©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
NU129 Test 2 Practice Questions and
Answers
A patient is prescribed opioid analgesic. During the initial interview with the patient, the nurse
understands that the patient chronically drinks alcohol. Which of the following effect of the interaction
between opioid analgesic and alcohol should the nurse monitor for in the patient?
a. Sedation
b. Hypotension
c. Respiratory depression
d. Central nervous system depression - Ans:✔✔-d. Central nervous system depression
Rationale:
The nurse should monitor the patient for central nervous system depression. The nurse need not
monitor the patient for respiratory depression, hypotension, and sedation because these are the effects
of interaction of opioid analgesic with barbiturates, not alcohol.
Page 1/34
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Which of the following conditions would occur due to the administration of an opioid antagonist in a
patient who is physically dependent on opioids?
a. Insomnia
b. Hypotension
c. Withdrawal symptoms
d. Drowsiness - Ans:✔✔-c. Withdrawal symptoms
Rationale:
Opioid antagonists produce withdrawal symptoms in patients who are physically dependent on opioids.
Drowsiness, hypotension, and insomnia do not occur in opioid dependent patients who are administered
opioid antagonists.
When administering an opioid antagonist drug to a client, the primary goal of the therapy is to provide
which of the following?
a. A return to normal respiratory rate, rhythm, and depth
b. A reduction in the client's rating of their pain
c. Promote alertness and improve memory function
Page 2/34
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
d. Management of alcohol withdrawal symptoms - Ans:✔✔-b. A return to normal respiratory rate,
rhythm, and depth
Rationale:
The primary reason for administering an opioid antagonist is because the client is experiencing
respiratory depression. Therefore, the goal is to improve the client's respiratory rate, rhythm, and depth.
None of the other options is part of the drug therapy.
A patient with respiratory depression is administered an opioid antagonist by the nurse. What ongoing
assessment should the nurse perform when administering the opioid antagonist to the patient?
a. Monitor the blood pH level of the patient
b. Monitor vital signs every 5 to 15 minutes
c. Teach different breathing patterns to the patient
d. Review allergy history and other treatment modalities - Ans:✔✔-b. Monitor vital signs every 5 to 15
minutes.
Rationale:
Page 3/34
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
The ongoing assessment performed by the nurse when administering an opioid antagonist to the patient
involves monitoring the vital signs of the patient every 5 to 15 minutes. Monitoring the blood pH level of
the patient is not a part of the ongoing assessment. Reviewing the allergy history and other treatment
modalities and coaching different breathing patterns to the patient are pre-administration assessments
that are performed before the administration of the drug; they are not ongoing assessments.
Which of the following can occur if the nurse administers naloxone (Narcan) as a rapid IV bolus? Select
all that apply:
a. Respiratory depression
b. Withdrawal
c. Intense pain
d. Hypotension
e. Vomiting - Ans:✔✔-b. Withdrawal
c. Intense pain
d. Vomiting
Rationale:
Page 4/34
FIRST PUBLISH OCTOBER 2024
NU129 Test 2 Practice Questions and
Answers
A patient is prescribed opioid analgesic. During the initial interview with the patient, the nurse
understands that the patient chronically drinks alcohol. Which of the following effect of the interaction
between opioid analgesic and alcohol should the nurse monitor for in the patient?
a. Sedation
b. Hypotension
c. Respiratory depression
d. Central nervous system depression - Ans:✔✔-d. Central nervous system depression
Rationale:
The nurse should monitor the patient for central nervous system depression. The nurse need not
monitor the patient for respiratory depression, hypotension, and sedation because these are the effects
of interaction of opioid analgesic with barbiturates, not alcohol.
Page 1/34
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Which of the following conditions would occur due to the administration of an opioid antagonist in a
patient who is physically dependent on opioids?
a. Insomnia
b. Hypotension
c. Withdrawal symptoms
d. Drowsiness - Ans:✔✔-c. Withdrawal symptoms
Rationale:
Opioid antagonists produce withdrawal symptoms in patients who are physically dependent on opioids.
Drowsiness, hypotension, and insomnia do not occur in opioid dependent patients who are administered
opioid antagonists.
When administering an opioid antagonist drug to a client, the primary goal of the therapy is to provide
which of the following?
a. A return to normal respiratory rate, rhythm, and depth
b. A reduction in the client's rating of their pain
c. Promote alertness and improve memory function
Page 2/34
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
d. Management of alcohol withdrawal symptoms - Ans:✔✔-b. A return to normal respiratory rate,
rhythm, and depth
Rationale:
The primary reason for administering an opioid antagonist is because the client is experiencing
respiratory depression. Therefore, the goal is to improve the client's respiratory rate, rhythm, and depth.
None of the other options is part of the drug therapy.
A patient with respiratory depression is administered an opioid antagonist by the nurse. What ongoing
assessment should the nurse perform when administering the opioid antagonist to the patient?
a. Monitor the blood pH level of the patient
b. Monitor vital signs every 5 to 15 minutes
c. Teach different breathing patterns to the patient
d. Review allergy history and other treatment modalities - Ans:✔✔-b. Monitor vital signs every 5 to 15
minutes.
Rationale:
Page 3/34
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
The ongoing assessment performed by the nurse when administering an opioid antagonist to the patient
involves monitoring the vital signs of the patient every 5 to 15 minutes. Monitoring the blood pH level of
the patient is not a part of the ongoing assessment. Reviewing the allergy history and other treatment
modalities and coaching different breathing patterns to the patient are pre-administration assessments
that are performed before the administration of the drug; they are not ongoing assessments.
Which of the following can occur if the nurse administers naloxone (Narcan) as a rapid IV bolus? Select
all that apply:
a. Respiratory depression
b. Withdrawal
c. Intense pain
d. Hypotension
e. Vomiting - Ans:✔✔-b. Withdrawal
c. Intense pain
d. Vomiting
Rationale:
Page 4/34
