NCLEX-RN EXAM QUESTIONS
AND A+ ANSWERS
What are the 3 categories of pain medications
- Right Answer –
1. non-opioids: for mild pain or in combination for moderate pain
2. Opioids: for moderate to severe pain
3. Co-analgesic or adjuvant drugs (i.e. anticonvulsants, antidepressants)
for neuropathic pain
Name 4 types of Nonopioid Analgesics
- Right Answer –
1. Acetaminophen: Tylenol
2. Salicylates: Aspirin, Trilisate
3. NSAIDS: ibuprofen, Indomethacin, Ketorolac, Diclofenac
4. COX-2 inhibitors: Celebrex
What type of drug is Aspirin? - Right Answer - Non opioid Analgesic
Salicylates
Choline magnesium trisaliclate (Trilisate) is another type of non opioid
Analgesic salicylates
Acetaminophen (Tylenol) is what type of drug?
What is the maximum recommended dosage?
What should you monitor? - Right Answer - Nonopioid Analgesics.
Max dose: 4000 mg (4 g) in 24 hrs
Monitor liver function
,What have NSAIDs (except Aspirin) been linked to and what type of patient
should not take NSAIDs? - Right Answer - NSAIDs (except Aspirin) have
been linked to a higher risk for increased cardiovascular events, such as
myocardial infarction, stroke, and heart failure. Patients who have just had
heart surgery should not take NSAIDs. NSAIDs are very hard on the
stomach. NO NSAIDs for Cardiac patient.
At what pain level should an Opioid Analgesic be considered? - Right
Answer - Pain level of 6 or greater. Opioids are used for moderate to
severe pain.
DO NOT delegate what you can EAT
- Right Answer –
E = evaluate
A = assess
T = teach
What are some examples of Non-opioid Analgesic pain medications - Right
Answer - Acetaminophen (Tylenol)
Salicylates:
- Aspirin
- Choline magnesium trisalcylate (Trilisate)
NSAIDs:
- Ibuprofen
- Indomethacin
- Ketorolac
- Diclofenac K
Cyclooxygenase-2 (COX-2) inhibitors
- Celecoxib
, When selecting an NCLEX answer or determining the order of priority, what
should you remember or use, and what is the exception? - Right Answer -
Use the ABC rule: Airway breathing and circulation. The exception to the
rule is with actual CPR; use C-A-B for CPR. Also, remember safety first
and acute before chronic. If the pt. is not in distress, then you assess. If the
patient is in distress, then you should do something. If the patient has
diaphoresis, you should always do something.
How should you address questions related to Maslow's Hierarchy of Needs
- Right Answer - Address physiological needs first, followed by safety and
security needs, love and belonging needs, self-esteem needs, and finally,
self-actualization needs. *When a physiological need is not addressed in
the question, look for an option that addresses safety.
If a question is related to the nursing process, read the question to
determine the step of the nursing process. What are the steps in the
nursing process, and what kind of question might be related to that step? -
Right Answer - Assessment questions address the gathering and
verification of data.
Analysis questions require the nurse to interpret data, collect additional
information, identify and communicate nursing diagnoses, and determine
the health team's ability to meet the pts needs.
Planning questions ask about determining, prioritizing, and modifying
outcomes of care.
AND A+ ANSWERS
What are the 3 categories of pain medications
- Right Answer –
1. non-opioids: for mild pain or in combination for moderate pain
2. Opioids: for moderate to severe pain
3. Co-analgesic or adjuvant drugs (i.e. anticonvulsants, antidepressants)
for neuropathic pain
Name 4 types of Nonopioid Analgesics
- Right Answer –
1. Acetaminophen: Tylenol
2. Salicylates: Aspirin, Trilisate
3. NSAIDS: ibuprofen, Indomethacin, Ketorolac, Diclofenac
4. COX-2 inhibitors: Celebrex
What type of drug is Aspirin? - Right Answer - Non opioid Analgesic
Salicylates
Choline magnesium trisaliclate (Trilisate) is another type of non opioid
Analgesic salicylates
Acetaminophen (Tylenol) is what type of drug?
What is the maximum recommended dosage?
What should you monitor? - Right Answer - Nonopioid Analgesics.
Max dose: 4000 mg (4 g) in 24 hrs
Monitor liver function
,What have NSAIDs (except Aspirin) been linked to and what type of patient
should not take NSAIDs? - Right Answer - NSAIDs (except Aspirin) have
been linked to a higher risk for increased cardiovascular events, such as
myocardial infarction, stroke, and heart failure. Patients who have just had
heart surgery should not take NSAIDs. NSAIDs are very hard on the
stomach. NO NSAIDs for Cardiac patient.
At what pain level should an Opioid Analgesic be considered? - Right
Answer - Pain level of 6 or greater. Opioids are used for moderate to
severe pain.
DO NOT delegate what you can EAT
- Right Answer –
E = evaluate
A = assess
T = teach
What are some examples of Non-opioid Analgesic pain medications - Right
Answer - Acetaminophen (Tylenol)
Salicylates:
- Aspirin
- Choline magnesium trisalcylate (Trilisate)
NSAIDs:
- Ibuprofen
- Indomethacin
- Ketorolac
- Diclofenac K
Cyclooxygenase-2 (COX-2) inhibitors
- Celecoxib
, When selecting an NCLEX answer or determining the order of priority, what
should you remember or use, and what is the exception? - Right Answer -
Use the ABC rule: Airway breathing and circulation. The exception to the
rule is with actual CPR; use C-A-B for CPR. Also, remember safety first
and acute before chronic. If the pt. is not in distress, then you assess. If the
patient is in distress, then you should do something. If the patient has
diaphoresis, you should always do something.
How should you address questions related to Maslow's Hierarchy of Needs
- Right Answer - Address physiological needs first, followed by safety and
security needs, love and belonging needs, self-esteem needs, and finally,
self-actualization needs. *When a physiological need is not addressed in
the question, look for an option that addresses safety.
If a question is related to the nursing process, read the question to
determine the step of the nursing process. What are the steps in the
nursing process, and what kind of question might be related to that step? -
Right Answer - Assessment questions address the gathering and
verification of data.
Analysis questions require the nurse to interpret data, collect additional
information, identify and communicate nursing diagnoses, and determine
the health team's ability to meet the pts needs.
Planning questions ask about determining, prioritizing, and modifying
outcomes of care.
