Lilley Pharmacology Chapter 10 and 11
Test Bank
A patient was diagnosed with pancreatic cancer last month, and has complained of a dull ache in the
abdomen for the past 4 months. This pain has been gradually increasing, and the pain relievers taken at
home are no longer effective. What type of pain is the patient experiencing?
A. Acute pain
B. Chronic pain
C. Somatic pain
D. Neuropathic pain - Correct Answer: B. Chronic Pain
An 18-year-old basketball player fell and twisted his ankle during a game. The nurse will expect to
administer which type of analgesic
A. Synthetic opioid, such as meperidine (Demerol)
B. Opium alkaloid, such as morphine sulfate
C. Opioid antagonist, such as halo one HCL (Narcan)
D. Nonopioid analgesic , such as indomethacin (Indocin) - Correct Answer: D. Nonopioid analgesic, such
as indomethacin (Indocin)
A patient is recovering from abdominal surgery, which he had this morning. He is groggy but complaining
of severe pain around his incision. What is the most important assessment data to consider before the
nurse administers a dose of morphine sulfate to the patient?
A. His pulse rate
B. His respiratory rate
C. The appearance of the incision
D. The date of his last bowel movement - Correct Answer: B. His respiratory rate
A 78-year-old patient is in the recovery room after having a lengthy surgery on his hip. As he is gradually
awakening, he requests pain medication. Within 10 minutes after receiving a dose of morphine sulfate,
he is very lethargic and his respirations are shallow, with a rate of 7 per minute. The nurse prepares for
which priority action at this time?
, A. Assessment of the patient's pain level
B. Immediate intubation and artificial ventilation
C. Administration of naloxone (Narcan)
D. Close observation of signs of opioid tolerance - Correct Answer: C. Administration of naloxone
(Narcan)
A patient will be discharged with a 1-week supply of an opioid analgesic for pain management after
abdominal surgery. The nurse will include which information in the teaching plan?
A. How to prevent dehydration due to diarrhea
B. The importance of taking the drug only when the pain becomes severe
C. How to prevent constipation
D. The importance of taking the drug on an empty stomach - Correct Answer: C. How to prevent
constipation
A patient has been treated for lung cancer for 3 years. Over the past few months, the patient has noticed
that the opioid analgesic is not helping as much as it had previously and more medication is needed for
he same pain relief. The nurse is aware that this patient is experience which of these?
A. Opioid addiction
B. Opioid tolerance
C. Opioid toxicity
D. Opioid abstinence syndrome - Correct Answer: B. Opioid tolerance
A 38-year-old man has come into the urgent care center with severe hip pain after falling from a ladder
at work. He says he has taken several pain pills over the past few hours but cannot remember how many
he has taken. He hands the nurse an empty bottle of acetaminophen (Tylenol). The nurse is aware that
the most serious toxic effect of acute acetaminophen overdose is which condition?
A. Tachycardia
B. Central nervous system depression
C. Hepatic necrosis
D. Nephropathy - Correct Answer: C. Hepatic necrosis
Test Bank
A patient was diagnosed with pancreatic cancer last month, and has complained of a dull ache in the
abdomen for the past 4 months. This pain has been gradually increasing, and the pain relievers taken at
home are no longer effective. What type of pain is the patient experiencing?
A. Acute pain
B. Chronic pain
C. Somatic pain
D. Neuropathic pain - Correct Answer: B. Chronic Pain
An 18-year-old basketball player fell and twisted his ankle during a game. The nurse will expect to
administer which type of analgesic
A. Synthetic opioid, such as meperidine (Demerol)
B. Opium alkaloid, such as morphine sulfate
C. Opioid antagonist, such as halo one HCL (Narcan)
D. Nonopioid analgesic , such as indomethacin (Indocin) - Correct Answer: D. Nonopioid analgesic, such
as indomethacin (Indocin)
A patient is recovering from abdominal surgery, which he had this morning. He is groggy but complaining
of severe pain around his incision. What is the most important assessment data to consider before the
nurse administers a dose of morphine sulfate to the patient?
A. His pulse rate
B. His respiratory rate
C. The appearance of the incision
D. The date of his last bowel movement - Correct Answer: B. His respiratory rate
A 78-year-old patient is in the recovery room after having a lengthy surgery on his hip. As he is gradually
awakening, he requests pain medication. Within 10 minutes after receiving a dose of morphine sulfate,
he is very lethargic and his respirations are shallow, with a rate of 7 per minute. The nurse prepares for
which priority action at this time?
, A. Assessment of the patient's pain level
B. Immediate intubation and artificial ventilation
C. Administration of naloxone (Narcan)
D. Close observation of signs of opioid tolerance - Correct Answer: C. Administration of naloxone
(Narcan)
A patient will be discharged with a 1-week supply of an opioid analgesic for pain management after
abdominal surgery. The nurse will include which information in the teaching plan?
A. How to prevent dehydration due to diarrhea
B. The importance of taking the drug only when the pain becomes severe
C. How to prevent constipation
D. The importance of taking the drug on an empty stomach - Correct Answer: C. How to prevent
constipation
A patient has been treated for lung cancer for 3 years. Over the past few months, the patient has noticed
that the opioid analgesic is not helping as much as it had previously and more medication is needed for
he same pain relief. The nurse is aware that this patient is experience which of these?
A. Opioid addiction
B. Opioid tolerance
C. Opioid toxicity
D. Opioid abstinence syndrome - Correct Answer: B. Opioid tolerance
A 38-year-old man has come into the urgent care center with severe hip pain after falling from a ladder
at work. He says he has taken several pain pills over the past few hours but cannot remember how many
he has taken. He hands the nurse an empty bottle of acetaminophen (Tylenol). The nurse is aware that
the most serious toxic effect of acute acetaminophen overdose is which condition?
A. Tachycardia
B. Central nervous system depression
C. Hepatic necrosis
D. Nephropathy - Correct Answer: C. Hepatic necrosis
