WVU NSG 460 EXAM 4 REVIEW
2025/2026 QUESTIONS AND ANSWERS
100% PASS
What treatment is used to block pain transmission at the Site Of Injury: - ANS NSAIDS, Ice,
Splint
What treatment is used to block pain transmission In The Brain, Spinal Cord: - ANS Opiates
What treatment is used to block pain transmission in The Peripheral And Spinal Nerves And
Topically: - ANS Local Anesthetics
What treatment is used to block pain transmission in The Higher Brain: - ANS Massage,
Distraction, Anti- depressants, (Sedatives?)
Do we like to mix different pain control methods for our patients? why? - ANS yes, better
control with fewer side effects
Examples of NSAIDs - ANS Ibuprofen, naproxen, indomethacin, ketorolac, diclofenac
What is the proper Ketorolac (toradol) Dosage - ANS 60 mg IM / 30 mg IV
1 @COPYRIGHT 2025/2026
,What is the proper Children's dose of Ibuprofen - ANS 10 mg / kg
Where do NSAIDs work and how? - ANS They inhibit prostaglandins at the pain source.
Which kind of pain is better treated with NSAIDs than opiates? - ANS musculoskeletal and
spasmodic ("crampy") pain
Three big side effects of NSAIDs - ANS 1) GI distress / bleed
2) nephrotoxic
3) platelet inhibitors
Can you take NSAID in pregnancy? - ANS No. Contraindicated especially in 3rd trimester
What are some advantages of acetaminophen? - ANS NO SEDATION, OK IN PREGNANCY
Is acetaminophen anti-inflammatory? - ANS nope
What are opitates? - ANS opium and its derivatives, such as morphine and heroin; they
depress neural activity, temporarily lessening pain and anxiety
What are Endorphins? - ANS ("endogenous morphine") --natural, opiatelike
neurotransmitters linked to pain control and to pleasure.
What are some famous "triggers" that stimulate the body to release these natural opiates??? -
ANS 1) stress / pain
2) exercize
3) laughter
2 @COPYRIGHT 2025/2026
, 4) chocolate
5) kissing / sex
6) tanning beds
Opiate Dose per KG IV
Morphine:
HYDROMORPHONE (Dilaudid):
MEPERIDINE (Demerol):
FENTANYL (Sublimaze): - ANS Morphine: 0.1 mg
HYDROMORPHONE (Dilaudid): 0.015 mg
MEPERIDINE (Demerol): 1 mg
FENTANYL (Sublimaze): 1-2 mcg
Average Adult IV Opiate Dose
Morphine:
HYDROMORPHONE (Dilaudid):
MEPERIDINE (Demerol):
FENTANYL (Sublimaze): - ANS Morphine: 2-4 mg
HYDROMORPHONE (Dilaudid): 0.5-1 mg
MEPERIDINE (Demerol): 25-50 mg
FENTANYL (Sublimaze): 25-50 mcg
Which regimen is best to offer the best pain control with the fewest side effects? - ANS small
IV doses of Opiates Administered Frequently
3 @COPYRIGHT 2025/2026
2025/2026 QUESTIONS AND ANSWERS
100% PASS
What treatment is used to block pain transmission at the Site Of Injury: - ANS NSAIDS, Ice,
Splint
What treatment is used to block pain transmission In The Brain, Spinal Cord: - ANS Opiates
What treatment is used to block pain transmission in The Peripheral And Spinal Nerves And
Topically: - ANS Local Anesthetics
What treatment is used to block pain transmission in The Higher Brain: - ANS Massage,
Distraction, Anti- depressants, (Sedatives?)
Do we like to mix different pain control methods for our patients? why? - ANS yes, better
control with fewer side effects
Examples of NSAIDs - ANS Ibuprofen, naproxen, indomethacin, ketorolac, diclofenac
What is the proper Ketorolac (toradol) Dosage - ANS 60 mg IM / 30 mg IV
1 @COPYRIGHT 2025/2026
,What is the proper Children's dose of Ibuprofen - ANS 10 mg / kg
Where do NSAIDs work and how? - ANS They inhibit prostaglandins at the pain source.
Which kind of pain is better treated with NSAIDs than opiates? - ANS musculoskeletal and
spasmodic ("crampy") pain
Three big side effects of NSAIDs - ANS 1) GI distress / bleed
2) nephrotoxic
3) platelet inhibitors
Can you take NSAID in pregnancy? - ANS No. Contraindicated especially in 3rd trimester
What are some advantages of acetaminophen? - ANS NO SEDATION, OK IN PREGNANCY
Is acetaminophen anti-inflammatory? - ANS nope
What are opitates? - ANS opium and its derivatives, such as morphine and heroin; they
depress neural activity, temporarily lessening pain and anxiety
What are Endorphins? - ANS ("endogenous morphine") --natural, opiatelike
neurotransmitters linked to pain control and to pleasure.
What are some famous "triggers" that stimulate the body to release these natural opiates??? -
ANS 1) stress / pain
2) exercize
3) laughter
2 @COPYRIGHT 2025/2026
, 4) chocolate
5) kissing / sex
6) tanning beds
Opiate Dose per KG IV
Morphine:
HYDROMORPHONE (Dilaudid):
MEPERIDINE (Demerol):
FENTANYL (Sublimaze): - ANS Morphine: 0.1 mg
HYDROMORPHONE (Dilaudid): 0.015 mg
MEPERIDINE (Demerol): 1 mg
FENTANYL (Sublimaze): 1-2 mcg
Average Adult IV Opiate Dose
Morphine:
HYDROMORPHONE (Dilaudid):
MEPERIDINE (Demerol):
FENTANYL (Sublimaze): - ANS Morphine: 2-4 mg
HYDROMORPHONE (Dilaudid): 0.5-1 mg
MEPERIDINE (Demerol): 25-50 mg
FENTANYL (Sublimaze): 25-50 mcg
Which regimen is best to offer the best pain control with the fewest side effects? - ANS small
IV doses of Opiates Administered Frequently
3 @COPYRIGHT 2025/2026
