8/17/25, 10:10
AM
NURS 305 TEST 1: PAIN EXAM QUESTIONS
AND ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED LATEST UPDATE GRADED A++
2025/2026
Terms in this set (97)
Opioid These analgesics are the most effective pain
relievers available; prototype= morphine
Part of fight or flight
natural pain relief Ex.
endogenous opioid Ekep
peptides halins
Endor
phins
Dynor
phins
These receptors mediate analgesia, respiratory
Mu depression, sedation, and decreased GI motility
Opioid analgesics act primarily here
Kappa These receptors mediate analgesia, sedation,
and decreased GI motility; Nalbuphine is an
agonist here
Codeine Prototype moderate-strong opioid agonist
Morphine It's primary advantage is it relieves pain w/o
affecting other senses; DOC for mod- severe
1/
16
,8/17/25, 10:10
AM
pain
Drowsiness Most common adverse effect of morphine
Respiratory Depression Most serious adverse effect of morphine/opioids
Additive Do not take morphine with alcohol, and use caution
when taking it with
promethazine because they can have an effect with
respiratory depression
2 Half life of morphine hours
sedated A patient will become before he experiences
respiratory depression!
constipation; miosis The patient does NOT develop tolerance towards __________
or__________________________________(alphabetical)
Orthostatic hypotension Adverse effect of morphine d/t blocked baroreceptor
reflex causing vasodilation
Cough suppression Adverse effect of morphine d/t action on
medulla receptors; encourage patient to cough
and listen to their lungs!
Urinary retention Adverse effect of morphine d/t increased tone
of urinary sphincter and detrusor; encourage
voiding every 4 hours, monitor I&O, palpate
lower abdomen q4-6h
Naloxone If pt comes in with pinpoint pupils, give them and
offer ventillatory support
kidneys Morphine is eliminated by _______
3x Oral dose of morphine must be as strong as IV dose
Tolerance Def: Increased dose needed
to obtain response Ex. Pt
on 100 mg of morphine
2/
16
, 8/17/25, 10:10
AM
Def: Abstinence syndrome with abrupt
discontinuation of the med Initial
reaction: 10 hours (yawn, rhinorhhea,
Physical dependence sweat)
Peak: Sneeze, weak, N/V/D, cramp,
muscle/bone pain, muscle spasm, kicking
Lasts 7-10 days
Ex. Pt gets a headache when skips his coffee
Withdrawl _____from opioids is unpleasant, but not lethal
Fixed Give opioids on a schedule, not PRN
Embeda Morphine/Naltrexone pill designed to discourage
morphine abuse
Ceiling Pure opioid analgesics do NOT have a dose. B/c of
tolerance, we must
accelerate the dose as necessary
Comes in 3 forms:
1) Parenteral (Sublimaze)
Fentanyl 2) Transdermal (Duragesic)
3) Transmucosal (Abstral, Actiq, Fentora, Onsolis)-
breakthrough cancer pain
3/
16
AM
NURS 305 TEST 1: PAIN EXAM QUESTIONS
AND ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED LATEST UPDATE GRADED A++
2025/2026
Terms in this set (97)
Opioid These analgesics are the most effective pain
relievers available; prototype= morphine
Part of fight or flight
natural pain relief Ex.
endogenous opioid Ekep
peptides halins
Endor
phins
Dynor
phins
These receptors mediate analgesia, respiratory
Mu depression, sedation, and decreased GI motility
Opioid analgesics act primarily here
Kappa These receptors mediate analgesia, sedation,
and decreased GI motility; Nalbuphine is an
agonist here
Codeine Prototype moderate-strong opioid agonist
Morphine It's primary advantage is it relieves pain w/o
affecting other senses; DOC for mod- severe
1/
16
,8/17/25, 10:10
AM
pain
Drowsiness Most common adverse effect of morphine
Respiratory Depression Most serious adverse effect of morphine/opioids
Additive Do not take morphine with alcohol, and use caution
when taking it with
promethazine because they can have an effect with
respiratory depression
2 Half life of morphine hours
sedated A patient will become before he experiences
respiratory depression!
constipation; miosis The patient does NOT develop tolerance towards __________
or__________________________________(alphabetical)
Orthostatic hypotension Adverse effect of morphine d/t blocked baroreceptor
reflex causing vasodilation
Cough suppression Adverse effect of morphine d/t action on
medulla receptors; encourage patient to cough
and listen to their lungs!
Urinary retention Adverse effect of morphine d/t increased tone
of urinary sphincter and detrusor; encourage
voiding every 4 hours, monitor I&O, palpate
lower abdomen q4-6h
Naloxone If pt comes in with pinpoint pupils, give them and
offer ventillatory support
kidneys Morphine is eliminated by _______
3x Oral dose of morphine must be as strong as IV dose
Tolerance Def: Increased dose needed
to obtain response Ex. Pt
on 100 mg of morphine
2/
16
, 8/17/25, 10:10
AM
Def: Abstinence syndrome with abrupt
discontinuation of the med Initial
reaction: 10 hours (yawn, rhinorhhea,
Physical dependence sweat)
Peak: Sneeze, weak, N/V/D, cramp,
muscle/bone pain, muscle spasm, kicking
Lasts 7-10 days
Ex. Pt gets a headache when skips his coffee
Withdrawl _____from opioids is unpleasant, but not lethal
Fixed Give opioids on a schedule, not PRN
Embeda Morphine/Naltrexone pill designed to discourage
morphine abuse
Ceiling Pure opioid analgesics do NOT have a dose. B/c of
tolerance, we must
accelerate the dose as necessary
Comes in 3 forms:
1) Parenteral (Sublimaze)
Fentanyl 2) Transdermal (Duragesic)
3) Transmucosal (Abstral, Actiq, Fentora, Onsolis)-
breakthrough cancer pain
3/
16
