A nurse is assessing the pain level of a 4-year-old child who has undergone a surgical procedure.
Which pain assessment tool would be most appropriate for this child?
FLACC Scale.
Wong-Baker FACES Pain Rating Scale.
Numeric Rating Scale (NRS)
Visual Analog Scale (VAS)
The Correct Answer is A
Choice A rationale:
The FLACC Scale (Face, Legs, Activity, Cry, Consolability) is a pain assessment tool specifically designed for children who cannot effectively communicate their pain verbally.
It assesses various aspects, including facial expression, leg movement, activity, cry, and consolability.
It is particularly suitable for infants and young children who may not be able to describe their pain in words.
Choice B rationale:
The Wong-Baker FACES Pain Rating Scale is designed for children aged 3 years and older and is based on facial expressions to assess pain intensity.
While it is suitable for this age group, it may not be the most appropriate choice for a 4-year-old child who has just undergone surgery, as it may not accurately capture the child's pain experience.
Choice C rationale:
The Numeric Rating Scale (NRS) requires the child to assign a numerical value to their pain, typically on a scale from 0 to 10.
This may not be the most appropriate tool for a 4-year-old child, as they may have difficulty using numbers to describe their pain, especially immediately after surgery.
Choice D rationale:
The Visual Analog Scale (VAS) requires the child to mark their pain level on a line, which may also be challenging for a 4-year-old child.
This tool is typically used for older children and adults who can better understand and use a visual representation of pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
If the child marked a point close to "worst pain imaginable" on the Visual Analog Scale (VAS), it would indicate severe pain, not mild pain.
The child's indication suggests that they are experiencing a high level of pain.
Choice B rationale:
This is the correct answer.
When a child marks a point close to "worst pain imaginable" on the VAS, it indicates severe pain.
The VAS is a linear scale, with one end representing no pain and the other end representing the most severe pain.
Therefore, a mark close to the extreme end of severe pain suggests that the child's pain intensity is high.
Choice C rationale:
If the child marked a point close to "worst pain imaginable," it would not indicate that the child is pain-free.
It would actually suggest the opposite, that the child is in significant pain.
Choice D rationale:
The child's pain level can be determined from the given information.
By marking a point close to "worst pain imaginable" on the VAS, the child is indicating a high level of pain, which is consistent with the scale's interpretation.
Correct Answer is A
Explanation
Choice A rationale:
If the child rates their pain as 3 on the Numeric Rating Scale (NRS), this numerical value represents mild pain.
The NRS typically uses a scale from 0 to 10, with 0 indicating no pain and 10 indicating the worst pain imaginable.
A rating of 3 falls on the lower end of the scale, signifying mild discomfort or pain.
Choice B rationale:
An NRS rating of 3 is not considered moderate pain.
It is more in the range of mild pain.
Moderate pain would typically be rated higher on the scale, such as 4 to 6.
Choice C rationale:
An NRS rating of 3 is not indicative of severe pain.
Severe pain would typically be rated much higher on the scale, around 7 or higher.
Choice D rationale:
An NRS rating of 3 does not represent no pain.
It indicates the presence of pain, albeit at a relatively mild level.
A rating of 0 on the NRS would signify the absence of pain.
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