NSG 533 / NSG533 Exam 2 (Advanced
Pharmacology – Wilkes) – Actual Questions &
Verified Answers PDF
THIS DOCUMENT CONTAINS:
NSG 533
NSG533 Exam 2
Advanced Pharmacology – Wilkes
Actual Questions & Verified Answers
Take and pass
If you require further clarification or in need of any study
resources,feel free to message me
,What is the recommended maximum daily dose of acetaminophen in elderly
patients?
A) 4,000 mg per day
B) 3,500 mg per day
C) 3,000 mg per day
D) 2,500 mg per day
Correct Answer: C) 3,000 mg per day
Rationale: According to the file, "In elderly patients, it is recommended not to exceed
>3,000mg per day of acetaminophen." This is a key safety consideration due to the
increased risk of hepatotoxicity in elderly patients.
Question 2: Medication for Diabetic Patient with Pain and
Depression
Which medication could you recommend for a diabetic patient in pain that could
also be used to help treat depression?
A) Gabapentin
B) Duloxetine
C) Tramadol
D) Pregabalin
Correct Answer: B) Duloxetine
Rationale: The file states that "SNRIs; either duloxetine or venlafaxine have been
successfully used in diabetic peripheral neuropathy." Duloxetine is an SNRI that is also
indicated for depression, making it an ideal choice for a diabetic patient with both pain
and depression.
Question 3: Non-Opioid Medications for Neuropathic Pain
,Which of the following is NOT listed as a non-opioid medication for neuropathic
pain in the file?
A) Gabapentin
B) Pregabalin
C) Transdermal lidocaine
D) Acetaminophen
Correct Answer: D) Acetaminophen
Rationale: The file lists "Gabapentin, pregabalin, transdermal lidocaine, TCAs" as non-
opioid medications for neuropathic pain. Acetaminophen is not listed as a treatment for
neuropathic pain.
Question 4: Opioid Allergy Alternative
If a patient has a true allergy to morphine, which opioid could you try instead?
A) Codeine
B) Fentanyl
C) Hydrocodone
D) Oxycodone
Correct Answer: B) Fentanyl
Rationale: The file states, "True opioid allergies are rare. When a true allergy is present,
an agent from another opiate classed should be used. For example, a patient with a true
opiate allergy could receive fentanyl." Fentanyl is from a different opiate class than
morphine.
Question 5: Common Side Effects of Opioids
Which of the following is NOT listed as a common side effect of opioids in the file?
A) Excessive sedation
B) Constipation
, C) Hypertension
D) Respiratory depression
Correct Answer: C) Hypertension
Rationale: The file lists the following opioid side effects: "Excessive sedation (reduce
dose by 25%), constipation (senna, dulcolax, N/V (hydroxyzine/diphenhydramine),
gastroparesis, vertigo, resp. depression, CNS irritability." Hypertension is not listed as a
common side effect.
Question 6: WHO Pain Treatment Algorithm
According to the WHO pain treatment algorithm, what is recommended for
moderate pain (4-6)?
A) Non-opioid analgesic scheduled ATC
B) Add opioid to scheduled non-opioid ATC
C) Switch to high dose opioid ATC
D) Use only PRN medications
Correct Answer: B) Add opioid to scheduled non-opioid ATC
Rationale: The file states: "Moderate pain (4-6) Add opioid to scheduled non-opioid
ATC." This is the second step in the WHO analgesic ladder.
Question 7: Acetaminophen vs. NSAIDs
Which of the following is true regarding NSAIDs compared to acetaminophen?
A) NSAIDs are first-line for low back pain and osteoarthritis
B) NSAIDs work best on inflammatory pain or pain mediated by prostaglandins
C) Acetaminophen has increased GIB risk and renal impairment
D) Acetaminophen is preferred for bony metastasis
Correct Answer: B) NSAIDs work best on inflammatory pain or pain mediated by
prostaglandins
Pharmacology – Wilkes) – Actual Questions &
Verified Answers PDF
THIS DOCUMENT CONTAINS:
NSG 533
NSG533 Exam 2
Advanced Pharmacology – Wilkes
Actual Questions & Verified Answers
Take and pass
If you require further clarification or in need of any study
resources,feel free to message me
,What is the recommended maximum daily dose of acetaminophen in elderly
patients?
A) 4,000 mg per day
B) 3,500 mg per day
C) 3,000 mg per day
D) 2,500 mg per day
Correct Answer: C) 3,000 mg per day
Rationale: According to the file, "In elderly patients, it is recommended not to exceed
>3,000mg per day of acetaminophen." This is a key safety consideration due to the
increased risk of hepatotoxicity in elderly patients.
Question 2: Medication for Diabetic Patient with Pain and
Depression
Which medication could you recommend for a diabetic patient in pain that could
also be used to help treat depression?
A) Gabapentin
B) Duloxetine
C) Tramadol
D) Pregabalin
Correct Answer: B) Duloxetine
Rationale: The file states that "SNRIs; either duloxetine or venlafaxine have been
successfully used in diabetic peripheral neuropathy." Duloxetine is an SNRI that is also
indicated for depression, making it an ideal choice for a diabetic patient with both pain
and depression.
Question 3: Non-Opioid Medications for Neuropathic Pain
,Which of the following is NOT listed as a non-opioid medication for neuropathic
pain in the file?
A) Gabapentin
B) Pregabalin
C) Transdermal lidocaine
D) Acetaminophen
Correct Answer: D) Acetaminophen
Rationale: The file lists "Gabapentin, pregabalin, transdermal lidocaine, TCAs" as non-
opioid medications for neuropathic pain. Acetaminophen is not listed as a treatment for
neuropathic pain.
Question 4: Opioid Allergy Alternative
If a patient has a true allergy to morphine, which opioid could you try instead?
A) Codeine
B) Fentanyl
C) Hydrocodone
D) Oxycodone
Correct Answer: B) Fentanyl
Rationale: The file states, "True opioid allergies are rare. When a true allergy is present,
an agent from another opiate classed should be used. For example, a patient with a true
opiate allergy could receive fentanyl." Fentanyl is from a different opiate class than
morphine.
Question 5: Common Side Effects of Opioids
Which of the following is NOT listed as a common side effect of opioids in the file?
A) Excessive sedation
B) Constipation
, C) Hypertension
D) Respiratory depression
Correct Answer: C) Hypertension
Rationale: The file lists the following opioid side effects: "Excessive sedation (reduce
dose by 25%), constipation (senna, dulcolax, N/V (hydroxyzine/diphenhydramine),
gastroparesis, vertigo, resp. depression, CNS irritability." Hypertension is not listed as a
common side effect.
Question 6: WHO Pain Treatment Algorithm
According to the WHO pain treatment algorithm, what is recommended for
moderate pain (4-6)?
A) Non-opioid analgesic scheduled ATC
B) Add opioid to scheduled non-opioid ATC
C) Switch to high dose opioid ATC
D) Use only PRN medications
Correct Answer: B) Add opioid to scheduled non-opioid ATC
Rationale: The file states: "Moderate pain (4-6) Add opioid to scheduled non-opioid
ATC." This is the second step in the WHO analgesic ladder.
Question 7: Acetaminophen vs. NSAIDs
Which of the following is true regarding NSAIDs compared to acetaminophen?
A) NSAIDs are first-line for low back pain and osteoarthritis
B) NSAIDs work best on inflammatory pain or pain mediated by prostaglandins
C) Acetaminophen has increased GIB risk and renal impairment
D) Acetaminophen is preferred for bony metastasis
Correct Answer: B) NSAIDs work best on inflammatory pain or pain mediated by
prostaglandins
