EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024
Pharmacology N140 Test Bank Questions
with Correct Answers|100% Verified
A patient was diagnosed with pancreatic cancer last month, and has complained of a dull ache in the
abdomen for the past 4 months. This pain has been gradually increasing, and the pain relievers taken at
home are no longer effective. What type of pain is the patient experiencing?
a. Acute pain
b. Chronic pain
c. Somatic pain
d. Neuropathic pain - Answer✔✔-B
Chronic pain is associated with cancer and is characterized by slow onset, long duration, and dull,
persistent aching. The patient's symptoms are not characteristics of acute pain, somatic pain, or
neuropathic pain.
An 18-year-old basketball player fell and twisted his ankle during a game. The nurse will expect to
administer which type of analgesic?
a. Synthetic opioid, such as meperidine (Demerol)
b. Opium alkaloid, such as morphine sulfate
c. Opioid antagonist, such as naloxone HCL (Narcan)
d. Nonopioid analgesic, such as indomethacin (Indocin) - Answer✔✔-D
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Somatic pain, which originates from skeletal muscles, ligaments, and joints, usually responds to
nonopioid analgesics such as nonsteroidal anti-inflammatory drugs (NSAIDs). The other options are not
the best choices for somatic pain.
A patient is recovering from abdominal surgery, which he had this morning. He is groggy but complaining
of severe pain around his incision. What is the most important assessment data to consider before the
nurse administers a dose of morphine sulfate to the patient?
a. His pulse rate
b. His respiratory rate
c. The appearance of the incision
d. The date of his last bowel movement - Answer✔✔-B
Chapter 10: Analgesic Drugs 51 One of the most serious adverse effects of opioids is respiratory
depression. The nurse must assess the patient's respiratory rate before administering an opioid. The
other options are incorrect.
A 78-year-old patient is in the recovery room after having a lengthy surgery on his hip. As he is gradually
awakening, he requests pain medication. Within 10 minutes after receiving a dose of morphine sulfate,
he is very lethargic and his respirations are shallow, with a rate of 7 per minute. The nurse prepares for
which priority action at this time?
a. Assessment of the patient's pain level
b. Immediate intubation and artificial ventilation
c. Administration of naloxone (Narcan)
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d. Close observation of signs of opioid tolerance - Answer✔✔-C
Naloxone, an opioid-reversal agent, is used to reverse the effects of acute opioid overdose and is the
drug of choice for reversal of opioid-induced respiratory depression. This situation is describing an opioid
overdose, not opioid tolerance. Intubation and artificial ventilation are not appropriate because the
patient is still breathing at 7 breaths/min. It would be inappropriate to assess the patient's level of pain.
A patient will be discharged with a 1-week supply of an opioid analgesic for pain management after
abdominal surgery. The nurse will include which information in the teaching plan?
a. How to prevent dehydration due to diarrhea
b. The importance of taking the drug only when the pain becomes severe
c. How to prevent constipation
d. The importance of taking the drug on an empty stomach - Answer✔✔-C
Gastrointestinal (GI) adverse effects, such as nausea, vomiting, and constipation, are the most common
adverse effects associated with opioid analgesics. Physical dependence usually occurs in patients
undergoing long-term treatment. Diarrhea is not an effect of opioid analgesics. Taking the dose with
food may help minimize GI upset.
A patient has been treated for lung cancer for 3 years. Over the past few months, the patient has noticed
that the opioid analgesic is not helping as much as it had previously and more medication is needed for
the same pain relief. The nurse is aware that this patient is experiencing which of these?
a. Opioid addiction
b. Opioid tolerance
Page 3/166
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c. Opioid toxicity
d. Opioid abstinence syndrome - Answer✔✔-B
Opioid tolerance is a common physiologic result of long-term opioid use. Patients with opioid tolerance
require larger doses of the opioid agent to maintain the same level of analgesia. This situation does not
describe toxicity (overdose), addiction, or abstinence syndrome (withdrawal).
A 38-year-old man has come into the urgent care center with severe hip pain after falling from a ladder
at work. He says he has taken several pain pills over the past few hours but cannot remember how many
he has taken. He hands the nurse an empty bottle of acetaminophen (Tylenol). The nurse is aware that
the most serious toxic effect of acute acetaminophen overdose is which condition?
a. Tachycardia
b. Central nervous system depression
c. Hepatic necrosis
d. Nephropathy - Answer✔✔-C
Hepatic necrosis is the most serious acute toxic effect of an acute overdose of acetaminophen. The other
options are incorrect.
A 57-year-old woman being treated for end-stage breast cancer has been using a transdermal opioid
analgesic as part of the management of pain. Lately, she has been experiencing breakthrough pain. The
nurse expects this type of pain to be managed by which of these interventions?
a. Administering NSAIDs
b. Administering an immediate-release opioid
Page 4/166
FIRST PUBLISH SEPTEMBER 2024
Pharmacology N140 Test Bank Questions
with Correct Answers|100% Verified
A patient was diagnosed with pancreatic cancer last month, and has complained of a dull ache in the
abdomen for the past 4 months. This pain has been gradually increasing, and the pain relievers taken at
home are no longer effective. What type of pain is the patient experiencing?
a. Acute pain
b. Chronic pain
c. Somatic pain
d. Neuropathic pain - Answer✔✔-B
Chronic pain is associated with cancer and is characterized by slow onset, long duration, and dull,
persistent aching. The patient's symptoms are not characteristics of acute pain, somatic pain, or
neuropathic pain.
An 18-year-old basketball player fell and twisted his ankle during a game. The nurse will expect to
administer which type of analgesic?
a. Synthetic opioid, such as meperidine (Demerol)
b. Opium alkaloid, such as morphine sulfate
c. Opioid antagonist, such as naloxone HCL (Narcan)
d. Nonopioid analgesic, such as indomethacin (Indocin) - Answer✔✔-D
Page 1/166
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FIRST PUBLISH SEPTEMBER 2024
Somatic pain, which originates from skeletal muscles, ligaments, and joints, usually responds to
nonopioid analgesics such as nonsteroidal anti-inflammatory drugs (NSAIDs). The other options are not
the best choices for somatic pain.
A patient is recovering from abdominal surgery, which he had this morning. He is groggy but complaining
of severe pain around his incision. What is the most important assessment data to consider before the
nurse administers a dose of morphine sulfate to the patient?
a. His pulse rate
b. His respiratory rate
c. The appearance of the incision
d. The date of his last bowel movement - Answer✔✔-B
Chapter 10: Analgesic Drugs 51 One of the most serious adverse effects of opioids is respiratory
depression. The nurse must assess the patient's respiratory rate before administering an opioid. The
other options are incorrect.
A 78-year-old patient is in the recovery room after having a lengthy surgery on his hip. As he is gradually
awakening, he requests pain medication. Within 10 minutes after receiving a dose of morphine sulfate,
he is very lethargic and his respirations are shallow, with a rate of 7 per minute. The nurse prepares for
which priority action at this time?
a. Assessment of the patient's pain level
b. Immediate intubation and artificial ventilation
c. Administration of naloxone (Narcan)
Page 2/166
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FIRST PUBLISH SEPTEMBER 2024
d. Close observation of signs of opioid tolerance - Answer✔✔-C
Naloxone, an opioid-reversal agent, is used to reverse the effects of acute opioid overdose and is the
drug of choice for reversal of opioid-induced respiratory depression. This situation is describing an opioid
overdose, not opioid tolerance. Intubation and artificial ventilation are not appropriate because the
patient is still breathing at 7 breaths/min. It would be inappropriate to assess the patient's level of pain.
A patient will be discharged with a 1-week supply of an opioid analgesic for pain management after
abdominal surgery. The nurse will include which information in the teaching plan?
a. How to prevent dehydration due to diarrhea
b. The importance of taking the drug only when the pain becomes severe
c. How to prevent constipation
d. The importance of taking the drug on an empty stomach - Answer✔✔-C
Gastrointestinal (GI) adverse effects, such as nausea, vomiting, and constipation, are the most common
adverse effects associated with opioid analgesics. Physical dependence usually occurs in patients
undergoing long-term treatment. Diarrhea is not an effect of opioid analgesics. Taking the dose with
food may help minimize GI upset.
A patient has been treated for lung cancer for 3 years. Over the past few months, the patient has noticed
that the opioid analgesic is not helping as much as it had previously and more medication is needed for
the same pain relief. The nurse is aware that this patient is experiencing which of these?
a. Opioid addiction
b. Opioid tolerance
Page 3/166
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FIRST PUBLISH SEPTEMBER 2024
c. Opioid toxicity
d. Opioid abstinence syndrome - Answer✔✔-B
Opioid tolerance is a common physiologic result of long-term opioid use. Patients with opioid tolerance
require larger doses of the opioid agent to maintain the same level of analgesia. This situation does not
describe toxicity (overdose), addiction, or abstinence syndrome (withdrawal).
A 38-year-old man has come into the urgent care center with severe hip pain after falling from a ladder
at work. He says he has taken several pain pills over the past few hours but cannot remember how many
he has taken. He hands the nurse an empty bottle of acetaminophen (Tylenol). The nurse is aware that
the most serious toxic effect of acute acetaminophen overdose is which condition?
a. Tachycardia
b. Central nervous system depression
c. Hepatic necrosis
d. Nephropathy - Answer✔✔-C
Hepatic necrosis is the most serious acute toxic effect of an acute overdose of acetaminophen. The other
options are incorrect.
A 57-year-old woman being treated for end-stage breast cancer has been using a transdermal opioid
analgesic as part of the management of pain. Lately, she has been experiencing breakthrough pain. The
nurse expects this type of pain to be managed by which of these interventions?
a. Administering NSAIDs
b. Administering an immediate-release opioid
Page 4/166
