The nurse is working at a pain clinic and is preparing orientation for new staﬀ nurses. Which of the following definitions of pain would the nurse correctly choose to include in the orientation?

Pain is an unpleasant sensation, typically experienced upon movement.

Pain is validated by the nurse determining the cause of pain.

Pain is whatever the person experiencing it says it is.

Pain is very subjective, so observations must be used to determine the levels and intensity.

Answer and Explanation

The Correct Answer is C

"Pain is whatever the person experiencing it says it is," to include in the orientation. This definition reﬂects the concept of pain as a subjective experience that cannot be directly observed or measured, but only reported by the individual experiencing it. It emphasizes the importance of believing and acknowledging the patient's report of pain, and not relying solely on objective indicators or assumptions about the cause or intensity of pain. This definition also aligns with current standards of pain assessment and management, which prioritize patient-centered care and the use of self-report measures to guide treatment decisions.

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Correct Answer is ["B","E"]

Explanation

A. Dilated pupils in response to dimmed lights are a normal response and not an indication of a

vision problem.

B. Pupils that remain dilated during an accommodation test indicate that the client may have an

issue with their autonomic nervous system and is not able to adjust their pupil size appropriately.

C. Far vision acuity of 20/20 bilaterally indicates normal vision.

D. A symmetrical pupillary light reﬂex response is a normal finding and not an indication of a vision

problem.

E. Frowning and squinting while reading the Snellen chart may indicate that the client is having difficulty seeing the letters clearly and may have a vision problem.

A. I sleep about 8 hours every night. B. I usually sleep through the night. C. I go to sleep at 10 pm every night. D. I nap during the day to help me catch up on my sleep.

Correct Answer is D

Explanation

Napping during the day can interfere with a person's ability to sleep at night, especially if it is done for long periods or close to bedtime. The nurse can provide education on proper sleep hygiene and recommend ways to establish a consistent sleep schedule that promotes restful sleep, such as avoiding caﬀeine and alcohol, practicing relaxation techniques, and limiting exposure to electronic devices before bedtime.

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The nurse is working at a pain clinic and is preparing orientation for new staﬀ nurses. Which of the following definitions of pain would the nurse correctly choose to include in the orientation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is performing a focused interview and eye assessment on a client. Which assessment findings indicate the client is experiencing a vision problem? (Select all that apply)

Correct Answer is ["B","E"]

Explanation

The nurse is assessing the patients sleep habits. Which of the patients responses indicate a need for the nurse to provide teaching?

Correct Answer is D

Explanation

In the SBAR reporting system, which of the following would be an example of a recommendation?

The nurse is teaching the patient about diﬀerent stages of sleep. The nurse knows that REM sleep includes which one of the following?

The nurse is checking for edema in the lower extremities of a patient with Congestive heart failure. The nurse will do which of the following when checking for edema. (Select all that apply)

The nurse is assessing the patient's lips and notes a bluish tinge. This finding would indicate that the patient may be experiencing which problem?

The patient complains of chest pains that move down her left arm. The nurse will document this as:

When assessing the patient’s ability to perform rapid altering movements, the nurse is observing the:

A patient is admitted to the ﬂoor with a diagnosis of chest pain. Which of the following would be a priority for the assessment?

Which of the following are primary nutrients? (Select all that apply)