Practice Quiz

NCLEX-PN

Category - Physiological Adaptation

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A 10-year-old boy is admitted to the emergency department after falling off a skateboard. The child is complaining of pain in the left arm. On initial inspection, the child appears to have fractured his left arm. During assessment, which of the following questions by the nurse is the most appropriate?
  1. “Is your left arm painful?”
  2. “From 1 to 10, with 10 being the most painful, can you tell me how painful your left arm is?”
  3. “What makes the pain less painful?”
  4. “Can you rate your pain for me?”
Explanation
Answer: B - Among all the statements, option B is the most appropriate. Informing the child about the pain range and encouraging him to rate his pain allows the nurse to determine the severity of the pain more accurately. Option A is non-therapeutic, as it is not a leading question. Option C is appropriate, but it does not give much information about the pain severity. Option D may be a little vague for a school-age child. The nurse has to give an exact range.
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