1. Which of the following is a common side effect of opioid analgesics like morphine?
A. Diarrhea
B. Hypertension
C. Respiratory depression
D. Increased urination
Correct Answer: C
Rationale: Opioids suppress the respiratory center in the brain, leading to potentially life-
threatening respiratory depression.
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2. A client taking ibuprofen daily is at increased risk for which complication?
A. Constipation
B. Gastric ulcer
C. Hyperglycemia
D. Dry mouth
Correct Answer: B
Rationale: NSAIDs inhibit protective prostaglandins in the stomach, increasing the risk of
,ulcers and GI bleeding.
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3. Which medication is a non-opioid analgesic that can cause liver damage if taken in high
doses?
A. Naproxen
B. Acetaminophen
C. Aspirin
D. Codeine
Correct Answer: B
Rationale: Acetaminophen in doses above 4g/day is hepatotoxic and may lead to liver failure.
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4. Naloxone is used to reverse the effects of which drug?
A. Ibuprofen
B. Acetaminophen
C. Morphine
D. Aspirin
Correct Answer: C
Rationale: Naloxone (Narcan) is an opioid antagonist that reverses the effects of drugs like
morphine, especially in overdose.
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5. What is the priority nursing action before administering morphine IV?
A. Check the client’s temperature
B. Ask if the client has a history of seizures
C. Count respirations
D. Assess urine output
Correct Answer: C
Rationale: Morphine can cause respiratory depression, so the nurse must assess respiration
before administration.
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6. Which medication is safest for a patient with a history of gastric ulcers?
A. Aspirin
B. Ibuprofen
C. Acetaminophen
D. Naproxen
Correct Answer: C
Rationale: Acetaminophen does not irritate the gastric mucosa and is preferred in patients
with ulcers.
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