Lilley Pharmacology Ch 10-29 Final
Review Exam Questions and Answers
(Latest Update 2026)
For best results when treating severe pain associated with
pathologic spinal fractures related to metastatic bone cancer, the
nurse should remember that the best type of dosage schedule is to
administer the pain medication
a. as needed.
b. around the clock.
c. on schedule during waking hours only.
d. around the clock, with additional doses as needed for
breakthrough pain. -
correct answer ✅d. around the clock, with additional doses as
needed for breakthrough pain.
A patient is receiving an opioid via a PCA pump as part
of his postoperative pain management program. During rounds, the
nurse finds him unresponsive, with respirations of 8 breaths/min
and blood pressure of 102/58 mm Hg. After stopping the opioid
infusion, what should the nurse do next?
a. Notify the charge nurse
b. Draw arterial blood gases
c. Administer an opiate antagonist per standing orders
,Lilley Pharmacology Ch 10-29 Final
Review Exam Questions and Answers
(Latest Update 2026)
d. Perform a thorough assessment, including mental status
examination -
correct answer ✅c. Administer an opiate antagonist per standing
orders
A patient with bone pain caused by metastatic cancer will be
receiving transdermal fentanyl patches. The patient asks the nurse
what benefits these patches have. The nurse's best response
includes which of these features?
a. More constant drug levels for analgesia
b. Less constipation and minimal dry mouth
c. Less drowsiness than with oral opioids
d. Lower dependency potential and no major adverse effects -
correct answer ✅a. More constant levels for analgesia
Several patients have standard orders for acetaminophen as
needed for pain. When the nurse reviews their histories and
assessments, the nurse discovers that one of the patients has a
contraindication to acetaminophen therapy. Which patient should
receive an alternate medication?
a. A patient with a fever of 103.4° F (39.7° C)
,Lilley Pharmacology Ch 10-29 Final
Review Exam Questions and Answers
(Latest Update 2026)
b. A patient admitted with deep vein thrombosis
c. A patient admitted with severe hepatitis
d. A patient who had abdominal surgery 1 week earlier -
correct answer ✅c. a patient with severe hepatitis
The nurse is administering an intravenous dose of morphine sulfate
to a 48-year-old postoperative patient. The dose ordered is 3 mg
every 3 hours as needed for pain. The medication is supplied in
vials of 4 mg/mL. How much will be drawn into the syringe for this
dose? -
correct answer ✅0.75 mL
Intravenous morphine is prescribed for a patient who has had
surgery. The nurse informs the patient that which common adverse
effects can occur with this medication? (Select all that apply.)
a. Diarrhea
b. Constipation
c. Pruritus
d. Urinary frequency
e. Nausea -
correct answer ✅b. constipation, c. pruritis, e. nausea
, Lilley Pharmacology Ch 10-29 Final
Review Exam Questions and Answers
(Latest Update 2026)
An opioid analgesic is prescribed for a patient. The nurse checks the
patient's medical history knowing this medication is contraindicated
in which disorder?
a. Renal insufficiency
b. Severe asthma
c. Liver disease
d. Diabetes mellitus -
correct answer ✅b. severe asthma
The physician has requested "lidocaine with epinephrine." The
nurse recognizes that the most important reason for adding
epinephrine is that it
a. helps to calm the patient before the procedure.
b. minimizes the risk of an allergic reaction.
c. enhances the effect of the local lidocaine.
d. reduces bleeding in the surgical area. -
correct answer ✅d. reduces bleeding in the surgical area
Review Exam Questions and Answers
(Latest Update 2026)
For best results when treating severe pain associated with
pathologic spinal fractures related to metastatic bone cancer, the
nurse should remember that the best type of dosage schedule is to
administer the pain medication
a. as needed.
b. around the clock.
c. on schedule during waking hours only.
d. around the clock, with additional doses as needed for
breakthrough pain. -
correct answer ✅d. around the clock, with additional doses as
needed for breakthrough pain.
A patient is receiving an opioid via a PCA pump as part
of his postoperative pain management program. During rounds, the
nurse finds him unresponsive, with respirations of 8 breaths/min
and blood pressure of 102/58 mm Hg. After stopping the opioid
infusion, what should the nurse do next?
a. Notify the charge nurse
b. Draw arterial blood gases
c. Administer an opiate antagonist per standing orders
,Lilley Pharmacology Ch 10-29 Final
Review Exam Questions and Answers
(Latest Update 2026)
d. Perform a thorough assessment, including mental status
examination -
correct answer ✅c. Administer an opiate antagonist per standing
orders
A patient with bone pain caused by metastatic cancer will be
receiving transdermal fentanyl patches. The patient asks the nurse
what benefits these patches have. The nurse's best response
includes which of these features?
a. More constant drug levels for analgesia
b. Less constipation and minimal dry mouth
c. Less drowsiness than with oral opioids
d. Lower dependency potential and no major adverse effects -
correct answer ✅a. More constant levels for analgesia
Several patients have standard orders for acetaminophen as
needed for pain. When the nurse reviews their histories and
assessments, the nurse discovers that one of the patients has a
contraindication to acetaminophen therapy. Which patient should
receive an alternate medication?
a. A patient with a fever of 103.4° F (39.7° C)
,Lilley Pharmacology Ch 10-29 Final
Review Exam Questions and Answers
(Latest Update 2026)
b. A patient admitted with deep vein thrombosis
c. A patient admitted with severe hepatitis
d. A patient who had abdominal surgery 1 week earlier -
correct answer ✅c. a patient with severe hepatitis
The nurse is administering an intravenous dose of morphine sulfate
to a 48-year-old postoperative patient. The dose ordered is 3 mg
every 3 hours as needed for pain. The medication is supplied in
vials of 4 mg/mL. How much will be drawn into the syringe for this
dose? -
correct answer ✅0.75 mL
Intravenous morphine is prescribed for a patient who has had
surgery. The nurse informs the patient that which common adverse
effects can occur with this medication? (Select all that apply.)
a. Diarrhea
b. Constipation
c. Pruritus
d. Urinary frequency
e. Nausea -
correct answer ✅b. constipation, c. pruritis, e. nausea
, Lilley Pharmacology Ch 10-29 Final
Review Exam Questions and Answers
(Latest Update 2026)
An opioid analgesic is prescribed for a patient. The nurse checks the
patient's medical history knowing this medication is contraindicated
in which disorder?
a. Renal insufficiency
b. Severe asthma
c. Liver disease
d. Diabetes mellitus -
correct answer ✅b. severe asthma
The physician has requested "lidocaine with epinephrine." The
nurse recognizes that the most important reason for adding
epinephrine is that it
a. helps to calm the patient before the procedure.
b. minimizes the risk of an allergic reaction.
c. enhances the effect of the local lidocaine.
d. reduces bleeding in the surgical area. -
correct answer ✅d. reduces bleeding in the surgical area
