MULTIPLE CHOICE

1. Which question asked by the nurse will give the most information about the patient’s metastatic

bone cancer pain?

a. “How long have you had this pain?”

b. “How would you describe your pain?”

c. “How much medication do you take for

the pain?”

d. “How many times a day do you take

medication for the pain?”

ANS: B

2. A patient who uses a fentanyl (Duragesic) patch for chronic cancer pain suddenly complains of

rapid onset pain at a level 9 (0 to 10 scale) and requests “something for pain that will work now.”

How will the nurse document the type of pain reported by this patient?

a. Somatic pain

b. Referred pain

c. Neuropathic pain

d. Breakthrough pain

ANS: D

3. The nurse teaches a student nurse about the action of ibuprofen. Which statement, if made by the

student, indicates that teaching was effective?

a. “The drug decreases pain impulses in the

spinal cord.”

b. “The drug decreases sensitivity of the

brain to painful stimuli.”

c. “The drug decreases production of painsensitizing chemicals.”

d. “The drug decreases the modulating effect

of descending nerves.”

ANS: C

4. A nurse assesses a patient with chronic cancer pain who is receiving imipramine (Tofranil) in

addition to long-acting morphine. Which statement, if made by the patient, indicates to the nurse

that the patient is receiving adequate pain control?