The nurse is assessing an older adult patient with dementia for pain using the Pain Assessment in ...

The nurse is assessing an older adult patient with dementia for pain using the Pain Assessment in Advanced Dementia Scale (PAINAD).
 
  The patient is experiencing short periods of hyperventilation, occasionally moans, is frowning, and is tense, but is reassured by the nurse's touch. Which score will the nurse document for this patient?
  1) 5
  2) 6
  3) 7
  4) 8

Question 2

The nurse is assigned several patients on a pediatric postsurgical unit. For which patient would the nurse use the FLACC Postoperative Pain Tool when assessing pain?
 
  1) A 1-month-old infant admitted for hernia repair
  2) A 6-year-old patient admitted for tonsillectomy
  3) A 10-year-old patient admitted for an appendectomy
  4) A 13-year-old patient admitted for scoliosis surgery

Question 3

The nurse is assessing a 4-week-old infant who had cardiovascular surgery to repair a patent ductus arteriosus (PDA). The infant is currently inconsolable. Using the CRIES scale, which score for crying is appropriate
 
  1) 0
  2) 1
  3) 2
  4) 3

Question 4

The nurse is conducting a pain assessment for a pediatric patient diagnosed with cerebral palsy (CP). Which behavioral pain assessment scale is most appropriate for this patient?
 
  1) Behavioral Pain Score (BPS)
  2) Nurses Assessment of Pain Inventory (NAPI)
  3) Objective Pain Score (OPS)
  4) Riley Infant Pain Scale (RIPS)

Question 5

The nurse is conducting an assessment for a patient on a medical-surgical unit. Which finding is indicative of pain?
 
  1) Constricted pupils
  2) Decreased heart rate
  3) Decreased blood pressure
  4) Abnormal posture

Question 6

Which pain scale is appropriate for children ages 3 to 13 years?
 
  1) Color Tool
  2) FACES Pain Rating Scale
  3) Oucher
  4) Poker Chip Tool

Question 7

The nurse is providing care to a patient who is experiencing acute, unrelieved pain. Which will the nurse monitor the patient for based on this data?
 
  1) Bronchitis
  2) Emphysema
  3) Atelectasis
  4) Wheezes