NURS 1200 (NCLEX) EXAM 1 PRE-CLASSES
QUESTIONS AND ANSWERS A+ GRADED.
What is the relationship between a full opioid agonist and the ceiling
effect?
A) Side effects may limit a full opioid agonist's use but not a plateau in
the beneficial effects it produces
B) A full opioid agonist produces few withdrawal symptoms when the
drug's effects plateau and the client begins easing off the drug
C) A client may use full opioid agonist as much or as little as necessary to
control chronic pain with no ill effects
D) At some point, a full opioid agonist's side effects cease to increase in
potency, but the pain-relieving effect continues to increase.
Verified Answer -A) Side effects may limit a full opioid agonist's use but
not a plateau in the beneficial effects it produces
**Full opioid agonists do not have a ceiling effect. Therefore, full opioid
agonists can be given in increasing doses until pain is relieved or side
effects become intolerable.
A client who has been undergoing treatment for chronic back pain has
been considering various over-the-counter nonopioids to manage the
pain. The nurse has assessed the client's needs and discussed the use of
available methods with the client. Which client statement indicates the
need for further instruction?
A) I may use both opioid and nonopioid medications together, especially
to relieve severe pain
B) I should not take a higher than the recommended dose because the
beneficial effect isn't likely to be higher with a higher dose
C) I may use these medications for as long as I think they are necessary
,D) Nonopioid pain medications can have serious side effects I need to
consider and watch for carefully.
Verified Answer -C) I may use these medications for as long as I think
they are necessary
**Over-the-counter (OTC) nonopioids are associated with severe side
effects, especially when taken long term. NSAIDs can produce
gastrointestinal (GI) toxicity and prolong bleeding times, and
acetaminophen can produce liver and kidney toxicity. Nonopioids have a
ceiling effect, so takin a higher dose will not produce a greater analgesic
effect. While nonopioids are rarely effective alone for severe pain, they
may produce a synergistic effect to relieve pain when combined with an
opioid.
Which of the following triggers pain?
A) The musculoskeletal system
B) The central nervous system
C) The peripheral nervous system
D) The cardiovascular system
Verified Answer -C) The peripheral nervous system
** Pain is triggered by the peripheral nervous system, which lies outside
the brain and spinal cord of the central nervous system and does not
involve the musculoskeletal or cardiovascular systems.
Which of the following statements best describes the body's adaptation to
pain?
A) The body's sympathetic response increases
B) The worse pain becomes, the more obvious it is
C) The observation of pain's effects may become more difficult
, D) The observation of pain's effects may become less difficult
Verified Answer -C) The observation of pain's effects may become more
difficult
**As the body adapts to pain, visible and physiological symptoms of pain
may be harder to detect. The sympathetic response returns to baseline
levels unless the client experiences breakthrough pain, and some visible
signs of pain, such as crying, cease. Pain fibers may become sensitized so
that the intensity and perception of pain may increase over time.
Which of the following statements describes all pain?
A) Pain can be localized to a particular area of the body
B) Pain's effects can be verbalized
C) Pain's effects are primarily physiological, not mental or emotional
D) Pain is the result of tissue damage
Verified Answer -B) Pain's effects can be verbalized
** Pain can be described by the client, and so all pain can be verbalized.
It may be the result of tissue damage or a warning of the potential for
damage. Pain is both a physical and emotional experience. Pain may not
be localized in its effects.
A nurse is caring for a client who is to start therapy with ibuprofen for hip
pain. Which of the following information should the nurse provide about
ibuprofen?
A) Taking the maximum dose will offer stroke prevention
B) Take the medication with an aspirin to increase effectiveness
C) Take the medication with food
D) Sustained-release forms may be crushed for easier administration
Verified Answer -C) Take the medication with food
QUESTIONS AND ANSWERS A+ GRADED.
What is the relationship between a full opioid agonist and the ceiling
effect?
A) Side effects may limit a full opioid agonist's use but not a plateau in
the beneficial effects it produces
B) A full opioid agonist produces few withdrawal symptoms when the
drug's effects plateau and the client begins easing off the drug
C) A client may use full opioid agonist as much or as little as necessary to
control chronic pain with no ill effects
D) At some point, a full opioid agonist's side effects cease to increase in
potency, but the pain-relieving effect continues to increase.
Verified Answer -A) Side effects may limit a full opioid agonist's use but
not a plateau in the beneficial effects it produces
**Full opioid agonists do not have a ceiling effect. Therefore, full opioid
agonists can be given in increasing doses until pain is relieved or side
effects become intolerable.
A client who has been undergoing treatment for chronic back pain has
been considering various over-the-counter nonopioids to manage the
pain. The nurse has assessed the client's needs and discussed the use of
available methods with the client. Which client statement indicates the
need for further instruction?
A) I may use both opioid and nonopioid medications together, especially
to relieve severe pain
B) I should not take a higher than the recommended dose because the
beneficial effect isn't likely to be higher with a higher dose
C) I may use these medications for as long as I think they are necessary
,D) Nonopioid pain medications can have serious side effects I need to
consider and watch for carefully.
Verified Answer -C) I may use these medications for as long as I think
they are necessary
**Over-the-counter (OTC) nonopioids are associated with severe side
effects, especially when taken long term. NSAIDs can produce
gastrointestinal (GI) toxicity and prolong bleeding times, and
acetaminophen can produce liver and kidney toxicity. Nonopioids have a
ceiling effect, so takin a higher dose will not produce a greater analgesic
effect. While nonopioids are rarely effective alone for severe pain, they
may produce a synergistic effect to relieve pain when combined with an
opioid.
Which of the following triggers pain?
A) The musculoskeletal system
B) The central nervous system
C) The peripheral nervous system
D) The cardiovascular system
Verified Answer -C) The peripheral nervous system
** Pain is triggered by the peripheral nervous system, which lies outside
the brain and spinal cord of the central nervous system and does not
involve the musculoskeletal or cardiovascular systems.
Which of the following statements best describes the body's adaptation to
pain?
A) The body's sympathetic response increases
B) The worse pain becomes, the more obvious it is
C) The observation of pain's effects may become more difficult
, D) The observation of pain's effects may become less difficult
Verified Answer -C) The observation of pain's effects may become more
difficult
**As the body adapts to pain, visible and physiological symptoms of pain
may be harder to detect. The sympathetic response returns to baseline
levels unless the client experiences breakthrough pain, and some visible
signs of pain, such as crying, cease. Pain fibers may become sensitized so
that the intensity and perception of pain may increase over time.
Which of the following statements describes all pain?
A) Pain can be localized to a particular area of the body
B) Pain's effects can be verbalized
C) Pain's effects are primarily physiological, not mental or emotional
D) Pain is the result of tissue damage
Verified Answer -B) Pain's effects can be verbalized
** Pain can be described by the client, and so all pain can be verbalized.
It may be the result of tissue damage or a warning of the potential for
damage. Pain is both a physical and emotional experience. Pain may not
be localized in its effects.
A nurse is caring for a client who is to start therapy with ibuprofen for hip
pain. Which of the following information should the nurse provide about
ibuprofen?
A) Taking the maximum dose will offer stroke prevention
B) Take the medication with an aspirin to increase effectiveness
C) Take the medication with food
D) Sustained-release forms may be crushed for easier administration
Verified Answer -C) Take the medication with food
