PHARMACOLOGY EXAM #4 STUDY QUESTIONS
(2026/2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Ampatientmwasmdiagnosedmwithmpancreaticmcancermlastmmonth,mandmhasmcomplainedmofmamdullmac
heminmthemabdomenmformthempastm4mmonths.mThismpainmhasmbeenmgraduallymincreasing,mandmthem
painmrelieversmtakenmatmhomemaremnomlongermeffective.mWhatmtypemofmpainmismthempatientmexperi
encing?m
a.mAcutempainm
b.mChronicmpainm
c.mSomaticmpainm
d.mNeuropathicmpainm-mCORRECTmANSWERmb.mChronicmpainm
Chronicmpainmismassociatedmwithmcancermandmismcharacterizedmbymslowmonset,mlongmduration,mand
mdull,mpersistentmaching.mThempatient'smsymptomsmaremnotmcharacteristicsmofmacutempain,msomatic
mpain,mormneuropathicmpain.
Anm18-year-
oldmbasketballmplayermfellmandmtwistedmhismanklemduringmamgame.mThemnursemwillmexpectmtomadmi
nistermwhichmtypemofmanalgesic?m
a.mSyntheticmopioid,msuchmasmmeperidinem(Demerol)m
b.mOpiummalkaloid,msuchmasmmorphinemsulfatem
c.mOpioidmantagonist,msuchmasmnaloxonemHCLm(Narcan)m
,d.mNonopioidmanalgesic,msuchmasmindomethacinm(Indocin)m-
mCORRECTmANSWERmd.mNonopioidmanalgesic,msuchmasmindomethacinm(Indocin)
Somaticmpain,mwhichmoriginatesmfrommskeletalmmuscles,mligaments,mandmjoints,musuallymrespondsm
tomnonopioidmanalgesicsmsuchmasmnonsteroidalmanti-
inflammatorymdrugsm(NSAIDs).mThemothermoptionsmaremnotmthembestmchoicesmformsomaticmpain.
Ampatientmismrecoveringmfrommabdominalmsurgery,mwhichmhemhadmthismmorning.mHemismgroggymbut
mcomplainingmofmseverempainmaroundmhismincision.mWhatmismthemmostmimportantmassessmentmdat
amtomconsidermbeforemthemnursemadministersmamdosemofmmorphinemsulfatemtomthempatient?m
a.mHismpulsemratem
b.mHismrespiratorymratem
c.mThemappearancemofmthemincisionm
d.mThemdatemofmhismlastmbowelmmovementm-mCORRECTmANSWERmb.mHismrespiratorymratem
Onemofmthemmostmseriousmadversemeffectsmofmopioidsmismrespiratorymdepression.mThemnursemmust
massessmthempatient'smrespiratorymratembeforemadministeringmanmopioid.mThemothermoptionsmaremi
ncorrect.
.mAm78-year-
oldmpatientmisminmthemrecoverymroommaftermhavingmamlengthymsurgerymonmhismhip.mAsmhemismgradua
llymawakening,mhemrequestsmpainmmedication.mWithinm10mminutesmaftermreceivingmamdosemofmmor
phinemsulfate,mhemismverymlethargicmandmhismrespirationsmaremshallow,mwithmamratemofm7mpermminut
e.mThemnursempreparesmformwhichmprioritymactionmatmthismtime?m
a.mAssessmentmofmthempatient'smpainmlevelm
b.mImmediatemintubationmandmartificialmventilationm
c.mAdministrationmofmnaloxonem(Narcan)m
d.mClosemobservationmofmsignsmofmopioidmtolerancem-
mCORRECTmANSWERmc.mAdministrationmofmnaloxonem(Narcan)
, Naloxone,manmopioid-
reversalmagent,mismusedmtomreversemthemeffectsmofmacutemopioidmoverdosemandmismthemdrugmofmcho
icemformreversalmofmopioid-
inducedmrespiratorymdepression.mThismsituationmismdescribingmanmopioidmoverdose,mnotmopioidmtol
erance.mIntubationmandmartificialmventilationmaremnotmappropriatembecausemthempatientmismstillmbr
eathingmatm7mbreaths/min.mItmwouldmbeminappropriatemtomassessmthempatient'smlevelmofmpain.
Ampatientmwillmbemdischargedmwithmam1-
weekmsupplymofmanmopioidmanalgesicmformpainmmanagementmaftermabdominalmsurgery.mThemnurse
mwillmincludemwhichminformationminmthemteachingmplan?m
a.mHowmtompreventmdehydrationmduemtomdiarrheam
b.mThemimportancemofmtakingmthemdrugmonlymwhenmthempainmbecomesmseverem
c.mHowmtompreventmconstipationm
d.mThemimportancemofmtakingmthemdrugmonmanmemptymstomachm-
mCORRECTmANSWERmc.mHowmtompreventmconstipation
Gastrointestinalm(GI)madversemeffects,msuchmasmnausea,mvomiting,mandmconstipation,maremthemmos
tmcommonmadversemeffectsmassociatedmwithmopioidmanalgesics.mPhysicalmdependencemusuallymocc
ursminmpatientsmundergoingmlong-
termmtreatment.mDiarrheamismnotmanmeffectmofmopioidmanalgesics.mTakingmthemdosemwithmfoodmma
ymhelpmminimizemGImupset.
Ampatientmhasmbeenmtreatedmformlungmcancermform3myears.mOvermthempastmfewmmonths,mthempatie
ntmhasmnoticedmthatmthemopioidmanalgesicmismnotmhelpingmasmmuchmasmitmhadmpreviouslymandmmor
emmedicationmismneededmformthemsamempainmrelief.mThemnursemismawaremthatmthismpatientmismexper
iencingmwhichmofmthese?
a.mOpioidmaddictionm
b.mOpioidmtolerancem
c.mOpioidmtoxicitym
d.mOpioidmabstinencemsyndromem-mCORRECTmANSWERmb.mOpioidmtolerance
m
(2026/2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Ampatientmwasmdiagnosedmwithmpancreaticmcancermlastmmonth,mandmhasmcomplainedmofmamdullmac
heminmthemabdomenmformthempastm4mmonths.mThismpainmhasmbeenmgraduallymincreasing,mandmthem
painmrelieversmtakenmatmhomemaremnomlongermeffective.mWhatmtypemofmpainmismthempatientmexperi
encing?m
a.mAcutempainm
b.mChronicmpainm
c.mSomaticmpainm
d.mNeuropathicmpainm-mCORRECTmANSWERmb.mChronicmpainm
Chronicmpainmismassociatedmwithmcancermandmismcharacterizedmbymslowmonset,mlongmduration,mand
mdull,mpersistentmaching.mThempatient'smsymptomsmaremnotmcharacteristicsmofmacutempain,msomatic
mpain,mormneuropathicmpain.
Anm18-year-
oldmbasketballmplayermfellmandmtwistedmhismanklemduringmamgame.mThemnursemwillmexpectmtomadmi
nistermwhichmtypemofmanalgesic?m
a.mSyntheticmopioid,msuchmasmmeperidinem(Demerol)m
b.mOpiummalkaloid,msuchmasmmorphinemsulfatem
c.mOpioidmantagonist,msuchmasmnaloxonemHCLm(Narcan)m
,d.mNonopioidmanalgesic,msuchmasmindomethacinm(Indocin)m-
mCORRECTmANSWERmd.mNonopioidmanalgesic,msuchmasmindomethacinm(Indocin)
Somaticmpain,mwhichmoriginatesmfrommskeletalmmuscles,mligaments,mandmjoints,musuallymrespondsm
tomnonopioidmanalgesicsmsuchmasmnonsteroidalmanti-
inflammatorymdrugsm(NSAIDs).mThemothermoptionsmaremnotmthembestmchoicesmformsomaticmpain.
Ampatientmismrecoveringmfrommabdominalmsurgery,mwhichmhemhadmthismmorning.mHemismgroggymbut
mcomplainingmofmseverempainmaroundmhismincision.mWhatmismthemmostmimportantmassessmentmdat
amtomconsidermbeforemthemnursemadministersmamdosemofmmorphinemsulfatemtomthempatient?m
a.mHismpulsemratem
b.mHismrespiratorymratem
c.mThemappearancemofmthemincisionm
d.mThemdatemofmhismlastmbowelmmovementm-mCORRECTmANSWERmb.mHismrespiratorymratem
Onemofmthemmostmseriousmadversemeffectsmofmopioidsmismrespiratorymdepression.mThemnursemmust
massessmthempatient'smrespiratorymratembeforemadministeringmanmopioid.mThemothermoptionsmaremi
ncorrect.
.mAm78-year-
oldmpatientmisminmthemrecoverymroommaftermhavingmamlengthymsurgerymonmhismhip.mAsmhemismgradua
llymawakening,mhemrequestsmpainmmedication.mWithinm10mminutesmaftermreceivingmamdosemofmmor
phinemsulfate,mhemismverymlethargicmandmhismrespirationsmaremshallow,mwithmamratemofm7mpermminut
e.mThemnursempreparesmformwhichmprioritymactionmatmthismtime?m
a.mAssessmentmofmthempatient'smpainmlevelm
b.mImmediatemintubationmandmartificialmventilationm
c.mAdministrationmofmnaloxonem(Narcan)m
d.mClosemobservationmofmsignsmofmopioidmtolerancem-
mCORRECTmANSWERmc.mAdministrationmofmnaloxonem(Narcan)
, Naloxone,manmopioid-
reversalmagent,mismusedmtomreversemthemeffectsmofmacutemopioidmoverdosemandmismthemdrugmofmcho
icemformreversalmofmopioid-
inducedmrespiratorymdepression.mThismsituationmismdescribingmanmopioidmoverdose,mnotmopioidmtol
erance.mIntubationmandmartificialmventilationmaremnotmappropriatembecausemthempatientmismstillmbr
eathingmatm7mbreaths/min.mItmwouldmbeminappropriatemtomassessmthempatient'smlevelmofmpain.
Ampatientmwillmbemdischargedmwithmam1-
weekmsupplymofmanmopioidmanalgesicmformpainmmanagementmaftermabdominalmsurgery.mThemnurse
mwillmincludemwhichminformationminmthemteachingmplan?m
a.mHowmtompreventmdehydrationmduemtomdiarrheam
b.mThemimportancemofmtakingmthemdrugmonlymwhenmthempainmbecomesmseverem
c.mHowmtompreventmconstipationm
d.mThemimportancemofmtakingmthemdrugmonmanmemptymstomachm-
mCORRECTmANSWERmc.mHowmtompreventmconstipation
Gastrointestinalm(GI)madversemeffects,msuchmasmnausea,mvomiting,mandmconstipation,maremthemmos
tmcommonmadversemeffectsmassociatedmwithmopioidmanalgesics.mPhysicalmdependencemusuallymocc
ursminmpatientsmundergoingmlong-
termmtreatment.mDiarrheamismnotmanmeffectmofmopioidmanalgesics.mTakingmthemdosemwithmfoodmma
ymhelpmminimizemGImupset.
Ampatientmhasmbeenmtreatedmformlungmcancermform3myears.mOvermthempastmfewmmonths,mthempatie
ntmhasmnoticedmthatmthemopioidmanalgesicmismnotmhelpingmasmmuchmasmitmhadmpreviouslymandmmor
emmedicationmismneededmformthemsamempainmrelief.mThemnursemismawaremthatmthismpatientmismexper
iencingmwhichmofmthese?
a.mOpioidmaddictionm
b.mOpioidmtolerancem
c.mOpioidmtoxicitym
d.mOpioidmabstinencemsyndromem-mCORRECTmANSWERmb.mOpioidmtolerance
m
