Question 1

Which patient should be assessed closely for complications of pain management with methocarbamol?

Accepted Answer

A) 75-year-old man with benign prostatic hyperplasia 
B) 55-year-old woman with type 2 diabetes 
C) 34-year-old woman with a peanut allergy 
D) 17-year-old teenager who is near-sighted 
A) 75-year-old man with benign prostatic hyperplasia 
B) 55-year-old woman with type 2 diabetes 
C) 34-year-old woman with a peanut allergy 
D) 17-year-old teenager who is near-sighted A

Question 2

Which of the following assessments is most important to perform on a patient newly prescribed to take cyclobenzaprine for severe muscle pain?

Accepted Answer

A) Respiratory rate 
B) Deep tendon reflexes 
C) Blood pressure and heart rate 
D) Muscle strength and coordination 
A) Respiratory rate 
B) Deep tendon reflexes 
C) Blood pressure and heart rate 
D) Muscle strength and coordination C

Question 3

A patient is prescribed Vicodin for pain, two tablets every 4 h. The tablets contain 2.5 mg of hydrocodone and 325 mg acetaminophen. In addition, this patient takes an over-the-counter cold preparation that contains 650 mg of acetaminophen. How much total acetaminophen does this represent in a 24-h period? _____

Accepted Answer

4550
Two Vicodin per dose = 650 mg acetaminophen times six doses = 3900 mg acetaminophen, plus the 650 mg taken with the cold preparation = 4550 mg acetaminophen in a 24-h period

Question 4

You are caring for a patient who is paralyzed from the waist down and has a large open wound on her right heel. When asked about her pain in that foot, she tells you it is a 0 on a 0 to 10 pain rating scale. What does this response indicate?

Accepted Answer

A) The paralysis prevents her brain from perceiving the pain. 
B) The patient has chronic pain that does not trigger the stress response. 
C) She is afraid of becoming addicted if she takes the prescribed drug too often. 
D) This patient's acute pain has been effectively managed by the prescribed pain drug. 
A) The paralysis prevents her brain from perceiving the pain. 
B) The patient has chronic pain that does not trigger the stress response. 
C) She is afraid of becoming addicted if she takes the prescribed drug too often. 
D) This patient's acute pain has been effectively managed by the prescribed pain drug.

Question 5

The healthcare provider asks you to rate a patient's postoperative pain. What is your best response?

Accepted Answer

A) "He is asleep now, so his pain level is acceptable." 
B) "I think we need to ask the patient to rate his own pain." 
C) "His wife says he can still feel the incision when he turns or coughs." 
D) "Since he received 15 mg of morphine an hour ago, his pain is probably minimal." 
A) "He is asleep now, so his pain level is acceptable." 
B) "I think we need to ask the patient to rate his own pain." 
C) "His wife says he can still feel the incision when he turns or coughs." 
D) "Since he received 15 mg of morphine an hour ago, his pain is probably minimal."

Question 6

What types of drugs have the main purpose of relieving pain?

Accepted Answer

A) Anticholinergics 
B) Antagonists 
C) Analgesics 
D) Agonists 
A) Anticholinergics 
B) Antagonists 
C) Analgesics 
D) Agonists

Question 7

How does tramadol help control pain?

Accepted Answer

A) Binding to opioid receptors in the brain to reduce the perception of pain 
B) Reducing the inflammatory substances at the site of injury to inhibit the actual cause of the pain 
C) Binding to adrenergic receptors in the spinal cord preventing pain signals from reaching the brain 
D) Inhibiting the generation of nerve impulses along the peripheral sensory nerves to alter the transmission of pain 
A) Binding to opioid receptors in the brain to reduce the perception of pain 
B) Reducing the inflammatory substances at the site of injury to inhibit the actual cause of the pain 
C) Binding to adrenergic receptors in the spinal cord preventing pain signals from reaching the brain 
D) Inhibiting the generation of nerve impulses along the peripheral sensory nerves to alter the transmission of pain

Question 8

You accidentally give a patient 30 mg orally of hydromorphone instead of the ordered hydrocodone. What is your first best action?

Accepted Answer

A) Notify the RN in charge immediately. 
B) Induce the patient to vomit immediately. 
C) Assess the patient's vital signs immediately. 
D) Follow your agency's policy for documenting a drug error. 
A) Notify the RN in charge immediately. 
B) Induce the patient to vomit immediately. 
C) Assess the patient's vital signs immediately. 
D) Follow your agency's policy for documenting a drug error.

Question 9

The postoperative orders for a large adult patient who has just arrived on your unit after major abdominal surgery reads morphine 15 mg IM every 4 to 6 h as needed for pain. What is the best schedule for pain relief during the first postoperative day for this patient?

Accepted Answer

A) Ask the patient every 4 to 6 h whether any drug for pain is needed. 
B) Give the drug automatically every 4 h around the clock for the 24 h. 
C) Give the drug automatically every 6 h around the clock for the first 24 h. 
D) Wait until the patient rates the pain at an 8 or higher on a 0 to 10 pain rating scale before giving any dose of the prescribed drug. 
A) Ask the patient every 4 to 6 h whether any drug for pain is needed. 
B) Give the drug automatically every 4 h around the clock for the 24 h. 
C) Give the drug automatically every 6 h around the clock for the first 24 h. 
D) Wait until the patient rates the pain at an 8 or higher on a 0 to 10 pain rating scale before giving any dose of the prescribed drug.

Question 10

Indicate which analgesics are considered strong opioid agonists. (Select all that apply.)

Accepted Answer

A) Codeine 
B) Fentanyl 
C) Hydrocodone 
D) Hydromorphone 
E) Morphine
F)Oxycodone 
A) Codeine 
B) Fentanyl 
C) Hydrocodone 
D) Hydromorphone 
E) Morphine
F)Oxycodone

Question 11

A patient is prescribed to receive 0.6 mg of hydromorphone intravenously. The drug on hand is hydromorphone 2 mg/mL. How many mL will you prepare to give this drug? _____

Accepted Answer

0.3
Want divided by

Question 12

Which drugs listed below help manage pain by acting at the tissue where pain starts and do not change the person's perception of pain? (Select all that apply.)

Accepted Answer

A) Acetaminophen 
B) Antidepressants 
C) Corticosteroids 
D) NSAIDs 
E) Opioid agonists
F)Skeletal muscle relaxants 
A) Acetaminophen 
B) Antidepressants 
C) Corticosteroids 
D) NSAIDs 
E) Opioid agonists
F)Skeletal muscle relaxants

Question 13

Which miscellaneous drugs are often prescribed to help with pain management? (Select all that apply.)

Accepted Answer

A) Antibiotics 
B) Anticholinergics 
C) Anticonvulsants 
D) Antidepressants 
E) Antihistamines
F)Anti-inflammatories 
A) Antibiotics 
B) Anticholinergics 
C) Anticonvulsants 
D) Antidepressants 
E) Antihistamines
F)Anti-inflammatories

Question 14

Which health problem is a severe adverse reaction to chronic acetaminophen therapy?

Accepted Answer

A) Asthma 
B) Diabetes 
C) Liver toxicity 
D) Excessive bleeding 
A) Asthma 
B) Diabetes 
C) Liver toxicity 
D) Excessive bleeding

Question 15

When assessing the blood pressure of a patient receiving pentazocine 30 mg orally for pain control two days after surgery, the reading is 166/100, which is much higher than the patient's presurgical blood pressure. What is your best action?

Accepted Answer

A) Assess the patient for other symptoms of addiction or dependency. 
B) Give the next dose of the drug as prescribed. 
C) Assess the patient for other cardiac changes. 
D) Document the change as the only action. 
A) Assess the patient for other symptoms of addiction or dependency. 
B) Give the next dose of the drug as prescribed. 
C) Assess the patient for other cardiac changes. 
D) Document the change as the only action.

Question 16

A patient being discharged to home is prescribed an oxycodone-acetaminophen combination for pain management. Which precaution is most important to teach this patient?

Accepted Answer

A) "If you still need this drug after 48 hours, notify your healthcare provider immediately." 
B) "Be sure to drink plenty of water and eat foods high in fiber to prevent constipation." 
C) "Always go to bed immediately after taking a dose of this drug." 
D) "Avoid drinking alcohol while taking this drug." 
A) "If you still need this drug after 48 hours, notify your healthcare provider immediately." 
B) "Be sure to drink plenty of water and eat foods high in fiber to prevent constipation." 
C) "Always go to bed immediately after taking a dose of this drug." 
D) "Avoid drinking alcohol while taking this drug."

Question 17

A 10-month-old infant who weighs 22 lb is prescribed to receive acetaminophen 8 mg/kg by oral liquid. The drug on hand is acetaminophen liquid with a concentration of 70 mg/mL. How many mL is the correct dose for this patient? _____

Accepted Answer

1.1
1 kg = 2.2 lb. The infant’

Question 18

Why are natural and synthetic opioids considered "high-alert drugs?"

Accepted Answer

A) They have an increased risk for causing a patient harm if given in error. 
B) They have a relatively high potential for addiction or abuse. 
C) There is wide variation in the dosages between opioid types. 
D) They can be given by a variety of routes. 
A) They have an increased risk for causing a patient harm if given in error. 
B) They have a relatively high potential for addiction or abuse. 
C) There is wide variation in the dosages between opioid types. 
D) They can be given by a variety of routes.

Question 19

When you assess a patient's pain level an hour after giving 2 mg of hydromorphone intravenously, you find the patient sleeping with a respiratory rate of 10 breaths per minute. What is your best first action?

Accepted Answer

A) Give naloxone intravenously. 
B) Document the finding as the only action. 
C) Notify the healthcare provider immediately. 
D) Assess the patient's oxygen saturation with pulse oximetry. 
A) Give naloxone intravenously. 
B) Document the finding as the only action. 
C) Notify the healthcare provider immediately. 
D) Assess the patient's oxygen saturation with pulse oximetry.

Which patient should be assessed closely for complications of pain management with methocarbamol?

Which of the following assessments is most important to perform on a patient newly prescribed to take cyclobenzaprine for severe muscle pain?

You are caring for a patient who is paralyzed from the waist down and has a large open wound on her right heel. When asked about her pain in that foot, she tells you it is a 0 on a 0 to 10 pain rating scale. What does this response indicate?

The healthcare provider asks you to rate a patient's postoperative pain. What is your best response?

What types of drugs have the main purpose of relieving pain?

How does tramadol help control pain?

You accidentally give a patient 30 mg orally of hydromorphone instead of the ordered hydrocodone. What is your first best action?

The postoperative orders for a large adult patient who has just arrived on your unit after major abdominal surgery reads morphine 15 mg IM every 4 to 6 h as needed for pain. What is the best schedule for pain relief during the first postoperative day for this patient?

Indicate which analgesics are considered strong opioid agonists. (Select all that apply.)

A patient is prescribed to receive 0.6 mg of hydromorphone intravenously. The drug on hand is hydromorphone 2 mg/mL. How many mL will you prepare to give this drug? _____

Which drugs listed below help manage pain by acting at the tissue where pain starts and do not change the person's perception of pain? (Select all that apply.)

Which miscellaneous drugs are often prescribed to help with pain management? (Select all that apply.)

Which health problem is a severe adverse reaction to chronic acetaminophen therapy?

When assessing the blood pressure of a patient receiving pentazocine 30 mg orally for pain control two days after surgery, the reading is 166/100, which is much higher than the patient's presurgical blood pressure. What is your best action?

A patient being discharged to home is prescribed an oxycodone-acetaminophen combination for pain management. Which precaution is most important to teach this patient?

A 10-month-old infant who weighs 22 lb is prescribed to receive acetaminophen 8 mg/kg by oral liquid. The drug on hand is acetaminophen liquid with a concentration of 70 mg/mL. How many mL is the correct dose for this patient? _____

Why are natural and synthetic opioids considered "high-alert drugs?"

When you assess a patient's pain level an hour after giving 2 mg of hydromorphone intravenously, you find the patient sleeping with a respiratory rate of 10 breaths per minute. What is your best first action?

Pharmacology and the Nursing Process in Lpn Practice

Legal, Regulatory, and Ethical Aspects of Drug Administration

Principles of Pharmacology

Drug Calculation: Preparing and Giving Drugs

Anti-Infective Drugs: Antibacterial, Antitubercular, and Antifungal Agents

Antivirals and Antiretrovirals

Drugs for Allergy and Respiratory Problems

Drugs Affecting Therenalurinary and Cardiovascular Problems

Drug Therapy for Central Nervous System Problems

Drug Therapy for Mental Health

Anti-Inflammatory, Antiarthritis, and Antigout Drugs

Drugs for Gastrointestinal Problems

Drugs Affecting the Hematologic System

Drugs for Immunization and Immunomodulation

Hormones and Drugs for Osteoporosis

Drug Therapy for Diabetes

Drugs for Ear and Eye Problems

Over-The-Counter Products, Herbal and Alternative Drugs, and Vitamins and Minerals

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Exam 11: Drugs for Pain Management

Which patient should be assessed closely for complications of pain management with methocarbamol?

Which of the following assessments is most important to perform on a patient newly prescribed to take cyclobenzaprine for severe muscle pain?

You are caring for a patient who is paralyzed from the waist down and has a large open wound on her right heel. When asked about her pain in that foot, she tells you it is a 0 on a 0 to 10 pain rating scale. What does this response indicate?

The healthcare provider asks you to rate a patient's postoperative pain. What is your best response?

What types of drugs have the main purpose of relieving pain?

How does tramadol help control pain?

You accidentally give a patient 30 mg orally of hydromorphone instead of the ordered hydrocodone. What is your first best action?

The postoperative orders for a large adult patient who has just arrived on your unit after major abdominal surgery reads morphine 15 mg IM every 4 to 6 h as needed for pain. What is the best schedule for pain relief during the first postoperative day for this patient?

Indicate which analgesics are considered strong opioid agonists. (Select all that apply.)

A patient is prescribed to receive 0.6 mg of hydromorphone intravenously. The drug on hand is hydromorphone 2 mg/mL. How many mL will you prepare to give this drug? _____

Which drugs listed below help manage pain by acting at the tissue where pain starts and do not change the person's perception of pain? (Select all that apply.)

Which miscellaneous drugs are often prescribed to help with pain management? (Select all that apply.)

Which health problem is a severe adverse reaction to chronic acetaminophen therapy?

When assessing the blood pressure of a patient receiving pentazocine 30 mg orally for pain control two days after surgery, the reading is 166/100, which is much higher than the patient's presurgical blood pressure. What is your best action?

A patient being discharged to home is prescribed an oxycodone-acetaminophen combination for pain management. Which precaution is most important to teach this patient?

A 10-month-old infant who weighs 22 lb is prescribed to receive acetaminophen 8 mg/kg by oral liquid. The drug on hand is acetaminophen liquid with a concentration of 70 mg/mL. How many mL is the correct dose for this patient? _____

Why are natural and synthetic opioids considered "high-alert drugs?"

When you assess a patient's pain level an hour after giving 2 mg of hydromorphone intravenously, you find the patient sleeping with a respiratory rate of 10 breaths per minute. What is your best first action?

Pharmacology and the Nursing Process in Lpn Practice

Legal, Regulatory, and Ethical Aspects of Drug Administration

Principles of Pharmacology

Drug Calculation: Preparing and Giving Drugs

Anti-Infective Drugs: Antibacterial, Antitubercular, and Antifungal Agents

Antivirals and Antiretrovirals

Drugs for Allergy and Respiratory Problems

Drugs Affecting Therenalurinary and Cardiovascular Problems

Drug Therapy for Central Nervous System Problems

Drug Therapy for Mental Health

Anti-Inflammatory, Antiarthritis, and Antigout Drugs

Drugs for Gastrointestinal Problems

Drugs Affecting the Hematologic System

Drugs for Immunization and Immunomodulation

Hormones and Drugs for Osteoporosis

Drug Therapy for Diabetes

Drugs for Ear and Eye Problems

Over-The-Counter Products, Herbal and Alternative Drugs, and Vitamins and Minerals

Filters