NUR378 / NUR 378 EXAM 3
Pharmacology at Concordia, St. Paul
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
, 100% Guarantee Pass.
Multiple choice (single best answer)
Multiple response
Fill-in-the-blank for drug names or mechanisms
Case-based questions (clinical scenarios)
Matching questions
1. A patient was diagnosed with pancreatic cancer last month, and has complained of a dull
ache in the abdomen for the last four months. This pain has been gradually increasing, and
the pain relievers taken at home are no longer effective. What type of pain is the patient
experiencing?
a. acute pain
b. chronic pain
, c. somatic pain
d. neuropathic pain
Answer b. chronic pain
2. A 16-year old field hockey player fell and twisted her ankle during a game. The nurse will
expect to administer which type of analgesic.
a. synthetic opioid, such as meperidine
b. opioid alkaloid, such as morphine sulfate
c. opioid antagonist, such as naloxone HCL
d. non-opioid analgesics, such as indomethacin
Answer d. non-opioid analgesics, such as indomethacin
3. A patient had abdominal surgery this morning. The patient is groggy but complaining of
severe pain around the incision. What is the most important assessment data to consider
before the nursing administers a dose of morphine sulfate to the patient?
a. the patient's pulse rate
b. the patient's respiratory rate
c. the appearance of the incision
d. the date of the patient's last bowel movement
Answer b. the patient's respiratory rate
4. A 78-year old-patient is in the recovery room after having a lengthy surgery on his hip. As
he
is gradually awakening, he requests pain medication. Within 10 minutes after receiving a
dose
of morphine sulfate, he is very lethargic and his respirations are shallow, with a rate of 7
breaths/minute. The nurse prepares for which priority action at this time?
a. Assessment of the patient's pain level
b. Immediate intubation and artificial ventilation
c. Administration of naloxone (Narcan)
d. Close observation of signs of opioid tolerance
Answer c. administration of naloxone (Narcan)
5. A patient will be discharged with a 1-week supply of an opioid analgesic for pain
management after abdominal surgery. The nurse will include which information in the
teaching plan?
a. How to prevent dehydration due to diarrhea
b. The importance of taking the drug only when the pain becomes severe
c. How to prevent constipation
d. The importance of taking the drug on an empty stomach
, Answer c. how to prevent constipation
6. A patient has been treated for lung cancer for 3 years. Over the past few months, the patient
has noticed that the opioid analgesic is not helping as much as it had previously and more
medication is needed for the same pain relief. The nurse is aware that this patient is
experiencing which of these?
a. Opioid addiction
b. Opioid tolerance
c. Opioid toxicity
d. Opioid abstinence syndrome
Answer b. opioid tolerance
7. A 38-year-old man has come into the urgent care center with severe hip pain after falling
from a ladder at work. He says he has taken several pain pills over the past few hours but
cannot remember how many he has taken. He hands the nurse an empty bottle of
acetaminophen (Tylenol). The nurse is aware that the most serious toxic effect of acute
acetaminophen overdose is which condition?
a. Tachycardia
b. Central nervous system depression
c. Hepatic necrosis
d. Nephropathy
Answer c. hepatic necrosis
8. A 57-year-old woman being treated for end-stage breast cancer has been using a
transdermal opioid analgesic as part of the management of pain. Lately, she has been
experiencing breakthrough pain. The nurse expects this type of pain to be managed by
which of these interventions?
a. Administering NSAIDs
b. Administering an immediate-release opioid
c. Changing the opioid route to the rectal route
d. Making no changes to the current therapy
Answer b. administering an immediate-release opioid
9. The nurse is reviewing herbal therapies. Which is a common use of the herb feverfew?
a. Muscle aches
b. Menstrual cramps
c. Joint pain
d. Incision pain after surgery
Answer b. menstrual cramps
10. A patient is to receive acetylcysteine as part of the treatment for an acetaminophen
overdose.
Which action by the nurse is appropriate when giving this medication?
Pharmacology at Concordia, St. Paul
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
, 100% Guarantee Pass.
Multiple choice (single best answer)
Multiple response
Fill-in-the-blank for drug names or mechanisms
Case-based questions (clinical scenarios)
Matching questions
1. A patient was diagnosed with pancreatic cancer last month, and has complained of a dull
ache in the abdomen for the last four months. This pain has been gradually increasing, and
the pain relievers taken at home are no longer effective. What type of pain is the patient
experiencing?
a. acute pain
b. chronic pain
, c. somatic pain
d. neuropathic pain
Answer b. chronic pain
2. A 16-year old field hockey player fell and twisted her ankle during a game. The nurse will
expect to administer which type of analgesic.
a. synthetic opioid, such as meperidine
b. opioid alkaloid, such as morphine sulfate
c. opioid antagonist, such as naloxone HCL
d. non-opioid analgesics, such as indomethacin
Answer d. non-opioid analgesics, such as indomethacin
3. A patient had abdominal surgery this morning. The patient is groggy but complaining of
severe pain around the incision. What is the most important assessment data to consider
before the nursing administers a dose of morphine sulfate to the patient?
a. the patient's pulse rate
b. the patient's respiratory rate
c. the appearance of the incision
d. the date of the patient's last bowel movement
Answer b. the patient's respiratory rate
4. A 78-year old-patient is in the recovery room after having a lengthy surgery on his hip. As
he
is gradually awakening, he requests pain medication. Within 10 minutes after receiving a
dose
of morphine sulfate, he is very lethargic and his respirations are shallow, with a rate of 7
breaths/minute. The nurse prepares for which priority action at this time?
a. Assessment of the patient's pain level
b. Immediate intubation and artificial ventilation
c. Administration of naloxone (Narcan)
d. Close observation of signs of opioid tolerance
Answer c. administration of naloxone (Narcan)
5. A patient will be discharged with a 1-week supply of an opioid analgesic for pain
management after abdominal surgery. The nurse will include which information in the
teaching plan?
a. How to prevent dehydration due to diarrhea
b. The importance of taking the drug only when the pain becomes severe
c. How to prevent constipation
d. The importance of taking the drug on an empty stomach
, Answer c. how to prevent constipation
6. A patient has been treated for lung cancer for 3 years. Over the past few months, the patient
has noticed that the opioid analgesic is not helping as much as it had previously and more
medication is needed for the same pain relief. The nurse is aware that this patient is
experiencing which of these?
a. Opioid addiction
b. Opioid tolerance
c. Opioid toxicity
d. Opioid abstinence syndrome
Answer b. opioid tolerance
7. A 38-year-old man has come into the urgent care center with severe hip pain after falling
from a ladder at work. He says he has taken several pain pills over the past few hours but
cannot remember how many he has taken. He hands the nurse an empty bottle of
acetaminophen (Tylenol). The nurse is aware that the most serious toxic effect of acute
acetaminophen overdose is which condition?
a. Tachycardia
b. Central nervous system depression
c. Hepatic necrosis
d. Nephropathy
Answer c. hepatic necrosis
8. A 57-year-old woman being treated for end-stage breast cancer has been using a
transdermal opioid analgesic as part of the management of pain. Lately, she has been
experiencing breakthrough pain. The nurse expects this type of pain to be managed by
which of these interventions?
a. Administering NSAIDs
b. Administering an immediate-release opioid
c. Changing the opioid route to the rectal route
d. Making no changes to the current therapy
Answer b. administering an immediate-release opioid
9. The nurse is reviewing herbal therapies. Which is a common use of the herb feverfew?
a. Muscle aches
b. Menstrual cramps
c. Joint pain
d. Incision pain after surgery
Answer b. menstrual cramps
10. A patient is to receive acetylcysteine as part of the treatment for an acetaminophen
overdose.
Which action by the nurse is appropriate when giving this medication?
