NUR 334 Pharm Exam 1 - Module 1 & 2
The nurse has provided client education about the use of no pharmacological
techniques for pain management. Which statements indicate the client understands the
information?
1. "No pharmacological techniques are a good adjunct to pharmacotherapy."
2. "No pharmacological techniques have not reached mainstream yet."
3. "No pharmacological techniques may be used in place of drugs."
4. "No pharmacological techniques include an aerobic exercise."
5. "No pharmacological techniques are not usually valued by nurses." - answer1. "No
pharmacological techniques are a good adjunct to pharmacotherapy."
3. "No pharmacological techniques may be used in place of drugs."
The educator is reviewing the neural mechanisms of pain with a nurse. Which
information should the educator provide about substance P?
1. Substance P modifies sensory information in the spinal cord.
2. Substance P is also known as an endogenous opioid.
3. Substance P stimulates pain receptors in the spinal cord.
4. Substance P controls which pain signals reach the brain. - answer4. Substance P
controls which pain signals reach the brain.
A client asks the nurse how methadone (Dolophine) can help with a heroin dependence.
Which response should the nurse provide?
1. "Methadone (Dolophine) will cause illness if heroin is used."
2. "Methadone (Dolophine) does not cause euphoria like heroin does."
3. "Methadone (Dolophine) can cure an addiction to heroin."
4. "Methadone (Dolophine) causes an allergic reaction to heroin." - answer2.
"Methadone (Dolophine) does not cause euphoria like heroin does."
A nurse is preparing to provide education on the use of heroin. Which information
should the nurse include?
1. Heroin is an opioid drug.
2. Heroin is a narcotic drug.
3. Heroin causes CNS agitation.
4. Heroin is the same drug as morphine.
5. Heroin is not as dangerous as oxycodone. - answer1. Heroin is an opioid drug.
2. Heroin is a narcotic drug.
A client asks the nurse how morphine will control pain. Which response should the
nurse provide the client?
1. "Inhibits the primary pain neurotransmitters in your brain."
,2. "Stimulates the receptors that secrete endorphins in your brain."
3. "Interacts with receptors in your body that produce analgesia."
4. "Promotes the primary pleasure neurotransmitters in your brain." - answer3.
"Interacts with receptors in your body that produce analgesia."
The educator has discussed with a nurse the protocol for the immediate availability of
naloxone for a client with a patient-controlled analgesia PCA pump. Which statement
made by the nurse indicates an understanding of the information?
1. "Naloxone (Narcan) enhances the effect of the opioid in the patient-controlled
analgesia (PCA) pump and increases analgesia."
2. "Naloxone (Narcan) is the antidote if an anaphylactic reaction to the opioid in the
patient-controlled analgesia (PCA) pump occurs."
3. "Naloxone (Narcan) is available to treat any systemic side effects, like constipation, of
the opioid in the patient-controlled analgesia (PCA) pump."
4. "Naloxone (Narcan) will reverse the effects of the narcotic in the patient-controlled
analgesia (PCA) pump if an overdose occurs." - answer4. "Naloxone (Narcan) will
reverse the effects of the narcotic in the patient-controlled analgesia (PCA) pump if an
overdose occurs."
1) Which question should the nurse ask a postsurgical client prior to the administration
of an opioid analgesic?
1. "Have you ever been addicted to prescription pain medications?"
2. "Do you understand how this pain prescription works?"
3. "Would you like me to help you change your position for comfort?"
4. "Would you please rate your pain on a scale of 1 to 10? - answer4. "Would you
please rate your pain on a scale of 1 to 10?
A postoperative client has a prescription for morphine 2 mg IV push every 2 hours and
hydrocodone 5 mg every 6 hours. The client received the morphine 2 hours ago and is
requesting hydrocodone. Which initial action should the nurse take?
1. Administer another dose of morphine.
2. Administer 5 mg of hydrocodone.
3. Encourage the use of distraction techniques.
4. Using a pain scale assess the patient's level of pain. - answer4. Using a pain scale
assess the patient's level of pain.
A client that experienced head trauma asks the nurse why they cannot have an opioid
analgesic. Which response should the nurse provide?
1. "The use of an opioid analgesic can significantly decrease blood pressure."
2. "You may not be able to notice any changes you are experiencing."
3. "Opioids are not effective for the management of pain associated with head trauma."
4. "Opioids can mask changes in the level of consciousness." - answer4. "Opioids can
mask changes in the level of consciousness."
Which comment by the client receiving morphine should the nurse recognize as an
adverse effect?
,1. "My ears are constantly ringing."
2. "My heart feels like it is skipping beats."
3. "I feel like I am going to throw up."
4. "I feel cold shivers all over." - answer3. "I feel like I am going to throw up."
Which statement made by a client prescribed acetylsalicylic acid (aspirin) indicates the
client is experiencing an adverse reaction?
1. "My stools have been dark in color."
2. "My nose is stuffed up."
3. "Bright lights give me a headache."
4. "I have to get up a lot at night to urinate." - answer1. "My stools have been dark in
color."
For which client is acetaminophen (Tylenol) contraindicated?
1. A 2-year-old with a high fever
2. A 65-year-old with osteoarthritis
3. A 19-year-old with a bladder infection
4. A 55-year old who drinks alcohol - answer4. A 55-year old who drinks alcohol
Which instruction should the nurse include for a client prescribed acetaminophen
(Tylenol)?
1. "Check your gums for bleeding when taking acetaminophen (Tylenol)."
2. "Do not take any narcotics with acetaminophen (Tylenol)."
3. "You may experience diarrhea while taking acetaminophen (Tylenol)."
4. "Acetaminophen (Tylenol) can cause your mouth to become dry." - answer4.
"Acetaminophen (Tylenol) can cause your mouth to become dry."
Which information should the nurse include in the education for a client prescribed
sumatriptan (Imitrex)?
1. Do not drive until the effects of the medication are known.
2. Avoid pseudoephedrine (Sudafed) while taking the prescription.
3. Take the prescription with a meal high in protein.
4. Take the prescription with food.
5. Increase fluid intake. - answer1. Do not drive until the effects of the medication are
known.
2. Avoid pseudoephedrine (Sudafed) while taking the prescription.
A client tells the nurse he or she has a dull, aching pain in his or her lower back. Which
type of pain should the nurse recognize the client is experiencing?
1. Acute
2. Somatic
3. Neuropathic
4. Visceral - answer4. Visceral
, Which statement should the educator use to describe to the nurse the neural
mechanism responsible for signaling sharp pain?
1. "Once the pain impulse reaches the spinal cord, the neurotransmitters speed up the
signal for sharp pain."
2. "Alpha fibers are wrapped in myelin that speeds up the signal resulting in the
sensation of sharp pain."
3. "Both the alpha and beta fibers in the spinal cord work together to signal sharp pain."
4. "Unmyelinated fibers carry the pain signal faster resulting in the feeling of sharp
pain." - answer2. "Alpha fibers are wrapped in myelin that speeds up the signal resulting
in the sensation of sharp pain."
The educator is discussing pain transmission with the nurse. Which statement made by
the nurse indicates an understanding of the process?
1. "The transmission process begins with the activation of substance P."
2. "The transmission process begins with the A and C fibers."
3. "The transmission process begins with the nociceptors."
4. "The transmission process begins with the sensory neurons in the spinal cord." -
answer3. "The transmission process begins with the nociceptors."
The educator has discussed the types of opioid receptors with a nurse. Which
statement made by the nurse indicates an understanding of the information?
1. "The sigma and kappa receptors have been traditionally targeted for pain
management."
2. "Drugs that block opioid receptors inhibit the pain impulse."
3. "Opioid agonists will activate mu and kappa receptors, producing an analgesic
effect."
4. "Opioids exert their actions by interacting with three different receptors." - answer3.
"Opioid agonists will activate mu and kappa receptors, producing an analgesic effect."
A client with an oxycodone overdose has a respiratory rate of 8 and is difficult to arouse.
Which prescribed treatment should the nurse anticipate administering?
1. Administering activated charcoal
2. Administering an opioid agonist
3. Administering opioid antagonist
4. Preparing for intubation and mechanical ventilation - answer3. Administering opioid
antagonist
The nurse has administered naloxone (Narcan) intravenously to a client receiving
morphine experiencing respiratory depression. Which should the nurse anticipate?
1. A peak effect of 10 to 20 minutes
2. An onset of action of 1 to 2 minutes
3. An onset of action of 2 to 5 minutes
4. A peak effect of 5 to 10 minutes - answer2. An onset of action of 1 to 2 minutes
The nurse has provided education for a client prescribed opioid treatment. Which
statement made by the client indicates an understanding of the education?
The nurse has provided client education about the use of no pharmacological
techniques for pain management. Which statements indicate the client understands the
information?
1. "No pharmacological techniques are a good adjunct to pharmacotherapy."
2. "No pharmacological techniques have not reached mainstream yet."
3. "No pharmacological techniques may be used in place of drugs."
4. "No pharmacological techniques include an aerobic exercise."
5. "No pharmacological techniques are not usually valued by nurses." - answer1. "No
pharmacological techniques are a good adjunct to pharmacotherapy."
3. "No pharmacological techniques may be used in place of drugs."
The educator is reviewing the neural mechanisms of pain with a nurse. Which
information should the educator provide about substance P?
1. Substance P modifies sensory information in the spinal cord.
2. Substance P is also known as an endogenous opioid.
3. Substance P stimulates pain receptors in the spinal cord.
4. Substance P controls which pain signals reach the brain. - answer4. Substance P
controls which pain signals reach the brain.
A client asks the nurse how methadone (Dolophine) can help with a heroin dependence.
Which response should the nurse provide?
1. "Methadone (Dolophine) will cause illness if heroin is used."
2. "Methadone (Dolophine) does not cause euphoria like heroin does."
3. "Methadone (Dolophine) can cure an addiction to heroin."
4. "Methadone (Dolophine) causes an allergic reaction to heroin." - answer2.
"Methadone (Dolophine) does not cause euphoria like heroin does."
A nurse is preparing to provide education on the use of heroin. Which information
should the nurse include?
1. Heroin is an opioid drug.
2. Heroin is a narcotic drug.
3. Heroin causes CNS agitation.
4. Heroin is the same drug as morphine.
5. Heroin is not as dangerous as oxycodone. - answer1. Heroin is an opioid drug.
2. Heroin is a narcotic drug.
A client asks the nurse how morphine will control pain. Which response should the
nurse provide the client?
1. "Inhibits the primary pain neurotransmitters in your brain."
,2. "Stimulates the receptors that secrete endorphins in your brain."
3. "Interacts with receptors in your body that produce analgesia."
4. "Promotes the primary pleasure neurotransmitters in your brain." - answer3.
"Interacts with receptors in your body that produce analgesia."
The educator has discussed with a nurse the protocol for the immediate availability of
naloxone for a client with a patient-controlled analgesia PCA pump. Which statement
made by the nurse indicates an understanding of the information?
1. "Naloxone (Narcan) enhances the effect of the opioid in the patient-controlled
analgesia (PCA) pump and increases analgesia."
2. "Naloxone (Narcan) is the antidote if an anaphylactic reaction to the opioid in the
patient-controlled analgesia (PCA) pump occurs."
3. "Naloxone (Narcan) is available to treat any systemic side effects, like constipation, of
the opioid in the patient-controlled analgesia (PCA) pump."
4. "Naloxone (Narcan) will reverse the effects of the narcotic in the patient-controlled
analgesia (PCA) pump if an overdose occurs." - answer4. "Naloxone (Narcan) will
reverse the effects of the narcotic in the patient-controlled analgesia (PCA) pump if an
overdose occurs."
1) Which question should the nurse ask a postsurgical client prior to the administration
of an opioid analgesic?
1. "Have you ever been addicted to prescription pain medications?"
2. "Do you understand how this pain prescription works?"
3. "Would you like me to help you change your position for comfort?"
4. "Would you please rate your pain on a scale of 1 to 10? - answer4. "Would you
please rate your pain on a scale of 1 to 10?
A postoperative client has a prescription for morphine 2 mg IV push every 2 hours and
hydrocodone 5 mg every 6 hours. The client received the morphine 2 hours ago and is
requesting hydrocodone. Which initial action should the nurse take?
1. Administer another dose of morphine.
2. Administer 5 mg of hydrocodone.
3. Encourage the use of distraction techniques.
4. Using a pain scale assess the patient's level of pain. - answer4. Using a pain scale
assess the patient's level of pain.
A client that experienced head trauma asks the nurse why they cannot have an opioid
analgesic. Which response should the nurse provide?
1. "The use of an opioid analgesic can significantly decrease blood pressure."
2. "You may not be able to notice any changes you are experiencing."
3. "Opioids are not effective for the management of pain associated with head trauma."
4. "Opioids can mask changes in the level of consciousness." - answer4. "Opioids can
mask changes in the level of consciousness."
Which comment by the client receiving morphine should the nurse recognize as an
adverse effect?
,1. "My ears are constantly ringing."
2. "My heart feels like it is skipping beats."
3. "I feel like I am going to throw up."
4. "I feel cold shivers all over." - answer3. "I feel like I am going to throw up."
Which statement made by a client prescribed acetylsalicylic acid (aspirin) indicates the
client is experiencing an adverse reaction?
1. "My stools have been dark in color."
2. "My nose is stuffed up."
3. "Bright lights give me a headache."
4. "I have to get up a lot at night to urinate." - answer1. "My stools have been dark in
color."
For which client is acetaminophen (Tylenol) contraindicated?
1. A 2-year-old with a high fever
2. A 65-year-old with osteoarthritis
3. A 19-year-old with a bladder infection
4. A 55-year old who drinks alcohol - answer4. A 55-year old who drinks alcohol
Which instruction should the nurse include for a client prescribed acetaminophen
(Tylenol)?
1. "Check your gums for bleeding when taking acetaminophen (Tylenol)."
2. "Do not take any narcotics with acetaminophen (Tylenol)."
3. "You may experience diarrhea while taking acetaminophen (Tylenol)."
4. "Acetaminophen (Tylenol) can cause your mouth to become dry." - answer4.
"Acetaminophen (Tylenol) can cause your mouth to become dry."
Which information should the nurse include in the education for a client prescribed
sumatriptan (Imitrex)?
1. Do not drive until the effects of the medication are known.
2. Avoid pseudoephedrine (Sudafed) while taking the prescription.
3. Take the prescription with a meal high in protein.
4. Take the prescription with food.
5. Increase fluid intake. - answer1. Do not drive until the effects of the medication are
known.
2. Avoid pseudoephedrine (Sudafed) while taking the prescription.
A client tells the nurse he or she has a dull, aching pain in his or her lower back. Which
type of pain should the nurse recognize the client is experiencing?
1. Acute
2. Somatic
3. Neuropathic
4. Visceral - answer4. Visceral
, Which statement should the educator use to describe to the nurse the neural
mechanism responsible for signaling sharp pain?
1. "Once the pain impulse reaches the spinal cord, the neurotransmitters speed up the
signal for sharp pain."
2. "Alpha fibers are wrapped in myelin that speeds up the signal resulting in the
sensation of sharp pain."
3. "Both the alpha and beta fibers in the spinal cord work together to signal sharp pain."
4. "Unmyelinated fibers carry the pain signal faster resulting in the feeling of sharp
pain." - answer2. "Alpha fibers are wrapped in myelin that speeds up the signal resulting
in the sensation of sharp pain."
The educator is discussing pain transmission with the nurse. Which statement made by
the nurse indicates an understanding of the process?
1. "The transmission process begins with the activation of substance P."
2. "The transmission process begins with the A and C fibers."
3. "The transmission process begins with the nociceptors."
4. "The transmission process begins with the sensory neurons in the spinal cord." -
answer3. "The transmission process begins with the nociceptors."
The educator has discussed the types of opioid receptors with a nurse. Which
statement made by the nurse indicates an understanding of the information?
1. "The sigma and kappa receptors have been traditionally targeted for pain
management."
2. "Drugs that block opioid receptors inhibit the pain impulse."
3. "Opioid agonists will activate mu and kappa receptors, producing an analgesic
effect."
4. "Opioids exert their actions by interacting with three different receptors." - answer3.
"Opioid agonists will activate mu and kappa receptors, producing an analgesic effect."
A client with an oxycodone overdose has a respiratory rate of 8 and is difficult to arouse.
Which prescribed treatment should the nurse anticipate administering?
1. Administering activated charcoal
2. Administering an opioid agonist
3. Administering opioid antagonist
4. Preparing for intubation and mechanical ventilation - answer3. Administering opioid
antagonist
The nurse has administered naloxone (Narcan) intravenously to a client receiving
morphine experiencing respiratory depression. Which should the nurse anticipate?
1. A peak effect of 10 to 20 minutes
2. An onset of action of 1 to 2 minutes
3. An onset of action of 2 to 5 minutes
4. A peak effect of 5 to 10 minutes - answer2. An onset of action of 1 to 2 minutes
The nurse has provided education for a client prescribed opioid treatment. Which
statement made by the client indicates an understanding of the education?
