1. A 6-year-old child presents with a pain score of 8/10 after a fall. Which

of the following is the most appropriate initial step in managing this

patient's pain?

 A. Administer oral analgesics immediately.

 B. Perform a thorough physical assessment.

 C. Apply a cold compress to the affected area.

 D. Distract the child with toys or games.

 Answer: B. Before administering any pain medication, it is crucial to

perform a thorough physical assessment to determine the cause and extent

of pain.

2. In assessing pain in a child who is non-verbal due to developmental

delay, which of the following tools is most appropriate?

 A. Numeric Rating Scale (NRS)

 B. Wong-Baker FACES Pain Rating Scale

 C. FLACC (Face, Legs, Activity, Cry, Consolability) Scale

 D. Visual Analogue Scale (VAS)

 Answer: C. The FLACC Scale is designed for assessing pain in children

who are unable to verbally communicate their pain intensity.

3. When evaluating a pediatric patient for pain management, which of the

following is an important consideration?

 A. Children have a higher tolerance for pain than adults.

 B. Pain assessment tools for adults are also suitable for children.

 C. Children may not always be able to articulate their pain experience.

 D. Over-the-counter analgesics are generally safe for children of all

ages.

 Answer: C. Children may not be able to describe their pain well; hence,

age-appropriate assessment tools should be used.

4. A 4-year-old boy is post-operative day one from an appendectomy.

Which of the following signs would indicate that he is experiencing pain?

 A. He is quietly watching cartoons.

 B. He refuses to eat his breakfast.

 C. His heart rate and blood pressure are within normal limits.

 D. He is actively participating in play activities.

 Answer: B. A change in behavior such as refusing to eat can be an