Pharmacology Exam #4 questions well
answers guaranteed pass
B. Norepinephrine
and
C. Acetylcholine - correct answer ✔✔ Which of the following neurotransmitters are present in
both the CNS and peripheral nervous system (PNS)? Select all that apply.
A. y-Aminobutyric acid (GABA)
B. Norepinephrine
C. Acetylcholine
D. Oxytocin
A. Lipid-soluble
and
C. Protein-bound - correct answer ✔✔ Which are characteristics of drugs that can cross the
blood-brain barrier? (Select all that apply)
A. Lipid-soluble
B. Highly Ionized
C. Move via transport systems
D. Protein-bound
E. Water-soluble
C. Tolerance - correct answer ✔✔ A patient who has been taking an opiate analgesic for chronic
pain due to terminal cancer needs higher doses to produce the same pain relief as when
originally prescribed. This may be an example of what?
A. Addiction
,B. Physical Dependence
C. Tolerance
D. Withdrawal Syndrome
False - correct answer ✔✔ True or False?
Activation of delta receptors is responsible for the delusions and delirium that are seen with
certain opioids.
True - correct answer ✔✔ True or False?
The respiratory depression, physical dependence, and euphoria that occur with opioid
analgesics are related to activation of mu opioid receptors.
False - correct answer ✔✔ True or False?
Buprenorphine has less constipation and sedative effects than morphine.
False - correct answer ✔✔ True or False?
An agonist-antagonist blocks pain when taken alone but improves the pain-relieving effect of
another opioid if in the blood at the same time.
True - correct answer ✔✔ True or False?
The dose of oral morphine is higher than the intravenous (IV) dose because the hepatic first
pass metabolizes some of the drug before it reaches the CNS.
B. Assist the patient to sit down
(Safety issue - fall risk with opioid analgesics. Do not keep the patients in position of leave
patients unattended in position from which they could fall.) - correct answer ✔✔ The nurse is
ambulated a postoperative patient in the hall who is receiving an opioid analgesic for pain. The
patient complains of severe nausea. What is the priority nursing action?
,A. Administer the prescribed antiemetic
B. Assist the patient to sit down
C. Get an emesis basin
D. Walk the patient back to his room
C. Instruct the patient to take slow, deep breaths
(Morphine can cause respiratory depression. If it occurs, patients should be aroused and
instructed to take deep breaths.) - correct answer ✔✔ A patient who has received morphine
becomes slightly disoriented. If this adverse effect is due to the morphine, which intervention
by the nurse might aid in reversing it?
A. Assist the patient to ambulate
B. Instruct the patient to change positions slowly
C. Instruct the patient to take slow, deep breaths
D. Keep the room well-lit
C. Fluid deficit
(Signs of withdrawal include excessive crying, sneezing, tremor, hyperreflexia, fever, and
diarrhea; fever and diarrhea may result in hypovolemia.) - correct answer ✔✔ A neonate is born
to a known heroin addict. THe infant is exhibiting symptoms of opioid withdrawal. Which of
these nursing issues is the highest priority as the nurse cares for the neonate in the nursery?
A. Altered nutrition
B. Disturbed sleep
C. Fluid deficit
D. Parenting
B. The short half-life of naloxone
(The half-life of naloxone is approximately 2 hours. Dosing is repeated at 2- to 3- minute
intervals until a satisfactory response has been achieved.) - correct answer ✔✔ A patient who
has overdosed on oxycodone is brought into the emergency department unresponsive with
, severely depressed respirations. The patient receives IV naloxone HCl with an improvement in
the level of consciousness and respiratory rate and effort within minutes. The nurse is
scheduled to go to lunch in 15 minutes. What is the nursing priority that guides information that
must be communicated before the nurse leaves for lunch?
A. Prevention of abstinence syndrome
B. The short half-life of naloxone
C. The short half-life of oxycodone
D. History of substance abuse
D. Cause respiratory depression - correct answer ✔✔ A fentanyl patch has been prescribed for a
patient after multiple musculoskeletal injuries. The most important reason why the nurse
should teach the patient not to apply heat in the area of the patch is because it might
A. Inactivate the drug
B. Loosen the patch from the skin
C. Prolong the drug's effect
D. Cause respiratory depression
A. Call 911.
(The dose of fentanyl in the lozenge on a stick is sufficient to kill non-tolerant individuals-
especially children.) - correct answer ✔✔ The nurse answers a call to the Ed from a woman who
is prescribed a fentanyl lozenge on a stick. She states that she found her 2-year old grandson
with the medication in his mouth. She took it away from him, and he is standing next to her
crying. Which action would be of greatest priority?
A. Call 911
B. Assess how much drug was consumed
C. Contact the poison hotline
D. Rinse out the child's mouth
D. Toxicity from a metabolite may be occuring
answers guaranteed pass
B. Norepinephrine
and
C. Acetylcholine - correct answer ✔✔ Which of the following neurotransmitters are present in
both the CNS and peripheral nervous system (PNS)? Select all that apply.
A. y-Aminobutyric acid (GABA)
B. Norepinephrine
C. Acetylcholine
D. Oxytocin
A. Lipid-soluble
and
C. Protein-bound - correct answer ✔✔ Which are characteristics of drugs that can cross the
blood-brain barrier? (Select all that apply)
A. Lipid-soluble
B. Highly Ionized
C. Move via transport systems
D. Protein-bound
E. Water-soluble
C. Tolerance - correct answer ✔✔ A patient who has been taking an opiate analgesic for chronic
pain due to terminal cancer needs higher doses to produce the same pain relief as when
originally prescribed. This may be an example of what?
A. Addiction
,B. Physical Dependence
C. Tolerance
D. Withdrawal Syndrome
False - correct answer ✔✔ True or False?
Activation of delta receptors is responsible for the delusions and delirium that are seen with
certain opioids.
True - correct answer ✔✔ True or False?
The respiratory depression, physical dependence, and euphoria that occur with opioid
analgesics are related to activation of mu opioid receptors.
False - correct answer ✔✔ True or False?
Buprenorphine has less constipation and sedative effects than morphine.
False - correct answer ✔✔ True or False?
An agonist-antagonist blocks pain when taken alone but improves the pain-relieving effect of
another opioid if in the blood at the same time.
True - correct answer ✔✔ True or False?
The dose of oral morphine is higher than the intravenous (IV) dose because the hepatic first
pass metabolizes some of the drug before it reaches the CNS.
B. Assist the patient to sit down
(Safety issue - fall risk with opioid analgesics. Do not keep the patients in position of leave
patients unattended in position from which they could fall.) - correct answer ✔✔ The nurse is
ambulated a postoperative patient in the hall who is receiving an opioid analgesic for pain. The
patient complains of severe nausea. What is the priority nursing action?
,A. Administer the prescribed antiemetic
B. Assist the patient to sit down
C. Get an emesis basin
D. Walk the patient back to his room
C. Instruct the patient to take slow, deep breaths
(Morphine can cause respiratory depression. If it occurs, patients should be aroused and
instructed to take deep breaths.) - correct answer ✔✔ A patient who has received morphine
becomes slightly disoriented. If this adverse effect is due to the morphine, which intervention
by the nurse might aid in reversing it?
A. Assist the patient to ambulate
B. Instruct the patient to change positions slowly
C. Instruct the patient to take slow, deep breaths
D. Keep the room well-lit
C. Fluid deficit
(Signs of withdrawal include excessive crying, sneezing, tremor, hyperreflexia, fever, and
diarrhea; fever and diarrhea may result in hypovolemia.) - correct answer ✔✔ A neonate is born
to a known heroin addict. THe infant is exhibiting symptoms of opioid withdrawal. Which of
these nursing issues is the highest priority as the nurse cares for the neonate in the nursery?
A. Altered nutrition
B. Disturbed sleep
C. Fluid deficit
D. Parenting
B. The short half-life of naloxone
(The half-life of naloxone is approximately 2 hours. Dosing is repeated at 2- to 3- minute
intervals until a satisfactory response has been achieved.) - correct answer ✔✔ A patient who
has overdosed on oxycodone is brought into the emergency department unresponsive with
, severely depressed respirations. The patient receives IV naloxone HCl with an improvement in
the level of consciousness and respiratory rate and effort within minutes. The nurse is
scheduled to go to lunch in 15 minutes. What is the nursing priority that guides information that
must be communicated before the nurse leaves for lunch?
A. Prevention of abstinence syndrome
B. The short half-life of naloxone
C. The short half-life of oxycodone
D. History of substance abuse
D. Cause respiratory depression - correct answer ✔✔ A fentanyl patch has been prescribed for a
patient after multiple musculoskeletal injuries. The most important reason why the nurse
should teach the patient not to apply heat in the area of the patch is because it might
A. Inactivate the drug
B. Loosen the patch from the skin
C. Prolong the drug's effect
D. Cause respiratory depression
A. Call 911.
(The dose of fentanyl in the lozenge on a stick is sufficient to kill non-tolerant individuals-
especially children.) - correct answer ✔✔ The nurse answers a call to the Ed from a woman who
is prescribed a fentanyl lozenge on a stick. She states that she found her 2-year old grandson
with the medication in his mouth. She took it away from him, and he is standing next to her
crying. Which action would be of greatest priority?
A. Call 911
B. Assess how much drug was consumed
C. Contact the poison hotline
D. Rinse out the child's mouth
D. Toxicity from a metabolite may be occuring
