NR 293 Exam 2 Pharmacology
Actual Exam 2026/2027 – 100%
Verified | Detailed Rationales – Pass
Guaranteed – A+ Graded GRADED
A+
Section 1: Pain Management & Analgesics
Question 1
A patient is recovering from abdominal surgery and complaining
of severe incisional pain. The nurse prepares to administer
morphine sulfate. Which assessment is most important before
administration?
A) Pulse rate
B) Respiratory rate
C) Appearance of the incision
D) Date of last bowel movement
Answer: B) Respiratory rate
Rationale: One of the most serious adverse effects of opioids is
respiratory depression. The nurse must assess the patient's
respiratory rate before administering an opioid. While the other
,options are relevant assessments, respiratory depression is the
priority safety concern .
Question 2
A 78-year-old patient in the recovery room received morphine
sulfate for pain. Ten minutes later, the patient is lethargic with
shallow respirations at 7 breaths per minute. Which action should
the nurse prioritize?
A) Reassess pain level
B) Prepare for intubation
C) Administer naloxone (Narcan)
D) Observe for opioid tolerance
Answer: C) Administer naloxone (Narcan)
Rationale: Naloxone is an opioid antagonist that reverses the
effects of acute opioid overdose, including respiratory depression.
This situation describes an opioid overdose, not tolerance.
Intubation is not immediately required as the patient is still
breathing .
Question 3
A patient will be discharged with a 1-week supply of an opioid
analgesic. Which information should the nurse include in the
teaching plan?
,A) How to prevent dehydration due to diarrhea
B) Take only when pain becomes severe
C) How to prevent constipation
D) Take on an empty stomach
Answer: C) How to prevent constipation
Rationale: Gastrointestinal adverse effects such as nausea,
vomiting, and constipation are the most common adverse effects
associated with opioid analgesics. Patients should be taught
preventive measures including increased fluid intake, stool
softeners, and dietary modifications .
Section 2: Cardiovascular Medications
Question 4
A patient is prescribed lisinopril for hypertension. Which adverse
effect requires immediate reporting to the healthcare provider?
A) Dry cough
B) Dizziness
C) Angioedema
D) Headache
Answer: C) Angioedema
Rationale: Angioedema (swelling of lips, tongue, throat) is a rare
but life-threatening adverse effect of ACE inhibitors like lisinopril.
Dry cough is common but not emergent. Patients should be
, taught to seek immediate medical attention if they experience any
swelling of the face, lips, or throat .
Question 5
A patient on warfarin has an INR of 4.5. Which medication order
should the nurse question?
A) Acetaminophen 650 mg
B) Ibuprofen 400 mg
C) Metoprolol 25 mg
D) Levothyroxine 75 mcg
Answer: B) Ibuprofen 400 mg
Rationale: NSAIDs like ibuprofen increase bleeding risk and
should be avoided with warfarin, especially with an elevated INR.
The therapeutic INR range for most indications is 2-3. An INR of
4.5 indicates the patient is at increased risk for bleeding .
Question 6
A patient is prescribed a transdermal nitroglycerin patch for
angina. Which instruction should the nurse include?
A) Apply a new patch every 12 hours
B) Apply the patch over the area of pain
C) Leave the patch in place during bathing
Actual Exam 2026/2027 – 100%
Verified | Detailed Rationales – Pass
Guaranteed – A+ Graded GRADED
A+
Section 1: Pain Management & Analgesics
Question 1
A patient is recovering from abdominal surgery and complaining
of severe incisional pain. The nurse prepares to administer
morphine sulfate. Which assessment is most important before
administration?
A) Pulse rate
B) Respiratory rate
C) Appearance of the incision
D) Date of last bowel movement
Answer: B) Respiratory rate
Rationale: One of the most serious adverse effects of opioids is
respiratory depression. The nurse must assess the patient's
respiratory rate before administering an opioid. While the other
,options are relevant assessments, respiratory depression is the
priority safety concern .
Question 2
A 78-year-old patient in the recovery room received morphine
sulfate for pain. Ten minutes later, the patient is lethargic with
shallow respirations at 7 breaths per minute. Which action should
the nurse prioritize?
A) Reassess pain level
B) Prepare for intubation
C) Administer naloxone (Narcan)
D) Observe for opioid tolerance
Answer: C) Administer naloxone (Narcan)
Rationale: Naloxone is an opioid antagonist that reverses the
effects of acute opioid overdose, including respiratory depression.
This situation describes an opioid overdose, not tolerance.
Intubation is not immediately required as the patient is still
breathing .
Question 3
A patient will be discharged with a 1-week supply of an opioid
analgesic. Which information should the nurse include in the
teaching plan?
,A) How to prevent dehydration due to diarrhea
B) Take only when pain becomes severe
C) How to prevent constipation
D) Take on an empty stomach
Answer: C) How to prevent constipation
Rationale: Gastrointestinal adverse effects such as nausea,
vomiting, and constipation are the most common adverse effects
associated with opioid analgesics. Patients should be taught
preventive measures including increased fluid intake, stool
softeners, and dietary modifications .
Section 2: Cardiovascular Medications
Question 4
A patient is prescribed lisinopril for hypertension. Which adverse
effect requires immediate reporting to the healthcare provider?
A) Dry cough
B) Dizziness
C) Angioedema
D) Headache
Answer: C) Angioedema
Rationale: Angioedema (swelling of lips, tongue, throat) is a rare
but life-threatening adverse effect of ACE inhibitors like lisinopril.
Dry cough is common but not emergent. Patients should be
, taught to seek immediate medical attention if they experience any
swelling of the face, lips, or throat .
Question 5
A patient on warfarin has an INR of 4.5. Which medication order
should the nurse question?
A) Acetaminophen 650 mg
B) Ibuprofen 400 mg
C) Metoprolol 25 mg
D) Levothyroxine 75 mcg
Answer: B) Ibuprofen 400 mg
Rationale: NSAIDs like ibuprofen increase bleeding risk and
should be avoided with warfarin, especially with an elevated INR.
The therapeutic INR range for most indications is 2-3. An INR of
4.5 indicates the patient is at increased risk for bleeding .
Question 6
A patient is prescribed a transdermal nitroglycerin patch for
angina. Which instruction should the nurse include?
A) Apply a new patch every 12 hours
B) Apply the patch over the area of pain
C) Leave the patch in place during bathing
