NSG 6005 WEEK 9 LEARNING WORKBOOK
2026 PATIENT ASSESSMENT AND DIAGNOSTIC
REASONING SKILLS
◉ Amber is a twenty-four-year-old who has had migraines for ten
years. She reports a migraine on average of once a month. The
migraines are effectively aborted with naratriptan (Amerge). When
refilling Amber's naratriptan education would include which of the
following?
A. Naratriptan will interact with antidepressants, including selective
serotonin reuptake inhibitors and St John's Wort, and she should
inform any providers she sees that she has migraines.
B. Continue to monitor her headaches; if the migraine is consistently
happening around her menses, then there is preventive therapy
available.
C. Pregnancy is contraindicated when taking a triptan.
D. All the given options are correct..
Answer: D. All the given options are correct.
◉ Kirk sprained his ankle and is asking for pain medication for his
mild-to-moderate pain. The appropriate first-line medication would
be __________.
,A. ibuprofen (Advil)
B. acetaminophen with hydrocodone (Vicodin)
C. oxycodone (OxyContin)
D. oral morphine (Roxanol).
Answer: A. ibuprofen (Advil)
◉ Sallie has been taking 10 mg of prednisone per day for the past six
months. She should be assessed for ________.
A. gout
B. iron deficiency anemia
C. osteoporosis
D. renal dysfunction.
Answer: C. osteoporosis
◉ Henry is eighty-two years old and takes two aspirin every
morning to treat the arthritis pain in his back. He states that the
aspirin helps him to "get going" each day. Lately, he has had some
heartburn from the aspirin. After ruling out an acute GI bleed, what
would be an appropriate course of treatment for Henry?
A. Add an H2 blocker such as ranitidine to his therapy.
B. Discontinue the aspirin and switch him to Vicodin for the pain.
,C. Decrease the aspirin dose to one tablet daily.
D. Have Henry take an antacid fifteen minutes before taking the
aspirin each day..
Answer: A. Add an H2 blocker such as ranitidine to his therapy.
◉ Juanita presents to clinic with a complaint of headaches off and on
for months. She reports she feels like someone is "squeezing" her
head. She occasionally takes Tylenol for the pain but usually just
"toughs it out." Initial treatment for tension headache includes
asking her to keep a headache diary and a prescription for ________.
A. sumatriptan (Imitrex)
B. naproxen (Aleve)
C. ergotamine (Ergostat)
D. Tylenol with codeine (Tylenol #3).
Answer: B. naproxen (Aleve)
◉ Narcotics are exogenous opiates. They act by ______.
A. inhibiting pain transmission in the spinal cord
B. attaching to receptors in the afferent neuron to inhibit the release
of substance P
C. blocking neurotransmitters in the midbrain
, D. increasing beta-lipoprotein excretion from the pituitary.
Answer: B. attaching to receptors in the afferent neuron to inhibit
the release of substance P
◉ Which of the following statements is true about age and pain?
A. Use of drugs that depend heavily on the renal system for excretion
may require dosage adjustments in very young children.
B. Among the NSAIDs, indomethacin is the preferred drug because of
lower adverse effects profiles than other NSAIDs.
C. Older adults who have dementia probably do not experience much
pain due to loss of pain receptors in the brain.
D. Acetaminophen is especially useful in both children and adults
because it has no effect on platelets and has fewer adverse effects
than NSAIDs..
Answer: D. Acetaminophen is especially useful in both children and
adults because it has no effect on platelets and has fewer adverse
effects than NSAIDs.
◉ Which of the following is the goal of treatment of acute pain?
A. Pain at a tolerable level where patient may return to activities of
daily living
B. Reduction of pain with a minimum of drug adverse effects
2026 PATIENT ASSESSMENT AND DIAGNOSTIC
REASONING SKILLS
◉ Amber is a twenty-four-year-old who has had migraines for ten
years. She reports a migraine on average of once a month. The
migraines are effectively aborted with naratriptan (Amerge). When
refilling Amber's naratriptan education would include which of the
following?
A. Naratriptan will interact with antidepressants, including selective
serotonin reuptake inhibitors and St John's Wort, and she should
inform any providers she sees that she has migraines.
B. Continue to monitor her headaches; if the migraine is consistently
happening around her menses, then there is preventive therapy
available.
C. Pregnancy is contraindicated when taking a triptan.
D. All the given options are correct..
Answer: D. All the given options are correct.
◉ Kirk sprained his ankle and is asking for pain medication for his
mild-to-moderate pain. The appropriate first-line medication would
be __________.
,A. ibuprofen (Advil)
B. acetaminophen with hydrocodone (Vicodin)
C. oxycodone (OxyContin)
D. oral morphine (Roxanol).
Answer: A. ibuprofen (Advil)
◉ Sallie has been taking 10 mg of prednisone per day for the past six
months. She should be assessed for ________.
A. gout
B. iron deficiency anemia
C. osteoporosis
D. renal dysfunction.
Answer: C. osteoporosis
◉ Henry is eighty-two years old and takes two aspirin every
morning to treat the arthritis pain in his back. He states that the
aspirin helps him to "get going" each day. Lately, he has had some
heartburn from the aspirin. After ruling out an acute GI bleed, what
would be an appropriate course of treatment for Henry?
A. Add an H2 blocker such as ranitidine to his therapy.
B. Discontinue the aspirin and switch him to Vicodin for the pain.
,C. Decrease the aspirin dose to one tablet daily.
D. Have Henry take an antacid fifteen minutes before taking the
aspirin each day..
Answer: A. Add an H2 blocker such as ranitidine to his therapy.
◉ Juanita presents to clinic with a complaint of headaches off and on
for months. She reports she feels like someone is "squeezing" her
head. She occasionally takes Tylenol for the pain but usually just
"toughs it out." Initial treatment for tension headache includes
asking her to keep a headache diary and a prescription for ________.
A. sumatriptan (Imitrex)
B. naproxen (Aleve)
C. ergotamine (Ergostat)
D. Tylenol with codeine (Tylenol #3).
Answer: B. naproxen (Aleve)
◉ Narcotics are exogenous opiates. They act by ______.
A. inhibiting pain transmission in the spinal cord
B. attaching to receptors in the afferent neuron to inhibit the release
of substance P
C. blocking neurotransmitters in the midbrain
, D. increasing beta-lipoprotein excretion from the pituitary.
Answer: B. attaching to receptors in the afferent neuron to inhibit
the release of substance P
◉ Which of the following statements is true about age and pain?
A. Use of drugs that depend heavily on the renal system for excretion
may require dosage adjustments in very young children.
B. Among the NSAIDs, indomethacin is the preferred drug because of
lower adverse effects profiles than other NSAIDs.
C. Older adults who have dementia probably do not experience much
pain due to loss of pain receptors in the brain.
D. Acetaminophen is especially useful in both children and adults
because it has no effect on platelets and has fewer adverse effects
than NSAIDs..
Answer: D. Acetaminophen is especially useful in both children and
adults because it has no effect on platelets and has fewer adverse
effects than NSAIDs.
◉ Which of the following is the goal of treatment of acute pain?
A. Pain at a tolerable level where patient may return to activities of
daily living
B. Reduction of pain with a minimum of drug adverse effects
