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)

Answer and Explanation

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.

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Correct Answer is ["A","B","C","D"]

Explanation

Choice A rationale:
The FLACC Scale is appropriate for assessing pain in non-verbal children, particularly those with limited communication abilities or cognitive impairments.
Choice B rationale:
The Wong-Baker FACES Pain Rating Scale is suitable for children who can use a simple visual scale to indicate their pain level.
It's especially helpful for children who can express themselves through drawings or symbols.
Choice C rationale:
The Numeric Rating Scale (NRS) is a reliable tool for assessing pain in children who can understand and use numbers.
It allows children to rate their pain on a numerical scale.
Choice D rationale:
The Visual Analog Scale (VAS) is another tool for older children who can comprehend and use a visual representation to indicate their pain level.
It involves marking a point on a line to represent pain severity.
The Pediatric Pain Questionnaire (PPQ) is not a commonly used pain assessment tool for children, and its effectiveness may be limited.
Therefore, it's not one of the recommended options for pain assessment in children.

A. "I'm going to give you some pain medicine now.”.. B. "Your pain is not that bad. You'll be okay in a little while.”.. C. "You're probably just scared. There's no need to cry.”.. D. "I can tell that you're in a lot of pain. We're going to do everything we can to help you feel better.”..

Correct Answer is D

Explanation

We're going to do everything we can to help you feel better.”..

Choice A rationale:

Offering pain medication immediately is not appropriate without proper assessment and a healthcare provider's order.

It's essential to assess the child's pain properly before administering any medication.

Choice B rationale:

Dismissing the child's pain and telling them it's not that bad is not appropriate.

Pain is subjective, and the child's perception of pain is real.

It's essential to acknowledge their pain and provide appropriate care.

Choice C rationale:

Assuming the child is just scared and telling them not to cry is not the right approach.

Pain should be assessed and addressed appropriately, and the child's feelings should be validated.

Choice D rationale:

This is the correct choice.

The nurse acknowledges the child's pain, expresses empathy, and assures them that everything will be done to alleviate their pain.

This approach is comforting and therapeutic.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a group of children on a pediatric unit. The nurse is using a variety of pain assessment tools and scales to assess the children's pain. (Select all that apply). The nurse should use which of the following pain assessment tools or scales?

Correct Answer is ["A","B","C","D"]

Explanation

A 5-year-old child presents to the emergency department with a right arm fracture. The child is crying and restless. The nurse uses the Numeric Rating Scale (NRS) to assess the child's pain. The child rates their pain as an 8/10. Which of the following statements by the nurse is appropriate?

Correct Answer is D

Explanation

A client asks a nurse about the normal range for the FLACC Scale and Wong-Baker FACES Pain Rating Scale when assessing their infant’s and older child’s pain respectively. How should the nurse respond?

A nurse is educating the parents of an 8-year-old child on using the Visual Analog Scale (VAS) for pain assessment.The child marks a point close to "worst pain imaginable" on the scale.What does this indicate about the child's pain intensity?

A client’s child is about to undergo a painful procedure.The nurse decides to use the Wong-Baker FACES Pain Rating Scale to assess the child’s pain level.Which of the following statements would be appropriate for the nurse to say to the child during this assessment?

Select all that apply):A nurse is caring for a group of pediatric patients and needs to assess their pain using appropriate tools.Which of the following pain assessment tools are suitable for children aged 5 years and older?

A nurse is assessing the pain level of a 10-year-old child who is able to understand and communicate effectively.Which pain assessment tool would be most suitable for this child?

A client brings in their 6-year-old child to the emergency department.The nurse decides to assess the child's pain using the Numeric Rating Scale (NRS)If the child rates their pain as 3 on the scale, what does this numerical value represent regarding the child's pain intensity?

A client asks a nurse about the normal range for the FLACC Scale and Wong-Baker FACES Pain Rating Scale when assessing their infant’s and older child’s pain respectively.How should the nurse respond?

A nurse is preparing to assess a non-verbal child’s pain level using the FLACC Scale.The nurse knows that this scale rates five behavioral indicators.Which of the following statements would be appropriate for the nurse to say during this assessment?

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?