ENA Pain
A fracture is most likely to cause which type of pain? A. Acute B. Neuropathic C. Visceral D. Somatic
a
A patient who takes more than the maximum daily dose of acetaminophen (Tylenol) is at risk for injury to which organ? A. Liver B. Kidney C. Stomach D. Heart
a
Which of these is a nociceptor? A. A mediator B. A stimulus C. A pain receptor D. A prostaglandin
a
Which procedural sedation medication can increase bronchial and salivary secretions? A. Ketamine (Ketalar) B. Etomidate (Amidate) C. Midazolam (Versed) D. Propofol (Diprivan)
a
Which statement describes the quality of pain? A. "It hurts right here." B. "It is an 8 out of 10." C. "It feels like it's burning." D. "It came on suddenly."
a
Which structure can decrease the number of pain impulses received from afferent pain fibers? A. A-beta fibers B. Afferent fibers C. Magnus raphe nucleus D. Anterior horn
a
Which term defines the state of adaptation in which drug exposure results in a reduction of one or more of the drug's effects over time? A. Tolerance B. Physical dependence C. Addiction D. Pseudoaddiction
a
A patient states. "If I stand up straight, it hurts." This statement reflects which aspect of the pain assessment? A. Palliative factor B. Precipitating factor C. Severity D. Radiation
b
According to the World Health Organization pain ladder, which medication is indicated for a patient with mild to moderate pain? A. Morphine sulfate B. Codeine C. Hydromorphone (Dilaudid) D. Acetaminophen (Tylenol)
b
Which area of the brain may be involved in the discrimination and cognition of pain? A. Thalamus B. Parietal lobe C. Brainstem D. Midbrain
b
Which consequence can result from unrelieved pain? A. Vasodilation B. Immune system suppression C. Endorphin release D. Antinociception response
b
Which drug produces the fewest cardiac effects? A. Morphine sulfate B. Fentanyl (Duragesic) C. Hydromorphone (Dilaudid) D. Meperidine (Demerol)
b
Which pain scale is the most appropriate for a school-age pediatric patient? A. FLACC B. FACES C. Self-report D. Numeric
b
Which type of pain is described as a sensation of burning or electrical jolts? A. Chronic B. Neuropathic C. Somatic D. Visceral
b
Which administration method increases the risk of abscess development? A. Intravenous injection B. Subcutaneous injection C. Intramuscular injection D. Patient-controlled analgesia (PCA)
c
Which disorder is most likely to cause somatic pain? A. Tumor B. Venous occlusion C. Degenerative joint disease D. Arthritis
c
Which procedural sedation medication lowers the seizure threshold? A. Midazolam (Versed) B. Fentanyl (Duragesic) C. Etomidate (Amidate) D. Propofol (Diprivan)
c
What does the A in the FLACC pain scale stands for? A. Analgesia B. Anxiety C. Agitation D. Activity
d
What is the most consistent behavioral indicator of pain in infants? A. Consolability B. Quality of cry C. Level of activity D. Facial expression
d
Which medication has a rapid onset and a short duration of action? A. Meperidine (Demerol) B. Morphine sulfate C. Hydromorphone (Dilaudid) D. Fentanyl (Duragesic)
d
