FNP 593 CERTIFICATION EVALUATION
2026 QUESTIONS AND SOLUTIONS
VERIFIED ANSWERS GRADED A+
●● Which of the following would be a cause of visceral pain?
a. Bone metastases
b. Intra-abdominal metastases
c. Musculoskeletal inflammation
d. Postsurgical incisional pain.
Answer: b. Intra-abdominal metastases
●● According to the World Health Organization's analgesic ladder,
which drug combination would be
most appropriate in an opiate-naïve patient who presents with moderate
pain?
a. Ibuprofen/imipramine
b. Naproxen/morphine
c. Aspirin/fentanyl
d. Indomethacin/hydrocodone.
Answer: d. Indomethacin/hydrocodone
,●● A 75-year-old man is being treated as an outpatient for metastatic
prostate cancer. Which of the
following statements is true regarding the management of pain with
opioids in the elderly?
a. Opioids with a long half-life, such as methadone, are a good choice,
because they
stay in the system longer, and patients do not have to remember to take
multiple
pills.
b. Serum creatinine is the best measurement of renal function in the
elderly and
should be done prior to the initiation of treatment with opioids.
c. Renal clearance of medications is faster in the elderly, so higher
dosages of
medications are needed to adequately control pain.
d. None of the above.
Answer: d. None of the above
●● A patient had a transdermal fentanyl patch placed 2 hours ago and is
not getting any pain relief.
What would be the most appropriate intervention?
a. Remove the current patch and replace with a new fentanyl patch at a
higher dose.
b. Prescribe a short-acting opioid for breakthrough pain.
,c. Remove the patch and switch to a different intravenous opioid.
d. Tell the patient not to worry, as it takes about 12 hours for the patch's
effects to be
felt, and he will have relief at that time..
Answer: b. Prescribe a short-acting opioid for breakthrough pain.
●● A patient is preparing to be discharged to home with hospice. She is
on a morphine patientcontrolled
analgesia (PCA) in the hospital. She is concerned as to whether she can
stay on her
morphine PCA at home even when she is not able to give herself
boluses. What would be an
appropriate response from the clinician?
a. "We are unable to prescribe a PCA for use at home. If you are
comfortable on the
PCA, you should remain in the hospital."
b. "It would be possible for your nurse or another trained family member
to activate
the dosing button when you are unable to do so."
c. "A PCA is not an appropriate method of pain medication delivery
once you are
unable to use the dosing button. I will switch you to another form of pain
control."
, d. "You should not be concerned about your pain management at home.
It will be
taken care of for you.".
Answer: b. "It would be possible for your nurse or another trained
family member to activate
the dosing button when you are unable to do so."
●● A patient taking PO hydromorphone for pain control has developed
dysphagia. The clinician decides
to switch the patient to IV hydromorphone. What ratio of IV:PO
hydromorphone does the clinician
need to know to calculate the proper dose?
a. 1:1
b. 1:2
c. 1:5
d. 1:7.
Answer: c. 1:5
●● A patient is receiving long-acting oxycodone for pain control. The
clinician thinks that he also will
benefit from a short-acting oxycodone for breakthrough pain. How will
the clinician figure out what
the dose of short-acting oxycodone should be?
2026 QUESTIONS AND SOLUTIONS
VERIFIED ANSWERS GRADED A+
●● Which of the following would be a cause of visceral pain?
a. Bone metastases
b. Intra-abdominal metastases
c. Musculoskeletal inflammation
d. Postsurgical incisional pain.
Answer: b. Intra-abdominal metastases
●● According to the World Health Organization's analgesic ladder,
which drug combination would be
most appropriate in an opiate-naïve patient who presents with moderate
pain?
a. Ibuprofen/imipramine
b. Naproxen/morphine
c. Aspirin/fentanyl
d. Indomethacin/hydrocodone.
Answer: d. Indomethacin/hydrocodone
,●● A 75-year-old man is being treated as an outpatient for metastatic
prostate cancer. Which of the
following statements is true regarding the management of pain with
opioids in the elderly?
a. Opioids with a long half-life, such as methadone, are a good choice,
because they
stay in the system longer, and patients do not have to remember to take
multiple
pills.
b. Serum creatinine is the best measurement of renal function in the
elderly and
should be done prior to the initiation of treatment with opioids.
c. Renal clearance of medications is faster in the elderly, so higher
dosages of
medications are needed to adequately control pain.
d. None of the above.
Answer: d. None of the above
●● A patient had a transdermal fentanyl patch placed 2 hours ago and is
not getting any pain relief.
What would be the most appropriate intervention?
a. Remove the current patch and replace with a new fentanyl patch at a
higher dose.
b. Prescribe a short-acting opioid for breakthrough pain.
,c. Remove the patch and switch to a different intravenous opioid.
d. Tell the patient not to worry, as it takes about 12 hours for the patch's
effects to be
felt, and he will have relief at that time..
Answer: b. Prescribe a short-acting opioid for breakthrough pain.
●● A patient is preparing to be discharged to home with hospice. She is
on a morphine patientcontrolled
analgesia (PCA) in the hospital. She is concerned as to whether she can
stay on her
morphine PCA at home even when she is not able to give herself
boluses. What would be an
appropriate response from the clinician?
a. "We are unable to prescribe a PCA for use at home. If you are
comfortable on the
PCA, you should remain in the hospital."
b. "It would be possible for your nurse or another trained family member
to activate
the dosing button when you are unable to do so."
c. "A PCA is not an appropriate method of pain medication delivery
once you are
unable to use the dosing button. I will switch you to another form of pain
control."
, d. "You should not be concerned about your pain management at home.
It will be
taken care of for you.".
Answer: b. "It would be possible for your nurse or another trained
family member to activate
the dosing button when you are unable to do so."
●● A patient taking PO hydromorphone for pain control has developed
dysphagia. The clinician decides
to switch the patient to IV hydromorphone. What ratio of IV:PO
hydromorphone does the clinician
need to know to calculate the proper dose?
a. 1:1
b. 1:2
c. 1:5
d. 1:7.
Answer: c. 1:5
●● A patient is receiving long-acting oxycodone for pain control. The
clinician thinks that he also will
benefit from a short-acting oxycodone for breakthrough pain. How will
the clinician figure out what
the dose of short-acting oxycodone should be?
