NRS 3015 MEDICAL SURGICAL NURSING I:
FINAL EXAM (2025) comprehensive questions
and verified detailed solutions ( MULTIPLE
CHOICES) |100% CORRECT!!
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Rank these opioids in Fentanyl, Dilaudid, Morphine, Codeine
order of strength:
Codeine, Fentanyl,
Morphine, Dilaudid
What is the most Respiratory Rate
important assessment the
nurse completes before
administering an opioid
agonist?
a.) hepatic labs
b.) respiratory rate
c.) bowel sounds
d.) pulse oximetry
Side effects of opioid A, B, C, D
agonists: (SATA)
a.) diminished cough
reflex
b.) pruritis
c.) constipation
d.) increased fall risk
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The patient is ordered call the pharmacy and request a lesser
Acet/Hydromorph concentration
325mg/5mg, the floor
stocks Acet/Hydromorph
500mg/5mg. What
should the nurse do?
a.) call the provider and
ask for an order change
b.) call the pharmacy and
request the lesser
concentration
c.) administer the stocked
dose - this is an
acceptable substitution
How fast can we push an over 3-5 minutes
opioid agonist
intravenously?
a.) over 1-2 minutes
b.) over 3-5 minutes
c.) over 10-15 minutes
d.) opioids should not be
pushed IV
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Which patient should a 24-year old male s/p appendectomy ambulating
NOT receive an IVP in the hall with a PTA
opioid agonist?
a.) a 65-year old woman
with a history of ovarian
cancer and COPD
b.) a 24-year old male s/p
appendectomy
ambulating in the hall
with a PTA
c.) a 44-year old male s/p
surgical resection of the
bowel with a history of
SUD
d.) a 68-year old male
with s/p prostatectomy
and a pulse ox of 94%
Opioid agonists should Both-ish, there's not enough information here to
be given on a PRN basis answer this question
and not scheduled.
True or False
Why would we schedule A, B
opioid agonists for a
patient's pain? (SATA)
a.) the patient will be
participating in therapy
or other painful activity
b.) the patient has had a
major injury or surgery
and pain is expected
c.) the nurse needs to
schedule their care of
their assignment`
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How can we best assess A, B, C
pain in a non-verbal
patient? (SATA)
a.) use a visual report aid
that the patient can point
to
b.) ask the patient to hold
up fingers (1-10) related
to pain level
c.) use the FACES scale
to have them indicate
which one best matches
the pain
d.) the nurse can match
the patient's appearance
to the FACES pain scale
A 2 day s/p knee auscultate the abdomen
replacement patient
receiving opioids has
N/V. What should the
nurse do first?
a.) hold the opioid
medication at next dose
b.) palpate the abdomen
c.) auscultate the
abdomen
d.) administer Zofran
4mg, IVP
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