Pharmacology ANALGESICS HESI or
WGU D441 Exam-Graded A
A client is Experiencing toxicity to Acetaminophen. Which of the following antidotes
must be given to the client to counteract the toxicity of the analgesic drug? - ANS-
Acetylcysteine
A client presents with mild joint pain and has been taking over-the-counter
acetaminophen for the treatment of his symptoms. The client has a history of alcohol
abuse. Based on the current medication and social history of the client, which of the
following is the client at risk for developing? - ANS-Hepatotoxicity
Which of the following analgesics is a preferred choice for breastfeeding woman? -
ANS-Acetaminophen
A client is receiving patient-controlled analgesia (PCA). When is it appropriate to notify
the healthcare provider (HCP) for an increase in dosage? - ANS-When the client
attempts are two times the dose of medication given.
During an overdose of acetaminophen, which of the following labs must the nurse
monitor? - ANS-AST and ALT as they are Liver Labs and Acetaminophen causes liver
toxicity
A client with colorectal cancer undergoes bowel resection surgery. Which of the
following medications is recommended the treat the client's postoperative pain? - ANS-
Morphine is recommended for sever, acute pain and Postoperatively
What is the priority action of the nurse caring for a client receiving opioid analgesic
medication via patient-controlled analgesic (PCA) pump? - ANS-AIR Acronym for the
Nursing Process= Assessment, then Intervention, Then Reassessment
Answer is Pain Assesment
A client is prescribed a topical analgesic containing Capsaicin. Which of the following
must the nurse educate the client when applying the cream? - ANS-Avoid the use of
heating pads as that could cause increased absorption and causing chemical burns
Which of the following is the most common pharmacological agent given for mild to
moderate pain? - ANS-Naproxen
, A client with osteoarthritis presents with joint pain. Along with ibuprofen to relieve
inflammation, which of the following is recommended? - ANS-Use topical analgesics on
the affected area
Patches of Fentanyl - ANS-Remove old patch before Applying a new one
A client is receiving patient-controlled analgesia (PCA). Which priority teaching is
needed for proper administration of the medication via PCA pump? - ANS-The patient
can themselves only push the button to deliver med, not any doc nurse family mem or
anyone else
A nurse applies a fentanyl patch to a client with chronic pain. Which of the following side
effects must the nurse educate the client regarding the fentanyl patch? - ANS-
Constipation
A client has been taking high doses of acetylsalicylic acid (Aspirin) to relieve pain from
osteoarthritis now has more generalized joint pain, and elevated temperature. Which
complication would the nurse assess to deter whether the client has other signs of
Aspirin toxicity? - ANS-Ringing In the Ears
The nurse administered a dose of meperidine hydrochloride to a client with renal calculi
as a treatment for pain. What are the Adverse effects of this Medication? - ANS-
Respiratory Depression, Orthostatic Hypotension, Tachycardia, Drowsiness, Mental
Clouding, Constipation, Urinary Retension
A client is being started on Tramadol Therapy for Pain Management after a back injury.
When educating a client on Tramadol therapy, what is Priority? - ANS-The client taking
Tramadol therapy needs not to consume Alcoholic Beverages while taking this
medication as it can further depress the Central Nervous System (CNS)
A client with pulmonary edema has a prescription to receive Morphine Sulfate
Intervaneously. What is the intended effect of Morphine Sulfate? - ANS-Morphine
Sulfate reduces anxiety and dyspnea in patients with pulmonary edema. It causes relief
of apprehension and promotes vasodilation helps with that.
For a patient with Cardiovascular Disease (like MIs: Myocardial Infarctions) what type of
dose of aspirin would be given to the patient? - ANS-The lowest possible dose to
prevent bleeding and a lot of blood thinning effects.
Ascetylsalic acid (ASA), or aspirin, has been prescribed for a client with ANGINA
(Narrowed Vessels leading to Chest Pain and Ischemic Conditions) how will this
medication help for this problem? - ANS-To inhibit platelet aggregation to stimulate an
increased blood circulation leading to hopefully it reaching the heart
A client admitted to the hospital to rule of gastrointestinal bleed (GI), and the patient
claims that they have been hearing some roaring sounds in my ears, especially when
WGU D441 Exam-Graded A
A client is Experiencing toxicity to Acetaminophen. Which of the following antidotes
must be given to the client to counteract the toxicity of the analgesic drug? - ANS-
Acetylcysteine
A client presents with mild joint pain and has been taking over-the-counter
acetaminophen for the treatment of his symptoms. The client has a history of alcohol
abuse. Based on the current medication and social history of the client, which of the
following is the client at risk for developing? - ANS-Hepatotoxicity
Which of the following analgesics is a preferred choice for breastfeeding woman? -
ANS-Acetaminophen
A client is receiving patient-controlled analgesia (PCA). When is it appropriate to notify
the healthcare provider (HCP) for an increase in dosage? - ANS-When the client
attempts are two times the dose of medication given.
During an overdose of acetaminophen, which of the following labs must the nurse
monitor? - ANS-AST and ALT as they are Liver Labs and Acetaminophen causes liver
toxicity
A client with colorectal cancer undergoes bowel resection surgery. Which of the
following medications is recommended the treat the client's postoperative pain? - ANS-
Morphine is recommended for sever, acute pain and Postoperatively
What is the priority action of the nurse caring for a client receiving opioid analgesic
medication via patient-controlled analgesic (PCA) pump? - ANS-AIR Acronym for the
Nursing Process= Assessment, then Intervention, Then Reassessment
Answer is Pain Assesment
A client is prescribed a topical analgesic containing Capsaicin. Which of the following
must the nurse educate the client when applying the cream? - ANS-Avoid the use of
heating pads as that could cause increased absorption and causing chemical burns
Which of the following is the most common pharmacological agent given for mild to
moderate pain? - ANS-Naproxen
, A client with osteoarthritis presents with joint pain. Along with ibuprofen to relieve
inflammation, which of the following is recommended? - ANS-Use topical analgesics on
the affected area
Patches of Fentanyl - ANS-Remove old patch before Applying a new one
A client is receiving patient-controlled analgesia (PCA). Which priority teaching is
needed for proper administration of the medication via PCA pump? - ANS-The patient
can themselves only push the button to deliver med, not any doc nurse family mem or
anyone else
A nurse applies a fentanyl patch to a client with chronic pain. Which of the following side
effects must the nurse educate the client regarding the fentanyl patch? - ANS-
Constipation
A client has been taking high doses of acetylsalicylic acid (Aspirin) to relieve pain from
osteoarthritis now has more generalized joint pain, and elevated temperature. Which
complication would the nurse assess to deter whether the client has other signs of
Aspirin toxicity? - ANS-Ringing In the Ears
The nurse administered a dose of meperidine hydrochloride to a client with renal calculi
as a treatment for pain. What are the Adverse effects of this Medication? - ANS-
Respiratory Depression, Orthostatic Hypotension, Tachycardia, Drowsiness, Mental
Clouding, Constipation, Urinary Retension
A client is being started on Tramadol Therapy for Pain Management after a back injury.
When educating a client on Tramadol therapy, what is Priority? - ANS-The client taking
Tramadol therapy needs not to consume Alcoholic Beverages while taking this
medication as it can further depress the Central Nervous System (CNS)
A client with pulmonary edema has a prescription to receive Morphine Sulfate
Intervaneously. What is the intended effect of Morphine Sulfate? - ANS-Morphine
Sulfate reduces anxiety and dyspnea in patients with pulmonary edema. It causes relief
of apprehension and promotes vasodilation helps with that.
For a patient with Cardiovascular Disease (like MIs: Myocardial Infarctions) what type of
dose of aspirin would be given to the patient? - ANS-The lowest possible dose to
prevent bleeding and a lot of blood thinning effects.
Ascetylsalic acid (ASA), or aspirin, has been prescribed for a client with ANGINA
(Narrowed Vessels leading to Chest Pain and Ischemic Conditions) how will this
medication help for this problem? - ANS-To inhibit platelet aggregation to stimulate an
increased blood circulation leading to hopefully it reaching the heart
A client admitted to the hospital to rule of gastrointestinal bleed (GI), and the patient
claims that they have been hearing some roaring sounds in my ears, especially when
