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?

“I will observe your facial expression.”..

“I will watch how you move your legs.”..

“I will note your activity level.”..

“I will listen to your cry and observe your consolability.”..

Answer and Explanation

The Correct Answer is D

Choice A rationale:

I will observe your facial expression.”..

This statement is not appropriate for assessing pain in a non-verbal child using the FLACC Scale because it does not address the five behavioral indicators the scale measures.

The FLACC Scale assesses facial expression, leg movement, activity level, cry, and consolability.

Choice B rationale:

I will watch how you move your legs.”..

This statement is also not appropriate for using the FLACC Scale as it only focuses on one of the five behavioral indicators.

While leg movement is assessed, it's crucial to evaluate all indicators for a comprehensive pain assessment.

Choice C rationale:

I will note your activity level.”..

This statement is partially correct, as the FLACC Scale does assess activity level.

However, it does not cover all the indicators, and it's essential to mention the other components for a complete assessment.

Choice D rationale:

I will listen to your cry and observe your consolability.”..

This statement is the most appropriate choice.

The FLACC Scale rates five behavioral indicators, and this statement acknowledges two of them: cry and consolability.

A comprehensive assessment should include all five indicators for an accurate pain evaluation in non-verbal children.

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Correct Answer is A

Explanation

FLACC Scale.

Choice A rationale:

The FLACC Scale, as previously mentioned, is a suitable pain assessment tool for clients who may have cognitive impairments and cannot effectively comprehend more complex pain scales.

It relies on observable behaviors, making it suitable for individuals who cannot express their pain verbally or understand more intricate pain assessment methods.

Choice B rationale:

The Wong-Baker FACES Pain Rating Scale, while effective for many individuals, may still require some level of comprehension to point to the appropriate face on the scale.

It may not be the best choice for individuals with severe cognitive impairments.

Choice C rationale:

The Numeric Rating Scale (NRS) and

Choice D rationale:

the Visual Analog Scale (VAS) both require an understanding of numbers and abstract concepts, which may be challenging for clients with cognitive impairments.

These scales are not the most appropriate choice for this population.

A. The child is experiencing mild pain. B. The child is pain-free. C. The child is in severe pain. D. The child's pain level cannot be determined from the given information.

Correct Answer is C

Explanation

The normal range for FLACC Scale is 0-2, and for Wong-Baker FACES Pain Rating Scale is 0-10.

Choice A rationale:

The normal range for both the FLACC Scale and the Wong-Baker FACES Pain Rating Scale is not 0-10.

The FLACC Scale typically ranges from 0 to 2, and the Wong-Baker FACES Pain Rating Scale ranges from 0 to 10.

Therefore, choice A is not accurate.

Choice B rationale:

Similarly, the normal range for both scales is not 0-2.

While the FLACC Scale has a range of 0 to 2, the Wong-Baker FACES Pain Rating Scale covers a range from 0 to 10.

Choice B is not the correct answer.

Choice C rationale:

The FLACC Scale is designed to assess pain in infants and young children and ranges from 0 to 2.

The Wong-Baker FACES Pain Rating Scale is used for older children and adults, ranging from 0 to 10.

Therefore, choice C is the correct answer as it accurately represents the normal ranges for these pain assessment scales.

Choice D rationale:

Choice D provides incorrect information about the normal ranges for both pain assessment scales.

It states that the FLACC Scale has a range of 0-10, which is not accurate, and the Wong-Baker FACES Pain Rating Scale has a range of 0-2, which is also incorrect.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has a cognitive impairment and is unable to comprehend pain scales effectively.Which pain assessment tool would be most appropriate for this client?

Correct Answer is A

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?

Correct Answer is C

Explanation

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?

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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 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?

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A nurse is educating a group of nursing students about pediatric pain assessment tools and scales.Which of the following should be included in the teaching? (Select all that apply)

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?