Pharmacology ANALGESICS Hesi or WGU
D441
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? - (correct Answer) - 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? - (correct
Answer) - Hepatotoxicity
Which of the following analgesics is a preferred choice for breastfeeding woman? - (correct Answer) -
Acetaminophen
A client is receiving patient-controlled analgesia (PCA). When is it appropriate to notify the healthcare
provider (HCP) for an increase in dosage? - (correct Answer) - 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? - (correct
Answer) - 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? - (correct Answer) - 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? - (correct Answer) - AIR Acronym for the Nursing Process=
Assessment, then Intervention, Then Reassessment
Answer is Pain Assesment
A nurse is caring for a 5-year-old client with influenza. The client has symptoms of a fever and muscle
aches. Which of the following pharmacological agents is recommended for this client? - (correct Answer)
- Acetaminophen is an antipyretic and an analgesic used with children with fevers/Viruses
Which of the following pharmacological agents decreases prostaglandins response to reduce pain and
inflammation? - (correct Answer) - Ascetylsalicylic Acid (Aspirin)
Which of the following clients have an increased risk for death, in relation to opioid use? - (correct
Answer) - A 70-year-old patient with hip surgery. Older patients and then patients with respiratory
problems like COPD, Asthma
A client presents with muscle aches and is prescribed a topical analgesic with capsaicin. Which of the
following statements from the client ensures the proper understanding of the use of the medication? -
(correct Answer) - The medication will cause local irritation which is normal
Which of the following is indicated for clients as pain management after surgery or long-term recovery? -
, (correct Answer) - Patient controlled analgesia (PCA) pump
Which of the following is indicative of use of Fentanyl Patch? - (correct Answer) - Chronic Pain/Persistent
Pain, Not Acute Pain; It does not provide immediate pain relief and is not used Post-operatively
A client is receiving patient-controlled analgesia (PCA) postoperatively. After three hours the nurse finds
the client is having trouble breathing and is feeling dizzy and lightheaded. Which of the following is the
nurse's priority action? - (correct Answer) - Wake the client and asses vital signs: AIMS
A=ABC
I= Intervention Oxygenation
M= Make HCP aware
S= Second Dose of Naloxone
Which of the following potent analgesics is recommended for chronic, persistent pain that takes up to 17
hours for full effect? - (correct Answer) - Fentanyl
A client with rheumatoid arthritis is educated to take ibuprofen to relieve the symptoms. Which of the
following must the nurse educate the client on the safety of the analgesic drug? Select all that apply. -
(correct Answer) - Dont Take on Empty Stomach
Dont Take Vitamin E Supplements
Dont Take Gingko Supplements
Which of the following clients must avoid using non-steroidal anti-inflammatory drugs (NSAIDs)? Select
all that apply. - (correct Answer) - A Client with Asthma/NasalPolyps, A Client with Peptic Ulcer Disease,
A Client with a Recent Nephrectomy, Not good for patients with Renal Disease
Most Common Long-Term Side Effects for Opioids - (correct Answer) - Constipation
Which is a priority nursing intervention for a client receiving IV Opioids for pain? - (correct Answer) -
Assess for signs of respiratory depression because Assessment comes before Intervention
A client with a recent diagnosis of gout is seeking effective treatment for pain. Which of the following
analgesic drugs is most appropriate for this client? - (correct Answer) - Naproxen
N: Naproxen
S: Salicylic Acid
A: Acetylsylic Acid
I: Ibuprofen and another I med (Written in Notes)
K: Ketoralac
Which of the following topical agents is effective for relieving rheumatoid arthritis pain in adult clients? -
(correct Answer) - Topical agents or analgesic creams that contain capsaicin are most effective for joint
D441
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? - (correct Answer) - 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? - (correct
Answer) - Hepatotoxicity
Which of the following analgesics is a preferred choice for breastfeeding woman? - (correct Answer) -
Acetaminophen
A client is receiving patient-controlled analgesia (PCA). When is it appropriate to notify the healthcare
provider (HCP) for an increase in dosage? - (correct Answer) - 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? - (correct
Answer) - 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? - (correct Answer) - 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? - (correct Answer) - AIR Acronym for the Nursing Process=
Assessment, then Intervention, Then Reassessment
Answer is Pain Assesment
A nurse is caring for a 5-year-old client with influenza. The client has symptoms of a fever and muscle
aches. Which of the following pharmacological agents is recommended for this client? - (correct Answer)
- Acetaminophen is an antipyretic and an analgesic used with children with fevers/Viruses
Which of the following pharmacological agents decreases prostaglandins response to reduce pain and
inflammation? - (correct Answer) - Ascetylsalicylic Acid (Aspirin)
Which of the following clients have an increased risk for death, in relation to opioid use? - (correct
Answer) - A 70-year-old patient with hip surgery. Older patients and then patients with respiratory
problems like COPD, Asthma
A client presents with muscle aches and is prescribed a topical analgesic with capsaicin. Which of the
following statements from the client ensures the proper understanding of the use of the medication? -
(correct Answer) - The medication will cause local irritation which is normal
Which of the following is indicated for clients as pain management after surgery or long-term recovery? -
, (correct Answer) - Patient controlled analgesia (PCA) pump
Which of the following is indicative of use of Fentanyl Patch? - (correct Answer) - Chronic Pain/Persistent
Pain, Not Acute Pain; It does not provide immediate pain relief and is not used Post-operatively
A client is receiving patient-controlled analgesia (PCA) postoperatively. After three hours the nurse finds
the client is having trouble breathing and is feeling dizzy and lightheaded. Which of the following is the
nurse's priority action? - (correct Answer) - Wake the client and asses vital signs: AIMS
A=ABC
I= Intervention Oxygenation
M= Make HCP aware
S= Second Dose of Naloxone
Which of the following potent analgesics is recommended for chronic, persistent pain that takes up to 17
hours for full effect? - (correct Answer) - Fentanyl
A client with rheumatoid arthritis is educated to take ibuprofen to relieve the symptoms. Which of the
following must the nurse educate the client on the safety of the analgesic drug? Select all that apply. -
(correct Answer) - Dont Take on Empty Stomach
Dont Take Vitamin E Supplements
Dont Take Gingko Supplements
Which of the following clients must avoid using non-steroidal anti-inflammatory drugs (NSAIDs)? Select
all that apply. - (correct Answer) - A Client with Asthma/NasalPolyps, A Client with Peptic Ulcer Disease,
A Client with a Recent Nephrectomy, Not good for patients with Renal Disease
Most Common Long-Term Side Effects for Opioids - (correct Answer) - Constipation
Which is a priority nursing intervention for a client receiving IV Opioids for pain? - (correct Answer) -
Assess for signs of respiratory depression because Assessment comes before Intervention
A client with a recent diagnosis of gout is seeking effective treatment for pain. Which of the following
analgesic drugs is most appropriate for this client? - (correct Answer) - Naproxen
N: Naproxen
S: Salicylic Acid
A: Acetylsylic Acid
I: Ibuprofen and another I med (Written in Notes)
K: Ketoralac
Which of the following topical agents is effective for relieving rheumatoid arthritis pain in adult clients? -
(correct Answer) - Topical agents or analgesic creams that contain capsaicin are most effective for joint
