A hospice nurse is caring for a patient who has terminal cancer and is receiving hospice care for stage 4 metastatic breast cancer.
The patient experiences excruciating pain and is scheduled for morphine 10mg IM every 6 hours. The patient is sleeping, and the medication is due.

What action should the nurse take?

Hold the pain medication until the patient wakes up.

The patient should be given the scheduled pain medication.

Call the family and ask if the patient would like to be woken up to have their pain medication.

The patient has become addicted to the medication and is sleeping the last dose off.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Holding the pain medication until the patient wakes up is not the best choice. Pain can disrupt sleep, and it’s important to keep the patient as comfortable as possible. If the patient is sleeping, it may be because the pain is well-controlled, and delaying the medication could lead to a return of pain.
Choice B rationale
The patient should be given the scheduled pain medication. This is the best choice because it ensures that the patient’s pain is managed effectively. Even if the patient is sleeping, the medication should be given to prevent the pain from returning.
Choice C rationale
Calling the family and asking if the patient would like to be woken up to have their pain medication is not the best choice. The nurse should make this decision based on the patient’s pain level and the medication schedule, not on the family’s preferences.
Choice D rationale
The statement that the patient has become addicted to the medication and is sleeping the last dose off is not accurate. Addiction is a complex condition characterized by compulsive drug use despite harmful consequences. In this case, the patient is receiving the medication for a legitimate medical reason, and there is no indication of addiction.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale
Chronic stress is a prolonged, often overwhelming feeling of stress that can negatively impact a person’s daily life. It can be caused by various factors, including high-pressure jobs, challenging relationships, and living in poverty. Living in poverty is a long-term situation that can cause chronic stress due to the constant worry about meeting basic needs such as food, shelter, and healthcare. This continuous worry and fear can lead to chronic stress.
Choice B rationale
A motor vehicle accident is typically an acute stress event. While it can cause significant stress at the moment, it is usually not a long-term stressor unless it results in severe injury or trauma that significantly impacts a person’s daily life.
Choice C rationale
Being a victim of a crime can indeed cause stress, but it is typically considered an acute stress event. However, if the crime results in long-term effects such as physical harm or psychological trauma, it could potentially lead to chronic stress.
Choice D rationale
The loss of a loved one can cause both acute and chronic stress. The initial loss can cause acute stress, and the subsequent grieving process can lead to chronic stress, especially if the individual has difficulty moving through the stages of grief. However, not everyone who loses a loved one will experience chronic stress.

A. Fairness B. Confidence C. Advocacy D. Accountability

Correct Answer is D

Explanation

Choice A rationale
Fairness refers to treating all people equally and making decisions without favoritism or prejudice. This is not the most fitting answer because the scenario does not provide information about the nurse treating all patients equally.
Choice B rationale
Confidence in nursing involves trust in one’s abilities and clinical judgment. Although confidence is important in all nursing actions, this scenario does not specifically highlight the nurse’s confidence.

Choice C rationale
Advocacy in nursing refers to the nurse’s role in standing up for the rights and needs of their patient. While notifying the provider could be seen as a form of advocacy, the nurse’s actions in this scenario are more closely aligned with accountability.
Choice D rationale
Accountability in nursing refers to the responsibility of nurses to execute their duties according to standards, being answerable for their actions. In this scenario, the nurse demonstrates accountability by acknowledging the medication error, assessing the patient for any adverse effects, and reporting the incident.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a class about stress. The nurse should include that which of the following is an example of chronic stress?

Correct Answer is A

Explanation

A nurse administers the wrong medication to a patient. After assessing the patient, the nurse contacts the provider and completes an incident report. Which of the following components of professionalism is the nurse demonstrating?

Correct Answer is D

Explanation

a nurse is teaching a class about physical manifestations associated with the fight-or-flight response to stress. Which of the following manifestations should the nurse include?

A nurse is caring for a patient who is scheduled for a surgical procedure. The nurse is reviewing the patient’s electronic medical record. Which of the following findings places the patient at risk for a surgical complication? Select all that apply.

A client with trigeminal neuralgia has been given suggestions to minimize episodes of pain. Which statement, if made by the client, would indicate the need for further teaching?

A nurse is caring for a patient who is on bed rest and is experiencing constipation. Which of the following interventions should the nurse implement?

A client is newly diagnosed with relapsing-remitting multiple sclerosis (RRMS). What instruction should the nurse provide?

A nurse is teaching a class about skeletal muscles. Which of the following should the nurse identify as a function of skeletal muscles?

a nurse is ordering equipment for a medical-surgical unit. Which of the following equipment should the nurse identify as being ergonomic? (Select all that apply)

A nurse is caring for a patient with moderate vision impairment. What actions should the nurse take?