ICU Exam #4 Actual Questions and
Answers 2026
-it is whatever the person experiencing it is/exists when they say it
does
-nurse's responsibility to alleviate
-patients are in _____ whenever they say they are -
correct answer ✅pain
NSAIDs, ice or splints are used to alleviate pain transmission at the
_______ site. -
correct answer ✅injury
opioids are used to alleviate pain transmission at the _______
__________ in the brain/spinal cord. -
correct answer ✅opiate receptors
local anesthetics are used to alleviate pain transmission at the
peripheral and spinal _______ as well as _________. -
correct answer ✅nerves, topically
massage, distractions and antidepressants (sedatives as well)can be
used to alleviate pain transmission in the higher ________. -
correct answer ✅brain
,ICU Exam #4 Actual Questions and
Answers 2026
for the most part, it is good to mix _______ pain control methods;
example includes using ice + toradol + morphine. Leads to lesser
side effects and better pain control. -
correct answer ✅different
IM ketorolac (toradol) dose -
correct answer ✅60 mg
IV Ketorolac (toradol) dose -
correct answer ✅30 mg
children's dosing of ibuprofen -
correct answer ✅10 mg/kg
-inhibit prostaglandin synthesis at the pain source
-may work better than opiates for musculoskeletal and spasmodic
(cramp) pain
-big side effects: GI distress/bleed, nephrotoxicity, platelet
inhibition
-CANNOT be used during pregnancy -
correct answer ✅NSAIDs
,ICU Exam #4 Actual Questions and
Answers 2026
-Antipyretic analgesic: very weak cyclooxygenase inhibitor; NOT
anti−inflammatory. Less toxic than aspirin, no sedation but more
dangerous in overdose (causes hepatic necrosis)
-can be used in pregnancy
-antidote: acetylcysteine -
correct answer ✅acetaminophen
-opium and its derivatives such as morphine and heroin
-they depress neural activity, temporarily lessening pain and anxiety
-Morphine, fentanyl, cofeine, heroin, methadone, meperidine,
dextromethorphan, diphenoxylate -
correct answer ✅opiates
-endogenous morphine
-release can be triggered by many things, including food, sex,
exercise, tanning, laughing, stress/pain -
correct answer ✅endorphins
small doses of _____ _________ administered frequently offer the
best pain control with fewest side effects in the acute setting. -
correct answer ✅IV opiates
, ICU Exam #4 Actual Questions and
Answers 2026
-used in the ICU setting, typically along with a sedative infusion -
correct answer ✅fentanyl gtt
-most often used in terminally ill patients (end of life care) -
correct answer ✅morphine gtt
-administered in higher doses than in an IV infusion, 3 times higher
PO than IV
-given in higher doses due to the first pass effect -
correct answer ✅PO morphine
The initial metabolism in the liver of a drug absorbed from the
gastrointestinal tract before the drug reaches systemic circulation
through the bloodstream. -
correct answer ✅first pass effect
decreased mental status, respiratory depression, hypotension (not
incredibly common) -
correct answer ✅Opiate side effects
why do opiates cause hypotension? -
correct answer ✅venous vasodilation
Answers 2026
-it is whatever the person experiencing it is/exists when they say it
does
-nurse's responsibility to alleviate
-patients are in _____ whenever they say they are -
correct answer ✅pain
NSAIDs, ice or splints are used to alleviate pain transmission at the
_______ site. -
correct answer ✅injury
opioids are used to alleviate pain transmission at the _______
__________ in the brain/spinal cord. -
correct answer ✅opiate receptors
local anesthetics are used to alleviate pain transmission at the
peripheral and spinal _______ as well as _________. -
correct answer ✅nerves, topically
massage, distractions and antidepressants (sedatives as well)can be
used to alleviate pain transmission in the higher ________. -
correct answer ✅brain
,ICU Exam #4 Actual Questions and
Answers 2026
for the most part, it is good to mix _______ pain control methods;
example includes using ice + toradol + morphine. Leads to lesser
side effects and better pain control. -
correct answer ✅different
IM ketorolac (toradol) dose -
correct answer ✅60 mg
IV Ketorolac (toradol) dose -
correct answer ✅30 mg
children's dosing of ibuprofen -
correct answer ✅10 mg/kg
-inhibit prostaglandin synthesis at the pain source
-may work better than opiates for musculoskeletal and spasmodic
(cramp) pain
-big side effects: GI distress/bleed, nephrotoxicity, platelet
inhibition
-CANNOT be used during pregnancy -
correct answer ✅NSAIDs
,ICU Exam #4 Actual Questions and
Answers 2026
-Antipyretic analgesic: very weak cyclooxygenase inhibitor; NOT
anti−inflammatory. Less toxic than aspirin, no sedation but more
dangerous in overdose (causes hepatic necrosis)
-can be used in pregnancy
-antidote: acetylcysteine -
correct answer ✅acetaminophen
-opium and its derivatives such as morphine and heroin
-they depress neural activity, temporarily lessening pain and anxiety
-Morphine, fentanyl, cofeine, heroin, methadone, meperidine,
dextromethorphan, diphenoxylate -
correct answer ✅opiates
-endogenous morphine
-release can be triggered by many things, including food, sex,
exercise, tanning, laughing, stress/pain -
correct answer ✅endorphins
small doses of _____ _________ administered frequently offer the
best pain control with fewest side effects in the acute setting. -
correct answer ✅IV opiates
, ICU Exam #4 Actual Questions and
Answers 2026
-used in the ICU setting, typically along with a sedative infusion -
correct answer ✅fentanyl gtt
-most often used in terminally ill patients (end of life care) -
correct answer ✅morphine gtt
-administered in higher doses than in an IV infusion, 3 times higher
PO than IV
-given in higher doses due to the first pass effect -
correct answer ✅PO morphine
The initial metabolism in the liver of a drug absorbed from the
gastrointestinal tract before the drug reaches systemic circulation
through the bloodstream. -
correct answer ✅first pass effect
decreased mental status, respiratory depression, hypotension (not
incredibly common) -
correct answer ✅Opiate side effects
why do opiates cause hypotension? -
correct answer ✅venous vasodilation
