1|Page
NURS 5334 EXAM 2 (UTA) NEWEST 2026 ACTUAL
EXAM TEST BANK| NURS 5334 ADVANCED
PHARMACOLOGY EXAM 2 REVIEW WITH
COMPLETE REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED A+
A hospice patient with metastatic lung cancer is currently receiving
oxycodone 15 mg four times daily. Recommend an appropriate rescue
dose for this patient.
A. 2.5 mg to 5 mg PO every 1 to 2 hours
B. 0.5 to 1 mg PO every 1 to 2 hours
C. 2.5 to 5 mg PO every 4 hours
D. 0.5 mg to 1 mg PO every 4 hours – Correct Answer – C.
Rescue or breakthrough doses should be 5% to 10% of the total daily
opioid requirement given consistently with frequency of the product.
Dose is appropriate; frequency is correct.
A 75-year-old man with metastatic prostate cancer is receiving
oxycodone controlled-release 10 mg twice daily and has experienced
constipation requiring use of enema. He currently take Senna 2 tablets at
bedtime. Which of the following would you recommend for his bowel
regimen?
A. Senna 2 tablets twice daily
B. Docusate sodium 100 mg twice daily
C. Psyllium 2 tablespoonfuls daily
D. Bisacodyl 5 mg tablet daily. – Correct Answer – A.
pg. 1
,2|Page
A stimulant laxative is recommended to prevent opioid-induced
constipation. Even though he is already receiving Senna, advancing the
dose by 2 tablets until effect is achieved is the recommended approach.
A 65-year-old man with lower back pain complains of numbness and
electric shock-like pain localized to his lumbar region. Which of the
following would be the most appropriate initial treatment for his type of
pain?
A. Duloxetine
B. Gabapentin
C. Amitriptyline
D. Lidocaine transdermal – Correct Answer – D.
Since pain is localized, lidocaine transdermal to the affected location is
preferred as initial treatment.
Which of the following would NOT be an appropriate choice for
postoperative pain management in a patient dependent on opioids?
A. Epidural analgesia with morphine and bupivacaine
B. Patient-controlled analgesia with hydromorphone
C. Oral oxycodone 5 mg po every 4 to 6 hours as needed for pain
D. Morphine 10 mg IV every 4 to 6 hours as needed for pain – Correct
Answer – A.
Epidural morphine would be instilled in the epidural space and would
stimulate receptors in other areas. Thus, it may precipitate withdrawal in
a patient dependent on opioids.
pg. 2
,3|Page
A 78-year-old woman with a history of fibromyalgia complains of pain
in her joints and related gastrointestinal discomfort. What is the most
likely pathophysiologic type of pain in this case?
A. Nociceptive
B. Inflammatory
C. Neuropathic
D. Nociplastic – Correct Answer – D.
Nociplastic pain is type of chronic pain with complaints of pain in areas
unrelated to the site of original injury or disease.
A 58-year-old woman with metastatic breast cancer and bone metastases
is currently receiving morphine oral solution 30 mg every 4 hours
around the clock. She desires to switch to a sustained-release form of
morphine, MS Contin. Suggest the most appropriate dose of MS Contin
for this patient.
A. MS Contin 60 mg three times daily
B. MS Contin 90 mg twice daily
C. MS Contin 45 mg two times daily
D. MS Contin 45 mg three times daily – Correct Answer – D.
Dose conversion is correct, has been adjusted for sustained-release
preparations; frequency can be given two or three times daily.
A 62-year-old investment banker has been suffering with chronic low
back pain for the past 2 months after MVC. He has been evaluated, and
no pathology is noted. He is trying to adhere to a prescribed exercise
plan but is limited by pain. His provider ordered morphine 5 to 10 mg
orally every 4 hours, which provided good relief but caused itching. The
prescriber has asked you to calculate a dose of oxycodone that will
provide equivalent pain control. The patient says a total daily dose of
pg. 3
, 4|Page
about 45 mg of oral morphine provides good pain control. What total
daily dose of oxycodone would you recommend?
A. 60 mg
B. 45 mg
C. 30 mg
D. 20 mg – Correct Answer – D.
Equianalgesic dosing is correct and has been adjusted for incomplete
cross-tolerance between opioids.
A 54-year-old woman with diabetic peripheral neuropathy continues to
experience pain in her feet that she describes as constant and burning in
nature. She has tried duloxetine with no relief at optimal doses. What
would be the next step in management of his neuropathic pain?
A. Switch to venlafaxine, an SNRI
B. Add tramadol
C. Switch to gabapentin
D. Continue current therapy – Correct Answer – C.
If no partial relief is obtained, the current agents should be discontinued
and an anticonvulsant should be tried.
A 62-year-old woman with rheumatoid arthritis and history of coronary
artery disease complains of pain in her hands and feet. She has
occasional swelling but no deformity. She describes pain as a 3 on a
scale of 1 to 10. Her primary care physician asks you for advice
regarding initial pain management for this patient. What would you
select as initial treatment for her pain?
A. Ibuprofen 200 mg every 6 hours
B. Acetaminophen 325 mg every 4 to 6 hours
pg. 4
NURS 5334 EXAM 2 (UTA) NEWEST 2026 ACTUAL
EXAM TEST BANK| NURS 5334 ADVANCED
PHARMACOLOGY EXAM 2 REVIEW WITH
COMPLETE REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED A+
A hospice patient with metastatic lung cancer is currently receiving
oxycodone 15 mg four times daily. Recommend an appropriate rescue
dose for this patient.
A. 2.5 mg to 5 mg PO every 1 to 2 hours
B. 0.5 to 1 mg PO every 1 to 2 hours
C. 2.5 to 5 mg PO every 4 hours
D. 0.5 mg to 1 mg PO every 4 hours – Correct Answer – C.
Rescue or breakthrough doses should be 5% to 10% of the total daily
opioid requirement given consistently with frequency of the product.
Dose is appropriate; frequency is correct.
A 75-year-old man with metastatic prostate cancer is receiving
oxycodone controlled-release 10 mg twice daily and has experienced
constipation requiring use of enema. He currently take Senna 2 tablets at
bedtime. Which of the following would you recommend for his bowel
regimen?
A. Senna 2 tablets twice daily
B. Docusate sodium 100 mg twice daily
C. Psyllium 2 tablespoonfuls daily
D. Bisacodyl 5 mg tablet daily. – Correct Answer – A.
pg. 1
,2|Page
A stimulant laxative is recommended to prevent opioid-induced
constipation. Even though he is already receiving Senna, advancing the
dose by 2 tablets until effect is achieved is the recommended approach.
A 65-year-old man with lower back pain complains of numbness and
electric shock-like pain localized to his lumbar region. Which of the
following would be the most appropriate initial treatment for his type of
pain?
A. Duloxetine
B. Gabapentin
C. Amitriptyline
D. Lidocaine transdermal – Correct Answer – D.
Since pain is localized, lidocaine transdermal to the affected location is
preferred as initial treatment.
Which of the following would NOT be an appropriate choice for
postoperative pain management in a patient dependent on opioids?
A. Epidural analgesia with morphine and bupivacaine
B. Patient-controlled analgesia with hydromorphone
C. Oral oxycodone 5 mg po every 4 to 6 hours as needed for pain
D. Morphine 10 mg IV every 4 to 6 hours as needed for pain – Correct
Answer – A.
Epidural morphine would be instilled in the epidural space and would
stimulate receptors in other areas. Thus, it may precipitate withdrawal in
a patient dependent on opioids.
pg. 2
,3|Page
A 78-year-old woman with a history of fibromyalgia complains of pain
in her joints and related gastrointestinal discomfort. What is the most
likely pathophysiologic type of pain in this case?
A. Nociceptive
B. Inflammatory
C. Neuropathic
D. Nociplastic – Correct Answer – D.
Nociplastic pain is type of chronic pain with complaints of pain in areas
unrelated to the site of original injury or disease.
A 58-year-old woman with metastatic breast cancer and bone metastases
is currently receiving morphine oral solution 30 mg every 4 hours
around the clock. She desires to switch to a sustained-release form of
morphine, MS Contin. Suggest the most appropriate dose of MS Contin
for this patient.
A. MS Contin 60 mg three times daily
B. MS Contin 90 mg twice daily
C. MS Contin 45 mg two times daily
D. MS Contin 45 mg three times daily – Correct Answer – D.
Dose conversion is correct, has been adjusted for sustained-release
preparations; frequency can be given two or three times daily.
A 62-year-old investment banker has been suffering with chronic low
back pain for the past 2 months after MVC. He has been evaluated, and
no pathology is noted. He is trying to adhere to a prescribed exercise
plan but is limited by pain. His provider ordered morphine 5 to 10 mg
orally every 4 hours, which provided good relief but caused itching. The
prescriber has asked you to calculate a dose of oxycodone that will
provide equivalent pain control. The patient says a total daily dose of
pg. 3
, 4|Page
about 45 mg of oral morphine provides good pain control. What total
daily dose of oxycodone would you recommend?
A. 60 mg
B. 45 mg
C. 30 mg
D. 20 mg – Correct Answer – D.
Equianalgesic dosing is correct and has been adjusted for incomplete
cross-tolerance between opioids.
A 54-year-old woman with diabetic peripheral neuropathy continues to
experience pain in her feet that she describes as constant and burning in
nature. She has tried duloxetine with no relief at optimal doses. What
would be the next step in management of his neuropathic pain?
A. Switch to venlafaxine, an SNRI
B. Add tramadol
C. Switch to gabapentin
D. Continue current therapy – Correct Answer – C.
If no partial relief is obtained, the current agents should be discontinued
and an anticonvulsant should be tried.
A 62-year-old woman with rheumatoid arthritis and history of coronary
artery disease complains of pain in her hands and feet. She has
occasional swelling but no deformity. She describes pain as a 3 on a
scale of 1 to 10. Her primary care physician asks you for advice
regarding initial pain management for this patient. What would you
select as initial treatment for her pain?
A. Ibuprofen 200 mg every 6 hours
B. Acetaminophen 325 mg every 4 to 6 hours
pg. 4
