure for surgery
a.
1, 2, 4
b. 1, 2, 3
c. 2 only
d. all of these
2. Traffic flow in and out of a procedure room should be kept to a minimum to
a. Decrease microbial count
b. Reduced noise level
c. Increase team concentration
d. Maintain positive pressure within the room
a. 1 and 2
b. 3 and 4
c. 1, 3, 4

d. All of the above

3. Patients undergoing surgery are prone to infection. Four possible causes for this infection could include:
a. Personnel
b. Patient
c. Instruments
d. Environment
e. Equipment/supplies
f. Bacterial barriers
a. 2, 3, 4, 5, 6
b. 1, 2, 4, 5
c. 1, 3, 5, 6
d. 3, 4, 5, 6
4. Which statement regarding sterile technique is FALSE?
a. Tables are sterile at table level only
b. Wrapper edges of a sterile items are considered unsterile once the package is open
c. Fluid contents remaining in a bottle , cannot be used later and must be discarded
d. A sterile package is opened from the near side first and then the far side
5. According to the three zone concept of surgical suite design, the dressing rooms are located in the
a. Restricted area
b. Clean area
c. Semirestricted area
d. Nonrestricted area
6. Place the following layers of the abdominal wall in proper sequences for a laparotomy closure
a. Subcutaneous tissue
b. Muscle
c. Peritoneum
d. Extraperitoneal fat
e. Transversalis fascia
f. Skin
g. Deep fascia
a. 4, 3, 7, 2, 5, 1, 6
c. 3, 4, 5, 2, 7, 1, 6
b. 3, 7, 2, 5, 4, 1, 6
d. 4, 3, 5, 2, 7, 1, 6
7. Cryosurgery is the medical term for
a. Surgery on the prostate gland
b. Tissue destruction using extreme cold temperature
c. Laser beam surgery
d. Gallbladder surgery
8. Pain can be best describe as:
a. An objective phenomenon, primarily characterized by observable signs and symptoms
b. A symptoms consistently seen with trauma or diseases
c. A subjective phenomenon, perceived by the individual and characterized by what the individual
says it is
d. A symptom that has no particular relation to the illness or trauma
9. When pain is severe and restricts or limits activities of daily living the client will commonly:
a. Self-medicate
c. Limit all social interactions
b. Seek out medical intervention
d. Identify the precipitating factors before seeking relief
10. The client experiencing chronic pain:
a. Exhibits crying, grimacing, and other classic symptoms
b. Severely limits activities
c. Is pale and diaphoretic

d. May appear to have no observable symptoms

11. Common signs and symptoms associated with acute pain include:
a. Increase in pulse and respiration, pallor and either increase or decrease in blood pressure
b. Ruddy complexion, bradycardia, and shortness of breath
c. Decrease in pulse, respiration and blood pressure
d. Syncope and diaphoresis
12. The sensation of pain involves:
a. The peripheral nervous system
b. Both the peripheral and central nervous system

c. The autonomic nervous system

d. The central nervous system

13. The most essential step to providing pain management for an individual client:
a. Comprehensive pain assessment
b. Comprehensive health history

c. Written plan of care

d. Familiarity with prescription medications often used for pain
control
14. Use of multiple medications together in an attempt to provide pain relief is:
a. Contraindicated because of multiple side effects
c. Useful only for severe acute pain
b. Currently in experimental trials
d. Used when medications act in a
synergistic fashion
15. Use of heat to an area to relieve pain is effective because:
a. Heat allows for increase uptake of opioids in the affected area
b. Heat promotes muscle relaxation
c. Heat promotes vasoconstriction, reducing swelling and local edema
d. Heat promotes systematic vasodilation
16. In a client education experience, anxiety or pain mediate learning in what way?
a. They heighten awareness, allowing for increased retention
b. They lower arousal thresholds, allowing for longer periods of learning
c. They inhibit attention and reduce retention
d. They decrease arousal, resulting in resistance to learning
17. When initial interventions are not successful to promote pain relief:
a. It is important to reassure the client that other alternatives are available and to re-evaluate goals
b. It is important to continue to use those interventions until they work
c. A medical consult is in order
d. Acknowledge that it may be impossible to achieve any level of pain relief
18. The hallmark of myofascial pain is:
a. Improvement with bed rest
b. Referred numbness and tingling

c. Increase in motor function

d. Trigger points in the muscle

19. Which of the following is true regarding pain in children?

a. Children have poorly developed nociceptors, so they do not frequently experience severe pain
b. Pain management in children is similar to management in adults
c. Pain management in children is frequently more challenging than in adults
d. Children metabolize medications more quickly than adults
20. Use of medication administered on a PRN or as-needed basis for children with pain:
a. Frequently results in poor pain management because of inappropriate assessment
b. Is restricted to use only in critical care settings
c. Provides excellent pain management
d. Is never used as an alternative in planning that clients care
21. Pain in the elderly population is:
a. A less frequent problems due to diminished sensation
b. More common due to increased healthcare needs
c. Difficult to manage due to widespread chronic malnutrition
d. Successfully managed only by gerontology specialist
22. Acute pain in the elderly client:
a. Is always easily assessed
b. May be masked by over-the-counter medication use

c. Is responsive to NSAID therapy

d. Rarely reflects the severity of illness or trauma

23. According to clinical practice guidelines for acute pain, for the first 24 hours postoperatively, clients should receive
analgesics:
a. Round the clock
b. Orally
c. PRN as needed
d. Parenterally
24. When a postoperative clients analgesics are changed from the parenteral to the oral route, the dose is usually:
a. Decreased
b. Increases
c. Kept the same
d. Determined by the patients needs
25. In the home, family caregivers assume most of the responsibility for treating a dying persons pain. A factor that
prompt family caregivers to administer a medication for pain would be:

a. Utilization of rectal route

c. The clients inability to speak

b. Fear of overdosing of the patient

d. The perception that the person is suffering

26. What is the purpose of logging the times and amounts of medications given to a client near death?
a. To evaluate the competency of family caregivers
b. To identify substance abuse
c. To assess for potential overdosing of medications
d. To help in evaluating the effectiveness of symptom management
27. Incisional pain refers to:
a. Mild pain experienced 6 to 8 months after surgery
b. Sharp pain related to damaged nociceptors in the skin and subcutaneous tissues
c. An allergic response to suture materials
d. Insignificant, because it is only the result of anxiety
28. When planning for equianalgesia, which of the following must be considered:
a. Medication to be administered
b. Medication and route of administration
c. Medication, route of administration, and times of administration
d. Medication, route of administration, times of administration and cost to the facility