1|Page
Opioids & Analgesics LPN
Pharmacology Exam | Multiple
Choice | NCLEX-PN®
Exam Structure:
Subject: Opioids & Analgesics – LPN Pharmacology Exam Preparation
Source: Opioids/Analgesics Section – Verified Questions & Answers
Format: Multiple-choice with Correct Answers and Rationales
Question 1
A patient is 2 hours post-abdominal surgery. The patient received
codeine 30 mg with acetaminophen and now reports a pain level of 7 on a
scale of 1 to 10. The patient is not satisfied with the pain relief. Vital
signs: heart rate 110 beats/min, respiratory rate 28 breaths/min,
blood pressure 180/90 mmHg. What action should the nurse take?
Options:
A. Administer the next dose of codeine 1 hour early.
B. Ask the provider if the codeine dose can be increased.
C. Contact the provider to ask if a dose of ibuprofen may be given now.
D. Request an order for oxycodone with acetaminophen.
Question 2
The nurse is teaching a female patient who will begin taking 2 tablets of
325 mg acetaminophen every 4 to 6 hours as needed for pain. Which
statement by the patient indicates understanding of the teaching?
Options:
A. “I may take acetaminophen up to 6 times daily if needed.”
B. “I should increase the dose of acetaminophen if I drink caffeinated
coffee.”
C. “If I take oral contraceptive pills, I should use back-up contraception.”
, 2|Page
D. “It is safe to take acetaminophen with any over-the-counter
medications.”
Question 3
The parent of a 5-year-old child asks the nurse to recommend
an over-the-counter pain medication for the child. Which analgesic will
the nurse recommend?
Options:
A. Acetaminophen
B. Aspirin
C. Diflunisal
D. Celecoxib
Question 4
The nurse is performing an admission assessment on an adolescent who
reports taking extra-strength acetaminophen regularly to treat daily
headaches. The nurse will notify the provider and discuss an order for
which of the following?
Options:
A. A selective serotonin receptor agonist (triptan)
B. Hydrocodone with acetaminophen for headache pain
C. Liver enzyme testing
D. Serum glucose testing
Question 5
The nurse is providing teaching to a patient who will begin
taking acetaminophen to treat arthritis pain. Which statement by the
patient indicates a need for further teaching?
Options:
A. “I should increase fiber and fluids while taking aspirin.”
B. “I will call my provider if I experience significant abdominal pain.”
C. “I will avoid taking this in combination with other over-the-counter pain
relievers without talking with my doctor first.”
D. “I will notify my provider of ringing in my ears.”
Question 6
Opioids & Analgesics LPN
Pharmacology Exam | Multiple
Choice | NCLEX-PN®
Exam Structure:
Subject: Opioids & Analgesics – LPN Pharmacology Exam Preparation
Source: Opioids/Analgesics Section – Verified Questions & Answers
Format: Multiple-choice with Correct Answers and Rationales
Question 1
A patient is 2 hours post-abdominal surgery. The patient received
codeine 30 mg with acetaminophen and now reports a pain level of 7 on a
scale of 1 to 10. The patient is not satisfied with the pain relief. Vital
signs: heart rate 110 beats/min, respiratory rate 28 breaths/min,
blood pressure 180/90 mmHg. What action should the nurse take?
Options:
A. Administer the next dose of codeine 1 hour early.
B. Ask the provider if the codeine dose can be increased.
C. Contact the provider to ask if a dose of ibuprofen may be given now.
D. Request an order for oxycodone with acetaminophen.
Question 2
The nurse is teaching a female patient who will begin taking 2 tablets of
325 mg acetaminophen every 4 to 6 hours as needed for pain. Which
statement by the patient indicates understanding of the teaching?
Options:
A. “I may take acetaminophen up to 6 times daily if needed.”
B. “I should increase the dose of acetaminophen if I drink caffeinated
coffee.”
C. “If I take oral contraceptive pills, I should use back-up contraception.”
, 2|Page
D. “It is safe to take acetaminophen with any over-the-counter
medications.”
Question 3
The parent of a 5-year-old child asks the nurse to recommend
an over-the-counter pain medication for the child. Which analgesic will
the nurse recommend?
Options:
A. Acetaminophen
B. Aspirin
C. Diflunisal
D. Celecoxib
Question 4
The nurse is performing an admission assessment on an adolescent who
reports taking extra-strength acetaminophen regularly to treat daily
headaches. The nurse will notify the provider and discuss an order for
which of the following?
Options:
A. A selective serotonin receptor agonist (triptan)
B. Hydrocodone with acetaminophen for headache pain
C. Liver enzyme testing
D. Serum glucose testing
Question 5
The nurse is providing teaching to a patient who will begin
taking acetaminophen to treat arthritis pain. Which statement by the
patient indicates a need for further teaching?
Options:
A. “I should increase fiber and fluids while taking aspirin.”
B. “I will call my provider if I experience significant abdominal pain.”
C. “I will avoid taking this in combination with other over-the-counter pain
relievers without talking with my doctor first.”
D. “I will notify my provider of ringing in my ears.”
Question 6
