2
NUR 334 Pharm Exam 1 - Module 1 & 2 questions with
|| || || || || || || || || || || ||
accurate detailed answers || ||
The nurse has provided client education about the use of nonpharmacological techniques
|| || || || || || || || || || || ||
for pain management. Which statements indicate the client understands the information?
|| || || || || || || || || ||
1. "Nonpharmacological techniques are a good adjunct to pharmacotherapy."
|| || || || || || || ||
2. "Nonpharmacological techniques have not reached mainstream yet."
|| || || || || || ||
3. "Nonpharmacological techniques may be used in place of drugs."
|| || || || || || || || ||
4. "Nonpharmacological techniques include an aerobic exercise."
|| || || || || ||
5. "Nonpharmacological techniques are not usually valued by nurses."
|| || || || || || || ||
1. "Nonpharmacological techniques are a good adjunct to pharmacotherapy."
|| || || || || || || ||
3. "Nonpharmacological techniques may be used in place of drugs."
|| || || || || || || || ||
The educator is reviewing the neural mechanisms of pain with a nurse. Which information
|| || || || || || || || || || || || || ||
should the educator provide about substance P?
|| || || || || ||
1. Substance P modifies sensory information in the spinal cord.
|| || || || || || || || ||
2. Substance P is also known as an endogenous opioid.
|| || || || || || || || ||
3. Substance P stimulates pain receptors in the spinal cord.
|| || || || || || || || ||
4. Substance P controls which pain signals reach the brain.
|| || || || || || || || ||
4. Substance P controls which pain signals reach the brain.
|| || || || || || || || ||
,2
A client asks the nurse how methadone (Dolophine) can help with a heroin dependence.
|| || || || || || || || || || || || || ||
Which response should the nurse provide?
|| || || || ||
1. "Methadone (Dolophine) will cause illness if heroin is used."
|| || || || || || || || ||
2. "Methadone (Dolophine) does not cause euphoria like heroin does."
|| || || || || || || || ||
3. "Methadone (Dolophine) can cure an addiction to heroin."
|| || || || || || || ||
4. "Methadone (Dolophine) causes an allergic reaction to heroin."
|| || || || || || || ||
2. "Methadone (Dolophine) does not cause euphoria like heroin does."
|| || || || || || || || ||
A nurse is preparing to provide education on the use of heroin. Which information should
|| || || || || || || || || || || || || || ||
the nurse include?
|| ||
1. Heroin is an opioid drug.
|| || || || ||
2. Heroin is a narcotic drug.
|| || || || ||
3. Heroin causes CNS agitation.
|| || || ||
4. Heroin is the same drug as morphine.
|| || || || || || ||
5. Heroin is not as dangerous as oxycodone.
|| || || || || || ||
1. Heroin is an opioid drug.
|| || || || ||
2. Heroin is a narcotic drug.
|| || || || ||
A client asks the nurse how morphine will control pain. Which response should the nurse
|| || || || || || || || || || || || || || ||
provide the client?
|| ||
1. "Inhibits the primary pain neurotransmitters in your brain."
|| || || || || || || ||
2. "Stimulates the receptors that secrete endorphins in your brain."
|| || || || || || || || ||
3. "Interacts with receptors in your body that produce analgesia."
|| || || || || || || || ||
4. "Promotes the primary pleasure neurotransmitters in your brain."
|| || || || || || || ||
,2
3. "Interacts with receptors in your body that produce analgesia."
|| || || || || || || || ||
The educator has discussed with a nurse the protocol for the immediate availability of
|| || || || || || || || || || || || || ||
naloxone for a client with a patient-controlled analgesia PCA pump. Which statement made
|| || || || || || || || || || || ||
by the nurse indicates an understanding of the information?
|| || || || || || || || ||
1. "Naloxone (Narcan) enhances the effect of the opioid in the patient-controlled analgesia
|| || || || || || || || || || || || ||
(PCA) pump and increases analgesia."
|| || || ||
2. "Naloxone (Narcan) is the antidote if an anaphylactic reaction to the opioid in the patient-
|| || || || || || || || || || || || || || ||
controlled analgesia (PCA) pump occurs." || || || ||
3. "Naloxone (Narcan) is available to treat any systemic side effects, like constipation, of the
|| || || || || || || || || || || || || || ||
opioid in the patient-controlled analgesia (PCA) pump."
|| || || || || ||
4. "Naloxone (Narcan) will reverse the effects of the narcotic in the patient-controlled
|| || || || || || || || || || || || ||
analgesia (PCA) pump if an overdose occurs." || || || || || ||
4. "Naloxone (Narcan) will reverse the effects of the narcotic in the patient-controlled
|| || || || || || || || || || || || ||
analgesia (PCA) pump if an overdose occurs." || || || || || ||
1) Which question should the nurse ask a postsurgical client prior to the administration of
|| || || || || || || || || || || || || || ||
an opioid analgesic?
|| ||
1. "Have you ever been addicted to prescription pain medications?"
|| || || || || || || || ||
2. "Do you understand how this pain prescription works?"
|| || || || || || || ||
3. "Would you like me to help you change your position for comfort?"
|| || || || || || || || || || || ||
4. "Would you please rate your pain on a scale of 1 to 10?
|| || || || || || || || || || || || ||
4. "Would you please rate your pain on a scale of 1 to 10?
|| || || || || || || || || || || || ||
, 2
A postoperative client has a prescription for morphine 2 mg IV push every 2 hours and
|| || || || || || || || || || || || || || || ||
hydrocodone 5 mg every 6 hours. The client received the morphine 2 hours ago and is
|| || || || || || || || || || || || || || || ||
requesting hydrocodone. Which initial action should the nurse take?
|| || || || || || || ||
1. Administer another dose of morphine.
|| || || || ||
2. Administer 5 mg of hydrocodone.
|| || || || ||
3. Encourage the use of distraction techniques.
|| || || || || ||
4. Using a pain scale assess the patient's level of pain.
|| || || || || || || || || ||
4. Using a pain scale assess the patient's level of pain.
|| || || || || || || || || ||
A client that experienced head trauma asks the nurse why they cannot have an opioid
|| || || || || || || || || || || || || || ||
analgesic. Which response should the nurse provide?
|| || || || || ||
1. "The use of an opioid analgesic can significantly decrease blood pressure."
|| || || || || || || || || || ||
2. "You may not be able to notice any changes you are experiencing."
|| || || || || || || || || || || ||
3. "Opioids are not effective for the management of pain associated with head trauma."
|| || || || || || || || || || || || ||
4. "Opioids can mask changes in the level of consciousness."
|| || || || || || || || ||
4. "Opioids can mask changes in the level of consciousness."
|| || || || || || || || ||
Which comment by the client receiving morphine should the nurse recognize as an adverse
|| || || || || || || || || || || || || ||
effect?
NUR 334 Pharm Exam 1 - Module 1 & 2 questions with
|| || || || || || || || || || || ||
accurate detailed answers || ||
The nurse has provided client education about the use of nonpharmacological techniques
|| || || || || || || || || || || ||
for pain management. Which statements indicate the client understands the information?
|| || || || || || || || || ||
1. "Nonpharmacological techniques are a good adjunct to pharmacotherapy."
|| || || || || || || ||
2. "Nonpharmacological techniques have not reached mainstream yet."
|| || || || || || ||
3. "Nonpharmacological techniques may be used in place of drugs."
|| || || || || || || || ||
4. "Nonpharmacological techniques include an aerobic exercise."
|| || || || || ||
5. "Nonpharmacological techniques are not usually valued by nurses."
|| || || || || || || ||
1. "Nonpharmacological techniques are a good adjunct to pharmacotherapy."
|| || || || || || || ||
3. "Nonpharmacological techniques may be used in place of drugs."
|| || || || || || || || ||
The educator is reviewing the neural mechanisms of pain with a nurse. Which information
|| || || || || || || || || || || || || ||
should the educator provide about substance P?
|| || || || || ||
1. Substance P modifies sensory information in the spinal cord.
|| || || || || || || || ||
2. Substance P is also known as an endogenous opioid.
|| || || || || || || || ||
3. Substance P stimulates pain receptors in the spinal cord.
|| || || || || || || || ||
4. Substance P controls which pain signals reach the brain.
|| || || || || || || || ||
4. Substance P controls which pain signals reach the brain.
|| || || || || || || || ||
,2
A client asks the nurse how methadone (Dolophine) can help with a heroin dependence.
|| || || || || || || || || || || || || ||
Which response should the nurse provide?
|| || || || ||
1. "Methadone (Dolophine) will cause illness if heroin is used."
|| || || || || || || || ||
2. "Methadone (Dolophine) does not cause euphoria like heroin does."
|| || || || || || || || ||
3. "Methadone (Dolophine) can cure an addiction to heroin."
|| || || || || || || ||
4. "Methadone (Dolophine) causes an allergic reaction to heroin."
|| || || || || || || ||
2. "Methadone (Dolophine) does not cause euphoria like heroin does."
|| || || || || || || || ||
A nurse is preparing to provide education on the use of heroin. Which information should
|| || || || || || || || || || || || || || ||
the nurse include?
|| ||
1. Heroin is an opioid drug.
|| || || || ||
2. Heroin is a narcotic drug.
|| || || || ||
3. Heroin causes CNS agitation.
|| || || ||
4. Heroin is the same drug as morphine.
|| || || || || || ||
5. Heroin is not as dangerous as oxycodone.
|| || || || || || ||
1. Heroin is an opioid drug.
|| || || || ||
2. Heroin is a narcotic drug.
|| || || || ||
A client asks the nurse how morphine will control pain. Which response should the nurse
|| || || || || || || || || || || || || || ||
provide the client?
|| ||
1. "Inhibits the primary pain neurotransmitters in your brain."
|| || || || || || || ||
2. "Stimulates the receptors that secrete endorphins in your brain."
|| || || || || || || || ||
3. "Interacts with receptors in your body that produce analgesia."
|| || || || || || || || ||
4. "Promotes the primary pleasure neurotransmitters in your brain."
|| || || || || || || ||
,2
3. "Interacts with receptors in your body that produce analgesia."
|| || || || || || || || ||
The educator has discussed with a nurse the protocol for the immediate availability of
|| || || || || || || || || || || || || ||
naloxone for a client with a patient-controlled analgesia PCA pump. Which statement made
|| || || || || || || || || || || ||
by the nurse indicates an understanding of the information?
|| || || || || || || || ||
1. "Naloxone (Narcan) enhances the effect of the opioid in the patient-controlled analgesia
|| || || || || || || || || || || || ||
(PCA) pump and increases analgesia."
|| || || ||
2. "Naloxone (Narcan) is the antidote if an anaphylactic reaction to the opioid in the patient-
|| || || || || || || || || || || || || || ||
controlled analgesia (PCA) pump occurs." || || || ||
3. "Naloxone (Narcan) is available to treat any systemic side effects, like constipation, of the
|| || || || || || || || || || || || || || ||
opioid in the patient-controlled analgesia (PCA) pump."
|| || || || || ||
4. "Naloxone (Narcan) will reverse the effects of the narcotic in the patient-controlled
|| || || || || || || || || || || || ||
analgesia (PCA) pump if an overdose occurs." || || || || || ||
4. "Naloxone (Narcan) will reverse the effects of the narcotic in the patient-controlled
|| || || || || || || || || || || || ||
analgesia (PCA) pump if an overdose occurs." || || || || || ||
1) Which question should the nurse ask a postsurgical client prior to the administration of
|| || || || || || || || || || || || || || ||
an opioid analgesic?
|| ||
1. "Have you ever been addicted to prescription pain medications?"
|| || || || || || || || ||
2. "Do you understand how this pain prescription works?"
|| || || || || || || ||
3. "Would you like me to help you change your position for comfort?"
|| || || || || || || || || || || ||
4. "Would you please rate your pain on a scale of 1 to 10?
|| || || || || || || || || || || || ||
4. "Would you please rate your pain on a scale of 1 to 10?
|| || || || || || || || || || || || ||
, 2
A postoperative client has a prescription for morphine 2 mg IV push every 2 hours and
|| || || || || || || || || || || || || || || ||
hydrocodone 5 mg every 6 hours. The client received the morphine 2 hours ago and is
|| || || || || || || || || || || || || || || ||
requesting hydrocodone. Which initial action should the nurse take?
|| || || || || || || ||
1. Administer another dose of morphine.
|| || || || ||
2. Administer 5 mg of hydrocodone.
|| || || || ||
3. Encourage the use of distraction techniques.
|| || || || || ||
4. Using a pain scale assess the patient's level of pain.
|| || || || || || || || || ||
4. Using a pain scale assess the patient's level of pain.
|| || || || || || || || || ||
A client that experienced head trauma asks the nurse why they cannot have an opioid
|| || || || || || || || || || || || || || ||
analgesic. Which response should the nurse provide?
|| || || || || ||
1. "The use of an opioid analgesic can significantly decrease blood pressure."
|| || || || || || || || || || ||
2. "You may not be able to notice any changes you are experiencing."
|| || || || || || || || || || || ||
3. "Opioids are not effective for the management of pain associated with head trauma."
|| || || || || || || || || || || || ||
4. "Opioids can mask changes in the level of consciousness."
|| || || || || || || || ||
4. "Opioids can mask changes in the level of consciousness."
|| || || || || || || || ||
Which comment by the client receiving morphine should the nurse recognize as an adverse
|| || || || || || || || || || || || || ||
effect?
