RNSG 1301 LATEST EXAMS SCRIPT ALL QUESTIONS
AND ANSWERS SURE A+
✔✔Opioids primarily activate the mu receptors, causing which effects?
Itching
Nausea
Sedation
Euphoria
Analgesia
Bradycardia - ✔✔Sedation - Activation of mu receptors causes sedation. Patients
should be instructed to avoid alcohol or other sedating medications while taking
morphine.
Euphoria - Activation of mu receptors causes euphoria. This leads to the potential for
abuse, making morphine a controlled substance.
Analgesia - Activation of mu receptors causes analgesia. This is the primary indication
of morphine, to treat moderate to severe pain.
✔✔Respiratory depression is a side effect of activation of which central nervous system
(CNS) receptors?
, Mu
Beta
Alpha
Kappa - ✔✔Mu - Activation of the mu receptors may cause respiratory depression.
Activation of these receptors can also cause analgesia, euphoria, and sedation.
✔✔A patient in severe pain is unable to swallow and does not have intravenous (IV)
access. Which prescription would the nurse request from the health care provider?
Morphine by mouth (PO)
Morphine by rectum (PR)
Acetaminophen PO
Acetaminophen PR - ✔✔Morphine by rectum (PR) - A patient in severe pain with no IV
access who is not able to swallow should have morphine administered rectally. This will
allow for fast absorption and pain relief while ensuring patient safety.
✔✔Which pharmacokinetic trait is important to consider with oral morphine
administration?
Has a long half-life
Does not cross the placenta
Undergoes first hepatic pass
Does not cross the blood-brain barrier - ✔✔Undergoes first hepatic pass - Oral
morphine undergoes first hepatic pass, meaning it must be metabolized by the liver
before it becomes available to the rest of the body. This results in a higher dose for oral
administration compared with parenteral administration.
✔✔Which questions would the nurse ask a patient who is taking acetaminophen?
Do you take nonsteroidal antiinflammatory drugs (NSAIDs)?
How often do you drink alcohol?
How often do you smoke cigarettes?
Do you have any history of liver disease?
Do you have any history of renal disease? - ✔✔How often do you drink alcohol? -
Asking a patient taking acetaminophen about alcohol intake is necessary, as both
substances affect the liver. The risk for hepatotoxicity is increased when acetaminophen
is combined with alcohol.
Do you have any history of liver disease? - Asking a patient taking acetaminophen
about a history of liver disease is appropriate given the drug's effect on the liver.
Patients with a history of liver disease may require a decreased dose of acetaminophen
or an alternative medication.
✔✔A patient in the emergency department has mild pain and asks for acetaminophen.
Which intervention by the nurse is appropriate?
AND ANSWERS SURE A+
✔✔Opioids primarily activate the mu receptors, causing which effects?
Itching
Nausea
Sedation
Euphoria
Analgesia
Bradycardia - ✔✔Sedation - Activation of mu receptors causes sedation. Patients
should be instructed to avoid alcohol or other sedating medications while taking
morphine.
Euphoria - Activation of mu receptors causes euphoria. This leads to the potential for
abuse, making morphine a controlled substance.
Analgesia - Activation of mu receptors causes analgesia. This is the primary indication
of morphine, to treat moderate to severe pain.
✔✔Respiratory depression is a side effect of activation of which central nervous system
(CNS) receptors?
, Mu
Beta
Alpha
Kappa - ✔✔Mu - Activation of the mu receptors may cause respiratory depression.
Activation of these receptors can also cause analgesia, euphoria, and sedation.
✔✔A patient in severe pain is unable to swallow and does not have intravenous (IV)
access. Which prescription would the nurse request from the health care provider?
Morphine by mouth (PO)
Morphine by rectum (PR)
Acetaminophen PO
Acetaminophen PR - ✔✔Morphine by rectum (PR) - A patient in severe pain with no IV
access who is not able to swallow should have morphine administered rectally. This will
allow for fast absorption and pain relief while ensuring patient safety.
✔✔Which pharmacokinetic trait is important to consider with oral morphine
administration?
Has a long half-life
Does not cross the placenta
Undergoes first hepatic pass
Does not cross the blood-brain barrier - ✔✔Undergoes first hepatic pass - Oral
morphine undergoes first hepatic pass, meaning it must be metabolized by the liver
before it becomes available to the rest of the body. This results in a higher dose for oral
administration compared with parenteral administration.
✔✔Which questions would the nurse ask a patient who is taking acetaminophen?
Do you take nonsteroidal antiinflammatory drugs (NSAIDs)?
How often do you drink alcohol?
How often do you smoke cigarettes?
Do you have any history of liver disease?
Do you have any history of renal disease? - ✔✔How often do you drink alcohol? -
Asking a patient taking acetaminophen about alcohol intake is necessary, as both
substances affect the liver. The risk for hepatotoxicity is increased when acetaminophen
is combined with alcohol.
Do you have any history of liver disease? - Asking a patient taking acetaminophen
about a history of liver disease is appropriate given the drug's effect on the liver.
Patients with a history of liver disease may require a decreased dose of acetaminophen
or an alternative medication.
✔✔A patient in the emergency department has mild pain and asks for acetaminophen.
Which intervention by the nurse is appropriate?
