NUR 600 EXAM 1 QUESTIONS WITH
CORRECT SOLUTIONS||A+
GRADED||UPDATED 2026/2027
SYLLABUS||<<RECENT VERSION>>
1. Which of the following statements is true about age and pain?
A. Use of drugs that depend heavily on the renal system for excretion may require
dosage adjustments in very young children.
B. Among the NSAIDs, indomethacin is the preferred drug because of lower
adverse effects profiles than other NSAIDs.
C. Older adults who have dementia probably do not experience much pain due to
loss of pain receptors in the brain.
D. Acetaminophen is especially useful in both children and adults because it has no
effect on platelets and has fewer adverse effects than NSAIDs. - ANSWER ✓
Acetaminophen is especially useful in both children and adults because it has no
effect on platelets and has fewer adverse effects than NSAIDs.
2. Pain assessment to determine adequacy of pain management is important for all
patients. This assessment is done to:
A. Determine if the diagnosis of source of pain is correct
B. Determine if the current regimen is adequate or different combinations of drugs
and non-drug therapy are required
C. Determine if the patient is willing and able to be an active participant in his or
her pain management
D. All of the above - ANSWER ✓ D. All of the above
3. Pathological similarities and differences between acute pain and chronic pain
include:
A. Both have decreased levels of endorphins
B. Chronic pain has a predominance of C-neuron stimulation
C. Acute pain is most commonly associated with irritation of peripheral nerves D.
Acute pain is diffuse and hard to localize - ANSWER ✓ B. Chronic pain has a
predominance of C-neuron stimulation
,A treatment plan for management of chronic pain should include:
A. Negotiation with the patient to set personal goals for pain management
B. Discussion of ways to improve sleep and stress
C. An exercise program to improve function and fitness
D. All of the above - ANSWER ✓ D. All of the above
4. Chronic pain is a complex problem. Some specific strategies to deal with it
include:
A. Telling the patient to "let pain be your guide" to using treatment therapies B.
Prescribing pain medication on a "PRN" basis to keep down the amount used
C. Scheduling return visits on a regular basis rather than waiting for poor pain
control to drive the need for an appointment
D. All of the above - ANSWER ✓ B. Prescribing pain medication on a "PRN"
basis to keep down the amount used
5. Chemical dependency assessment is integral to the initial assessment of chronic
pain. Which of the following raises a "red flag" about potential chemical
dependency?
A. Use of more than one drug to treat the pain
B. Multiple times when prescriptions are lost with requests to refill
C. Preferences for treatments that include alternative medicines
D. Presence of a family member who has abused drugs - ANSWER ✓ B. Multiple
times when prescriptions are lost with requests to refill
6. The Pain Management Contract is appropriate for:
A. Patients with a history of chemical dependency or possible inappropriate use of
pain medications
B. All patients with chronic pain who will require long-term use of opiates
C. Patients who have a complex drug regimen
D. Patients who see multiple providers for pain control - ANSWER ✓ A. Patients
with a history of chemical dependency or possible inappropriate use of pain
medications
7. A nurse is ordered to draw blood levels for a person receiving an antibiotic. The
nurse is aware that peaks and troughs of serum antibiotic levels are monitored for
drugs with
a: a. narrow therapeutic index.
b. large therapeutic index.
c. long half-life.
,d. short half-life. - ANSWER ✓ a: a. narrow therapeutic index.
8. A client's medication warrants peak and trough levels to be drawn. The nurse is
aware that if the peak level of the drug is too high, what could occur?
a. Mild side effects
b. Inadequate drug action
c. Slow onset of drug action
d. Drug toxicity - ANSWER ✓ d. Drug toxicity
9. Drug concentration is important for the eradication of bacterial infection. It is
desired to keep the drug dose:
a. below minimum effective concentration.
b. above minimum effective concentration.
c. below minimum toxic level.
d. above minimum toxic level. - ANSWER ✓ b. above minimum effective
concentration.
10. With continuous use of antibiotics, antibiotic resistance result because:
a. bacteria are producing fewer mutations.
b. the immune system has enhanced ability to fight infection.
c. mutant bacteria are surviving antibiotic use.
d. fewer new antibiotics have been produced. - ANSWER ✓ c. mutant bacteria are
surviving antibiotic use.
11. A client with otitis media is ordered to receive amoxicillin (Amoxil). The
client discloses to the nurse that she is allergic to penicillin. What is the highest
priority action on the part of the nurse?
a. Notify the healthcare provider that the client is allergic to penicillin.
b. Encourage the client to take the dose under close monitoring.
c. Administer half of the amoxicillin dose under supervision.
d. Report the amoxicillin order to the supervisor. - ANSWER ✓ a. Notify the
healthcare provider that the client is allergic to penicillin.
12. A client has relayed instructions from a physician regarding an allergy to a
type of antibiotic therapy. The nurse would question which instruction?
a. Wear a Medic Alert bracelet that indicates the allergy.
b. Avoid all penicillin-type drugs.
c. Inform all healthcare providers of the allergy.
, d. Restrict fluids when taking the antibiotic. - ANSWER ✓ d. Restrict fluids when
taking the antibiotic.
13. When antibacterials are prescribed for the treatment of an infection and a
culture is ordered, what should happen next?
a. The initial dose of the antibiotic should be given before the culture is taken. b.
The culture should be taken before the initial dose of the antibiotic is given. c. The
culture should be taken any time after the antibiotic therapy begins.
d. The culture may be taken at any time before or during antibiotic therapy. -
ANSWER ✓ b. The culture should be taken before the initial dose of the antibiotic
is given.
14. A client at an outpatient clinic is ordered to receive ampicillin (Omnipen) for
an infection. Which nursing intervention related to penicillins would the nurse
question?
a. Verify that the client is not allergic to penicillin.
b. Obtain culture before administering the first dose of medication.
c. Instruct client to discontinue penicillin when temperature is normal.
d. Encourage the client to increase fluid intake. - ANSWER ✓ c. Instruct client to
discontinue penicillin when temperature is normal.
15. Most beta-lactam antibiotics are excreted through the kidneys. The nurse
should assess the client's renal function by monitoring which levels?
a. Blood urea nitrogen and serum creatinine
b. Creatinine phosphokinase and alkaline phosphatase
c. White blood cell count and red blood cell count
d. Hemoglobin and hematocrit - ANSWER ✓ a. Blood urea nitrogen and serum
creatinine
16. A client is ordered to receive a cephalosporin to treat a bacterial infection.
Regarding monitoring of the client, the highest priority action on the part of the
nurse includes assessing the client for which side effects?
a. Nausea, vomiting, and diarrhea
b. Photophobia and phototoxicity
c. Pain with urination and blood in the urine
d. High fevers and sweating - ANSWER ✓ a. Nausea, vomiting, and diarrhea
CORRECT SOLUTIONS||A+
GRADED||UPDATED 2026/2027
SYLLABUS||<<RECENT VERSION>>
1. Which of the following statements is true about age and pain?
A. Use of drugs that depend heavily on the renal system for excretion may require
dosage adjustments in very young children.
B. Among the NSAIDs, indomethacin is the preferred drug because of lower
adverse effects profiles than other NSAIDs.
C. Older adults who have dementia probably do not experience much pain due to
loss of pain receptors in the brain.
D. Acetaminophen is especially useful in both children and adults because it has no
effect on platelets and has fewer adverse effects than NSAIDs. - ANSWER ✓
Acetaminophen is especially useful in both children and adults because it has no
effect on platelets and has fewer adverse effects than NSAIDs.
2. Pain assessment to determine adequacy of pain management is important for all
patients. This assessment is done to:
A. Determine if the diagnosis of source of pain is correct
B. Determine if the current regimen is adequate or different combinations of drugs
and non-drug therapy are required
C. Determine if the patient is willing and able to be an active participant in his or
her pain management
D. All of the above - ANSWER ✓ D. All of the above
3. Pathological similarities and differences between acute pain and chronic pain
include:
A. Both have decreased levels of endorphins
B. Chronic pain has a predominance of C-neuron stimulation
C. Acute pain is most commonly associated with irritation of peripheral nerves D.
Acute pain is diffuse and hard to localize - ANSWER ✓ B. Chronic pain has a
predominance of C-neuron stimulation
,A treatment plan for management of chronic pain should include:
A. Negotiation with the patient to set personal goals for pain management
B. Discussion of ways to improve sleep and stress
C. An exercise program to improve function and fitness
D. All of the above - ANSWER ✓ D. All of the above
4. Chronic pain is a complex problem. Some specific strategies to deal with it
include:
A. Telling the patient to "let pain be your guide" to using treatment therapies B.
Prescribing pain medication on a "PRN" basis to keep down the amount used
C. Scheduling return visits on a regular basis rather than waiting for poor pain
control to drive the need for an appointment
D. All of the above - ANSWER ✓ B. Prescribing pain medication on a "PRN"
basis to keep down the amount used
5. Chemical dependency assessment is integral to the initial assessment of chronic
pain. Which of the following raises a "red flag" about potential chemical
dependency?
A. Use of more than one drug to treat the pain
B. Multiple times when prescriptions are lost with requests to refill
C. Preferences for treatments that include alternative medicines
D. Presence of a family member who has abused drugs - ANSWER ✓ B. Multiple
times when prescriptions are lost with requests to refill
6. The Pain Management Contract is appropriate for:
A. Patients with a history of chemical dependency or possible inappropriate use of
pain medications
B. All patients with chronic pain who will require long-term use of opiates
C. Patients who have a complex drug regimen
D. Patients who see multiple providers for pain control - ANSWER ✓ A. Patients
with a history of chemical dependency or possible inappropriate use of pain
medications
7. A nurse is ordered to draw blood levels for a person receiving an antibiotic. The
nurse is aware that peaks and troughs of serum antibiotic levels are monitored for
drugs with
a: a. narrow therapeutic index.
b. large therapeutic index.
c. long half-life.
,d. short half-life. - ANSWER ✓ a: a. narrow therapeutic index.
8. A client's medication warrants peak and trough levels to be drawn. The nurse is
aware that if the peak level of the drug is too high, what could occur?
a. Mild side effects
b. Inadequate drug action
c. Slow onset of drug action
d. Drug toxicity - ANSWER ✓ d. Drug toxicity
9. Drug concentration is important for the eradication of bacterial infection. It is
desired to keep the drug dose:
a. below minimum effective concentration.
b. above minimum effective concentration.
c. below minimum toxic level.
d. above minimum toxic level. - ANSWER ✓ b. above minimum effective
concentration.
10. With continuous use of antibiotics, antibiotic resistance result because:
a. bacteria are producing fewer mutations.
b. the immune system has enhanced ability to fight infection.
c. mutant bacteria are surviving antibiotic use.
d. fewer new antibiotics have been produced. - ANSWER ✓ c. mutant bacteria are
surviving antibiotic use.
11. A client with otitis media is ordered to receive amoxicillin (Amoxil). The
client discloses to the nurse that she is allergic to penicillin. What is the highest
priority action on the part of the nurse?
a. Notify the healthcare provider that the client is allergic to penicillin.
b. Encourage the client to take the dose under close monitoring.
c. Administer half of the amoxicillin dose under supervision.
d. Report the amoxicillin order to the supervisor. - ANSWER ✓ a. Notify the
healthcare provider that the client is allergic to penicillin.
12. A client has relayed instructions from a physician regarding an allergy to a
type of antibiotic therapy. The nurse would question which instruction?
a. Wear a Medic Alert bracelet that indicates the allergy.
b. Avoid all penicillin-type drugs.
c. Inform all healthcare providers of the allergy.
, d. Restrict fluids when taking the antibiotic. - ANSWER ✓ d. Restrict fluids when
taking the antibiotic.
13. When antibacterials are prescribed for the treatment of an infection and a
culture is ordered, what should happen next?
a. The initial dose of the antibiotic should be given before the culture is taken. b.
The culture should be taken before the initial dose of the antibiotic is given. c. The
culture should be taken any time after the antibiotic therapy begins.
d. The culture may be taken at any time before or during antibiotic therapy. -
ANSWER ✓ b. The culture should be taken before the initial dose of the antibiotic
is given.
14. A client at an outpatient clinic is ordered to receive ampicillin (Omnipen) for
an infection. Which nursing intervention related to penicillins would the nurse
question?
a. Verify that the client is not allergic to penicillin.
b. Obtain culture before administering the first dose of medication.
c. Instruct client to discontinue penicillin when temperature is normal.
d. Encourage the client to increase fluid intake. - ANSWER ✓ c. Instruct client to
discontinue penicillin when temperature is normal.
15. Most beta-lactam antibiotics are excreted through the kidneys. The nurse
should assess the client's renal function by monitoring which levels?
a. Blood urea nitrogen and serum creatinine
b. Creatinine phosphokinase and alkaline phosphatase
c. White blood cell count and red blood cell count
d. Hemoglobin and hematocrit - ANSWER ✓ a. Blood urea nitrogen and serum
creatinine
16. A client is ordered to receive a cephalosporin to treat a bacterial infection.
Regarding monitoring of the client, the highest priority action on the part of the
nurse includes assessing the client for which side effects?
a. Nausea, vomiting, and diarrhea
b. Photophobia and phototoxicity
c. Pain with urination and blood in the urine
d. High fevers and sweating - ANSWER ✓ a. Nausea, vomiting, and diarrhea
