Question 1

What information is most accurate regarding the nurse's understanding of pain management?

Accepted Answer

A)  Older patients have difficulty describing their pain level. 
B)  Encourage patients to report pain before the pain becomes too severe. 
C)  Use the smallest dose of medication possible to control pain. 
D)  Pain medication administration ordered PRN will maintain a constant blood level. 
A)  Older patients have difficulty describing their pain level. 
B)  Encourage patients to report pain before the pain becomes too severe. 
C)  Use the smallest dose of medication possible to control pain. 
D)  Pain medication administration ordered PRN will maintain a constant blood level. B

Question 2

A patient is taking meperidine (Demerol)as needed for moderate to severe pain following an open appendectomy.The nurse assesses the following: current pain level 2,temperature 99° F,BP 130/76,respirations 10,lung sounds clear,abdomen soft and tender,bowel sounds present.Based on this assessment information,the priority nursing diagnosis is

Accepted Answer

A)  altered breathing pattern. 
B)  risk for altered body temperature. 
C)  risk for constipation. 
D)  pain. 
A)  altered breathing pattern. 
B)  risk for altered body temperature. 
C)  risk for constipation. 
D)  pain. A

Question 3

What is the advantage of taking a nonsteroidal anti-inflammatory drug (NSAID)that is a COX 2 inhibitor?

Accepted Answer

A)  The medication is cheaper than aspirin. 
B)  There are fewer GI adverse effects. 
C)  They are more effective than COX 1 inhibitors. 
D)  They have no known adverse effects. 
A)  The medication is cheaper than aspirin. 
B)  There are fewer GI adverse effects. 
C)  They are more effective than COX 1 inhibitors. 
D)  They have no known adverse effects. B

Question 4

Which common adverse effect(s)is/are associated with opiate agonists?(Select all that apply.)

Accepted Answer

A)  Dizziness 
B)  Orthostatic hypotension 
C)  Respiratory depression 
D)  Confusion 
E)  Diarrhea
F) Urinary urgency 
A)  Dizziness 
B)  Orthostatic hypotension 
C)  Respiratory depression 
D)  Confusion 
E)  Diarrhea
F) Urinary urgency

Question 5

In which case would the nurse be correct in withholding an opiate agonist?

Accepted Answer

A)  Evidence of postural hypotension 
B)  Presence of constipation 
C)  Pain rating of 7 on a 0 to 10 scale 
D)  Respiratory rate of 10 breaths/min 
A)  Evidence of postural hypotension 
B)  Presence of constipation 
C)  Pain rating of 7 on a 0 to 10 scale 
D)  Respiratory rate of 10 breaths/min

Question 6

Which additional nursing intervention(s)would be effective with pain management in the pediatric population?(Select all that apply.)

Accepted Answer

A)  Provide diversional activities such as coloring, puzzles, and games. 
B)  Allow uninterrupted sleep and rest. 
C)  Perform hygiene measures. 
D)  Encourage parental participation with caregiving to diminish the child's anxiety. 
E)  With the health care provider's approval, encourage the child to drink eight to ten 8-ounce glasses of fluid daily. 
A)  Provide diversional activities such as coloring, puzzles, and games. 
B)  Allow uninterrupted sleep and rest. 
C)  Perform hygiene measures. 
D)  Encourage parental participation with caregiving to diminish the child's anxiety. 
E)  With the health care provider's approval, encourage the child to drink eight to ten 8-ounce glasses of fluid daily.

Question 7

Which sign or symptom displayed by a patient would be indicative of opiate withdrawal?

Accepted Answer

A)  Bradycardia 
B)  Diarrhea 
C)  Lethargy 
D)  Hypothermia 
A)  Bradycardia 
B)  Diarrhea 
C)  Lethargy 
D)  Hypothermia

Question 8

How long after the administration of a parenteral pain medication will the nurse complete the next pain assessment to evaluate the effectiveness of the medication?

Accepted Answer

A)  10 minutes 
B)  30 minutes 
C)  1 hour 
D)  2 hours 
A)  10 minutes 
B)  30 minutes 
C)  1 hour 
D)  2 hours

Question 9

Which action will the nurse take when a patient receiving morphine sulfate via percutaneous coronary angioplasty (PCA)has a shallow,irregular respiratory rate of 6 breaths/min?

Accepted Answer

A)  Elevate the patient's head of bed to facilitate lung expansion. 
B)  Increase the patient's primary intravenous (IV) flow rate. 
C)  Complete the FLACC scale. 
D)  Notify the health care provider and prepare to administer naloxone (Narcan). 
A)  Elevate the patient's head of bed to facilitate lung expansion. 
B)  Increase the patient's primary intravenous (IV) flow rate. 
C)  Complete the FLACC scale. 
D)  Notify the health care provider and prepare to administer naloxone (Narcan).

Question 10

Which medication would the nurse administer to a patient who is rating the pain at 8 on a 0 to 10 scale?

Accepted Answer

A)  Acetaminophen (Tylenol) 
B)  Morphine (Roxanol) 
C)  Oxycodone (OxyContin) 
D)  Oxycodone and aspirin (Percodan) 
A)  Acetaminophen (Tylenol) 
B)  Morphine (Roxanol) 
C)  Oxycodone (OxyContin) 
D)  Oxycodone and aspirin (Percodan)

Question 11

Which patient assessment would indicate to the nurse that salicylate toxicity is occurring?

Accepted Answer

A)  Gastrointestinal (GI) bleeding 
B)  Increased bleeding times 
C)  Tinnitus 
D)  Occasional nausea 
A)  Gastrointestinal (GI) bleeding 
B)  Increased bleeding times 
C)  Tinnitus 
D)  Occasional nausea

Question 12

When performing a baseline neurologic assessment prior to the administration of an NSAID medication,the nurse will assess which patient characteristic(s)?(Select all that apply.)

Accepted Answer

A)  Vital signs 
B)  Orientation to date, time, and place 
C)  Mental alertness 
D)  Bowel sounds 
E)  Concurrent use of anticoagulant agents 
A)  Vital signs 
B)  Orientation to date, time, and place 
C)  Mental alertness 
D)  Bowel sounds 
E)  Concurrent use of anticoagulant agents

Question 13

The nurse is assessing a patient's pain.When the patient describes his pain as cramping and burning,which component of the pain history is being addressed?

Accepted Answer

A)  Depth 
B)  Location 
C)  Quality 
D)  Severity 
A)  Depth 
B)  Location 
C)  Quality 
D)  Severity

Question 14

Which statement is true about neuropathic pain?

Accepted Answer

A)  This pain is the result of a stimulus to pain receptors. 
B)  Patients describe it as dull and aching. 
C)  It commonly originates in the abdominal region. 
D)  The pain is a result of nerve injury. 
A)  This pain is the result of a stimulus to pain receptors. 
B)  Patients describe it as dull and aching. 
C)  It commonly originates in the abdominal region. 
D)  The pain is a result of nerve injury.

Question 15

Which condition(s)may be managed by salicylates?(Select all that apply.)

Accepted Answer

A)  Migraine headache 
B)  Swollen joints 
C)  Fever 
D)  Muscle aches 
E)  Myocardial infarction 
A)  Migraine headache 
B)  Swollen joints 
C)  Fever 
D)  Muscle aches 
E)  Myocardial infarction

Question 16

What is the best way for the nurse to evaluate the effectiveness of the patient's opiate agonist?

Accepted Answer

A)  Ability of the patient to tolerate more activity 
B)  Increased sleep time throughout the night 
C)  Reduction of respiratory rate from 24 to 18 breaths/min 
D)  Verbal report of 2 on a 1 to 10 scale 
A)  Ability of the patient to tolerate more activity 
B)  Increased sleep time throughout the night 
C)  Reduction of respiratory rate from 24 to 18 breaths/min 
D)  Verbal report of 2 on a 1 to 10 scale

Question 17

An 86-year-old patient who was admitted with GI bleeding as a result of salicylate therapy is being discharged.As the nurse reviews the discharge medication list,the patient states that she doesn't understand why Tylenol doesn't work as well as the aspirin she had been taking.What would be the nurse's best response?

Accepted Answer

A)  "Tylenol and aspirin are chemically the same drug." 
B)  "Tylenol is appropriate for only minor pain." 
C)  "Tylenol does not help with inflammatory discomfort." 
D)  "A therapeutic blood level must be established with Tylenol." 
A)  "Tylenol and aspirin are chemically the same drug." 
B)  "Tylenol is appropriate for only minor pain." 
C)  "Tylenol does not help with inflammatory discomfort." 
D)  "A therapeutic blood level must be established with Tylenol."

Question 18

A patient experiencing chronic pain as a result of metastatic cancer has a new order for fentanyl (Duragesic)transdermal patch.The initial patch is applied at 8 AM on Monday.At 8 PM on Monday,the patient reports a pain level of 8.The nurse's best response is to

Accepted Answer

A)  immediately contact the physician. 
B)  reassess pain level in 30 to 45 minutes. 
C)  remove current patch and reapply a new patch. 
D)  provide a PRN analgesic medication as ordered. 
A)  immediately contact the physician. 
B)  reassess pain level in 30 to 45 minutes. 
C)  remove current patch and reapply a new patch. 
D)  provide a PRN analgesic medication as ordered.

Question 19

What term is used to define an awareness of pain?

Accepted Answer

A)  Tolerance 
B)  Threshold 
C)  Perception 
D)  Sensation 
A)  Tolerance 
B)  Threshold 
C)  Perception 
D)  Sensation

Question 20

Which medication is contraindicated when a patient is taking warfarin (Coumadin)?

Accepted Answer

A)  Aspirin 
B)  Acetaminophen (Tylenol) 
C)  Propoxyphene (Darvon) 
D)  Morphine (Roxanol) 
A)  Aspirin 
B)  Acetaminophen (Tylenol) 
C)  Propoxyphene (Darvon) 
D)  Morphine (Roxanol)

Exam 19: Drugs Used for Pain Management

What information is most accurate regarding the nurse's understanding of pain management?

What is the advantage of taking a nonsteroidal anti-inflammatory drug (NSAID)that is a COX 2 inhibitor?

Which common adverse effect(s)is/are associated with opiate agonists?(Select all that apply.)

In which case would the nurse be correct in withholding an opiate agonist?

Which additional nursing intervention(s)would be effective with pain management in the pediatric population?(Select all that apply.)

Which sign or symptom displayed by a patient would be indicative of opiate withdrawal?

How long after the administration of a parenteral pain medication will the nurse complete the next pain assessment to evaluate the effectiveness of the medication?

Which action will the nurse take when a patient receiving morphine sulfate via percutaneous coronary angioplasty (PCA)has a shallow,irregular respiratory rate of 6 breaths/min?

Which medication would the nurse administer to a patient who is rating the pain at 8 on a 0 to 10 scale?

Which patient assessment would indicate to the nurse that salicylate toxicity is occurring?

When performing a baseline neurologic assessment prior to the administration of an NSAID medication,the nurse will assess which patient characteristic(s)?(Select all that apply.)

The nurse is assessing a patient's pain.When the patient describes his pain as cramping and burning,which component of the pain history is being addressed?

Which statement is true about neuropathic pain?

Which condition(s)may be managed by salicylates?(Select all that apply.)

What is the best way for the nurse to evaluate the effectiveness of the patient's opiate agonist?

A patient experiencing chronic pain as a result of metastatic cancer has a new order for fentanyl (Duragesic)transdermal patch.The initial patch is applied at 8 AM on Monday.At 8 PM on Monday,the patient reports a pain level of 8.The nurse's best response is to

What term is used to define an awareness of pain?

Which medication is contraindicated when a patient is taking warfarin (Coumadin)?

Drug Definitions, Standards, and Information Sources

Basic Principles of Drug Action and Drug Interactions

Drug Action Across the Life Span

The Nursing Process and Pharmacology

Patient Education to Promote Health

Principles of Medication Administration and Medication Safety

Percutaneous Administration

Enteral Administration

Parenteral Administration: Safe Preparation of Parenteral Medications

Parenteral Administration: Intradermal, Subcutaneous, and Intramuscular Routes

Parenteral Administration: Intravenous Route

Drugs That Affect the Autonomic Nervous System

Drugs Used for Sleep

Drugs Used for Parkinson’s Disease

Drugs Used for Anxiety Disorders

Drugs Used for Depressive and Bipolar Disorders

Drugs Used for Psychoses

Drugs Used for Seizure Disorders

Introduction to Cardiovascular Disease and Metabolic Syndrome

Drugs Used to Treat Dyslipidemias

Drugs Used to Treat Hypertension

Drugs Used to Treat Dysrhythmias

Drugs Used to Treat Angina Pectoris

Drugs Used to Treat Peripheral Vascular Disease

Drugs Used to Treat Thromboembolic Disorders

Drugs Used to Treat Heart Failure

Drugs Used for Diuresis

Drugs Used to Treat Upper Respiratory Disease

Drugs Used to Treat Lower Respiratory Disease

Drugs Used to Treat Oral Disorders

Drugs Used to Treat Gastroesophageal Reflux and Peptic Ulcer Disease

Drugs Used to Treat Nausea and Vomiting

Drugs Used to Treat Constipation and Diarrhea

Drugs Used to Treat Diabetes Mellitus

Drugs Used to Treat Thyroid Disease

Corticosteroids

Gonadal Hormones

Drugs Used in Obstetrics

Drugs Used in Men’s and Women’s Health

Drugs Used to Treat Disorders of the Urinary System

Drugs Used to Treat Glaucoma and Other Eye Disorders

Drugs Used to Treat Cancer

Drugs Used to Treat the Musculoskeletal System

Antimicrobial Agents

Nutrition

Herbal and Dietary Supplement Therapy

Substance Abuse

Miscellaneous Agents

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