PAIN MANAGEMENT-NCLEX TYPE QUESTIONS, FUNDAMENTALS OF
NURSING |LATEST UPLOAD|GRADED A+
Which of the following signs or symptoms in an opioid-naïve patient is of greatest concern
to the nurse when assessing the patient 1 hour after administering an opioid?
A. Oxygen saturation of 95%
B. Difficulty arousing the patient
C. Respiratory rate of 10 breaths/min
D. Pain intensity rating of 5 on a scale of 0 to 10 - correct answer-B
A health care provider writes the following order for an opioid naive patient who returned
from the operating room following a total hip replacement. "Fentanyl patch 100 mcg,
change every 3 days." Based on this order, the nurse takes the following action:
A. Calls the health care provider, and questions the order
B. Applies the patch the third postoperative day
C. Applies the patch as soon as the patient reports pain
D. Places the patch as close to the hip dressing as possible - correct answer-A
A patient is being discharged home on an around-the-clock (ATC) opioid for chronic back
pain. Because of this order, the nurse anticipates an order for which class of medication?
A. Stool softener
B. Stimulant laxative
C. H 2 receptor blocker
D. Proton pump inhibitor - correct answer-B
A new medical resident writes an order for OxyContin SR 10 mg PO q12 hours prn. Which
part of the order does the nurse question?
A. The drug
B. The time interval
C. The dose
D. The route - correct answer-B
The nurse notices that a patient has received oxycodone/acetaminophen (Percocet)
(5/325) two tablets PO every 3 hours for the past 3 days. What concerns the nurse the
most?
A. The patient's level of pain
B. The potential for addiction
C. The amount of daily acetaminophen
, D. The risk for gastrointestinal bleeding - correct answer-C
A patient with chronic low back pain who took an opioid around-the-clock (ATC) for the
past year decided to abruptly stop the medication for fear of addiction. He is now
experiencing shaking chills, abdominal cramps, and joint pain. The nurse recognizes that
this patient is experiencing symptoms of:
A. Addiction.
B. Tolerance.
C. Pseudo addiction.
D. Physical dependence. - correct answer-D
After having received 0.2 mg of naloxone (Narcan) intravenous push (IVP), a patient' s
respiratory rate and depth are within normal limits. The nurse now plans to implement the
following action:
A. Discontinue all ordered opioids
B. Close the room door to allow the patient to recover
C. Administer the remaining naloxone over 4 minutes
D. Assess patient's vital signs every 15 minutes for 2 hours - correct answer-D
Which one of the following instructions is crucial for the nurse to give to both family
members and the patient who is about to be started on a patient-controlled analgesia
(PCA) of morphine?
A. Only the patient should push the button.
B. Do not use the PCA until the pain is severe.
C. The PCA prevents overdoses from occurring.
D. Notify the nurse when the button is pushed. - correct answer-A
A patient with a history of a stroke that left her confused and unable to communicate
returns from interventional radiology following placement of a gastrostomy tube. The
health care provider's order reads as follows: "Vicodin 1 tab, per tube, q4 hours, prn."
Which action by the nurse is most appropriate?
A. No action is required by the nurse because the order is appropriate.
B. Request to have the ordered changed to ATC (around the clock) for the first 48 hours.
C. Ask for a change of medication to meperidine (Demerol) 50 mg IVP, q3 hours, prn.
D. Begin the Vicodin when the patient shows nonverbal symptoms of pain. - correct
answer-B
NURSING |LATEST UPLOAD|GRADED A+
Which of the following signs or symptoms in an opioid-naïve patient is of greatest concern
to the nurse when assessing the patient 1 hour after administering an opioid?
A. Oxygen saturation of 95%
B. Difficulty arousing the patient
C. Respiratory rate of 10 breaths/min
D. Pain intensity rating of 5 on a scale of 0 to 10 - correct answer-B
A health care provider writes the following order for an opioid naive patient who returned
from the operating room following a total hip replacement. "Fentanyl patch 100 mcg,
change every 3 days." Based on this order, the nurse takes the following action:
A. Calls the health care provider, and questions the order
B. Applies the patch the third postoperative day
C. Applies the patch as soon as the patient reports pain
D. Places the patch as close to the hip dressing as possible - correct answer-A
A patient is being discharged home on an around-the-clock (ATC) opioid for chronic back
pain. Because of this order, the nurse anticipates an order for which class of medication?
A. Stool softener
B. Stimulant laxative
C. H 2 receptor blocker
D. Proton pump inhibitor - correct answer-B
A new medical resident writes an order for OxyContin SR 10 mg PO q12 hours prn. Which
part of the order does the nurse question?
A. The drug
B. The time interval
C. The dose
D. The route - correct answer-B
The nurse notices that a patient has received oxycodone/acetaminophen (Percocet)
(5/325) two tablets PO every 3 hours for the past 3 days. What concerns the nurse the
most?
A. The patient's level of pain
B. The potential for addiction
C. The amount of daily acetaminophen
, D. The risk for gastrointestinal bleeding - correct answer-C
A patient with chronic low back pain who took an opioid around-the-clock (ATC) for the
past year decided to abruptly stop the medication for fear of addiction. He is now
experiencing shaking chills, abdominal cramps, and joint pain. The nurse recognizes that
this patient is experiencing symptoms of:
A. Addiction.
B. Tolerance.
C. Pseudo addiction.
D. Physical dependence. - correct answer-D
After having received 0.2 mg of naloxone (Narcan) intravenous push (IVP), a patient' s
respiratory rate and depth are within normal limits. The nurse now plans to implement the
following action:
A. Discontinue all ordered opioids
B. Close the room door to allow the patient to recover
C. Administer the remaining naloxone over 4 minutes
D. Assess patient's vital signs every 15 minutes for 2 hours - correct answer-D
Which one of the following instructions is crucial for the nurse to give to both family
members and the patient who is about to be started on a patient-controlled analgesia
(PCA) of morphine?
A. Only the patient should push the button.
B. Do not use the PCA until the pain is severe.
C. The PCA prevents overdoses from occurring.
D. Notify the nurse when the button is pushed. - correct answer-A
A patient with a history of a stroke that left her confused and unable to communicate
returns from interventional radiology following placement of a gastrostomy tube. The
health care provider's order reads as follows: "Vicodin 1 tab, per tube, q4 hours, prn."
Which action by the nurse is most appropriate?
A. No action is required by the nurse because the order is appropriate.
B. Request to have the ordered changed to ATC (around the clock) for the first 48 hours.
C. Ask for a change of medication to meperidine (Demerol) 50 mg IVP, q3 hours, prn.
D. Begin the Vicodin when the patient shows nonverbal symptoms of pain. - correct
answer-B
