SECURITY TRAINING PRACTICE
EXAMINATION 2026 QUESTIONS
WITH ANSWERS GRADED A+
◍ Which of the following statements is true regarding pain?a. If a patient
complains of pain but has no physical signs, he or she is most
likelyexhibiting drug-seeking behaviors.b. Acute pain is more intense and
severe than chronic pain.c. Pain is a subjective experience related to actual
or potential tissue damage.d. All of the above.
Answer: c. Pain is a subjective experience related to actual or potential
tissue damage.
◍ Which of the following would be a cause of visceral pain?a. Bone
metastasesb. Intra-abdominal metastasesc. Musculoskeletal inflammationd.
Postsurgical incisional pain.
Answer: b. Intra-abdominal metastases
◍ What's the most common presenting complaint in CHF?.
Answer: Dyspnea
◍ What should be the initial management for a new wart?.
Answer: Watchful waiting
◍ According to the World Health Organization's analgesic ladder, which drug
combination would bemost appropriate in an opiate-naïve patient who
presents with moderate pain?a. Ibuprofen/imipramineb.
Naproxen/morphinec. Aspirin/fentanyld. Indomethacin/hydrocodone.
Answer: d. Indomethacin/hydrocodone
◍ A 75-year-old man is being treated as an outpatient for metastatic prostate
cancer. Which of thefollowing 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 theystay in the system longer, and
patients do not have to remember to take multiplepills.b. Serum creatinine is
the best measurement of renal function in the elderly andshould be done
prior to the initiation of treatment with opioids.c. Renal clearance of
medications is faster in the elderly, so higher dosages ofmedications are
needed to adequately control pain.d. None of the above.
Answer: d. None of the above
◍ The pt weighs 350 1bs & is on a wt loss program After 6 mo, which ideal wt
in pounds should the clinician observe?.
Answer: 315
◍ What must be completed prior to admin TPA?.
Answer: Head CT
◍ The provider is seeing a pt c/o red eye. The provider suspects convuctivitis.
The presence of mucopurulent discharge suggests which type of
conjunctivitis?.
Answer: Bacterial conjuntivitis
◍ The clinician has instructed a 23 yr old pt w low back strain, to use NSAIDs
to manage his symp of pain. What statement is most appropriate when
teaching abt the use of NSAIDs?.
Answer: "You should start w the LOWEST dose thats effective in managing
ur pain,bc long-term use of NSAIDs can result in GI disorders like ulcers &
hemorrhage"
◍ Which ethnic group has the highest lung cancer incidence & mortality
rates?.
Answer: African American MEN
◍ 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 befelt, and he will
have relief at that time..
Answer: b. Prescribe a short-acting opioid for breakthrough pain.
◍ A 40 yr old Hispanic female w a hx of DM, HTN, & HI
V. She has a TB skin test. What's the smallest diameter of induration that
would indicate a + result?.
Answer: 5 mm
◍ A 27 yr old female presents w a cc of burning & pain on urination. She has
no prev hx of UT
I. What are some additional symp consistent w a dx of lower UTI?.
Answer: Blood in urine & frequency
◍ A patient is preparing to be discharged to home with hospice. She is on a
morphine patientcontrolledanalgesia (PCA) in the hospital. She is concerned
as to whether she can stay on hermorphine PCA at home even when she is
not able to give herself boluses. What would be anappropriate response from
the clinician?a. "We are unable to prescribe a PCA for use at home. If you
are comfortable on thePCA, you should remain in the hospital."b. "It would
be possible for your nurse or another trained family member to activatethe
dosing button when you are unable to do so."c. "A PCA is not an
appropriate method of pain medication delivery once you areunable 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
betaken care of for you.".
Answer: b. "It would be possible for your nurse or another trained family
member to activatethe dosing button when you are unable to do so."
◍ A pt comes to the office c/o constipation. The pt lists all of the following
meds. Which drug could be responsible for the constipation?.
Answer: Pepto-Bismol
◍ A patient taking PO hydromorphone for pain control has developed
dysphagia. The clinician decidesto switch the patient to IV hydromorphone.
What ratio of IV:PO hydromorphone does the clinicianneed to know to
EXAMINATION 2026 QUESTIONS
WITH ANSWERS GRADED A+
◍ Which of the following statements is true regarding pain?a. If a patient
complains of pain but has no physical signs, he or she is most
likelyexhibiting drug-seeking behaviors.b. Acute pain is more intense and
severe than chronic pain.c. Pain is a subjective experience related to actual
or potential tissue damage.d. All of the above.
Answer: c. Pain is a subjective experience related to actual or potential
tissue damage.
◍ Which of the following would be a cause of visceral pain?a. Bone
metastasesb. Intra-abdominal metastasesc. Musculoskeletal inflammationd.
Postsurgical incisional pain.
Answer: b. Intra-abdominal metastases
◍ What's the most common presenting complaint in CHF?.
Answer: Dyspnea
◍ What should be the initial management for a new wart?.
Answer: Watchful waiting
◍ According to the World Health Organization's analgesic ladder, which drug
combination would bemost appropriate in an opiate-naïve patient who
presents with moderate pain?a. Ibuprofen/imipramineb.
Naproxen/morphinec. Aspirin/fentanyld. Indomethacin/hydrocodone.
Answer: d. Indomethacin/hydrocodone
◍ A 75-year-old man is being treated as an outpatient for metastatic prostate
cancer. Which of thefollowing 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 theystay in the system longer, and
patients do not have to remember to take multiplepills.b. Serum creatinine is
the best measurement of renal function in the elderly andshould be done
prior to the initiation of treatment with opioids.c. Renal clearance of
medications is faster in the elderly, so higher dosages ofmedications are
needed to adequately control pain.d. None of the above.
Answer: d. None of the above
◍ The pt weighs 350 1bs & is on a wt loss program After 6 mo, which ideal wt
in pounds should the clinician observe?.
Answer: 315
◍ What must be completed prior to admin TPA?.
Answer: Head CT
◍ The provider is seeing a pt c/o red eye. The provider suspects convuctivitis.
The presence of mucopurulent discharge suggests which type of
conjunctivitis?.
Answer: Bacterial conjuntivitis
◍ The clinician has instructed a 23 yr old pt w low back strain, to use NSAIDs
to manage his symp of pain. What statement is most appropriate when
teaching abt the use of NSAIDs?.
Answer: "You should start w the LOWEST dose thats effective in managing
ur pain,bc long-term use of NSAIDs can result in GI disorders like ulcers &
hemorrhage"
◍ Which ethnic group has the highest lung cancer incidence & mortality
rates?.
Answer: African American MEN
◍ 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 befelt, and he will
have relief at that time..
Answer: b. Prescribe a short-acting opioid for breakthrough pain.
◍ A 40 yr old Hispanic female w a hx of DM, HTN, & HI
V. She has a TB skin test. What's the smallest diameter of induration that
would indicate a + result?.
Answer: 5 mm
◍ A 27 yr old female presents w a cc of burning & pain on urination. She has
no prev hx of UT
I. What are some additional symp consistent w a dx of lower UTI?.
Answer: Blood in urine & frequency
◍ A patient is preparing to be discharged to home with hospice. She is on a
morphine patientcontrolledanalgesia (PCA) in the hospital. She is concerned
as to whether she can stay on hermorphine PCA at home even when she is
not able to give herself boluses. What would be anappropriate response from
the clinician?a. "We are unable to prescribe a PCA for use at home. If you
are comfortable on thePCA, you should remain in the hospital."b. "It would
be possible for your nurse or another trained family member to activatethe
dosing button when you are unable to do so."c. "A PCA is not an
appropriate method of pain medication delivery once you areunable 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
betaken care of for you.".
Answer: b. "It would be possible for your nurse or another trained family
member to activatethe dosing button when you are unable to do so."
◍ A pt comes to the office c/o constipation. The pt lists all of the following
meds. Which drug could be responsible for the constipation?.
Answer: Pepto-Bismol
◍ A patient taking PO hydromorphone for pain control has developed
dysphagia. The clinician decidesto switch the patient to IV hydromorphone.
What ratio of IV:PO hydromorphone does the clinicianneed to know to
