PHARMACOLOGY ANALGESICS HESI
OR WGU D441 EXAM 2025 QUESTIONS
AND ANSWERS
A client is Experiencing toxicity to Acetaminophen. Which of the following antidotes must be
given to the client to counteract the toxicity of the analgesic drug? - ANS Acetylcysteine
A client presents with mild joint pain and has been taking over-the-counter acetaminophen for
the treatment of his symptoms. The client has a history of alcohol abuse. Based on the current
medication and social history of the client, which of the following is the client at risk for
developing? - ANS Hepatotoxicity
Which of the following analgesics is a preferred choice for breastfeeding woman? -
ANS Acetaminophen
A client is receiving patient-controlled analgesia (PCA). When is it appropriate to notify the
healthcare provider (HCP) for an increase in dosage? - ANS When the client attempts are two
times the dose of medication given.
During an overdose of acetaminophen, which of the following labs must the nurse monitor? -
ANS AST and ALT as they are Liver Labs and Acetaminophen causes liver toxicity
A client with colorectal cancer undergoes bowel resection surgery. Which of the following
medications is recommended the treat the client's postoperative pain? - ANS Morphine is
1Page
recommended for sever, acute pain and Postoperatively
@COPYRIGHT FYNDLAY 2025/2026
, What is the priority action of the nurse caring for a client receiving opioid analgesic medication
via patient-controlled analgesic (PCA) pump? - ANS AIR Acronym for the Nursing Process=
Assessment, then Intervention, Then Reassessment
Answer is Pain Assesment
A nurse is caring for a 5-year-old client with influenza. The client has symptoms of a fever and
muscle aches. Which of the following pharmacological agents is recommended for this client? -
ANS Acetaminophen is an antipyretic and an analgesic used with children with fevers/Viruses
Which of the following pharmacological agents decreases prostaglandins response to reduce
pain and inflammation? - ANS Ascetylsalicylic Acid (Aspirin)
Which of the following clients have an increased risk for death, in relation to opioid use? -
ANS A 70-year-old patient with hip surgery. Older patients and then patients with respiratory
problems like COPD, Asthma
A client presents with muscle aches and is prescribed a topical analgesic with capsaicin. Which
of the following statements from the client ensures the proper understanding of the use of the
medication? - ANS The medication will cause local irritation which is normal
Which of the following is indicated for clients as pain management after surgery or long-term
recovery? - ANS Patient controlled analgesia (PCA) pump
Which of the following is indicative of use of Fentanyl Patch? - ANS Chronic Pain/Persistent
Pain, Not Acute Pain; It does not provide immediate pain relief and is not used Post-operatively
A client is receiving patient-controlled analgesia (PCA) postoperatively. After three hours the
nurse finds the client is having trouble breathing and is feeling dizzy and lightheaded. Which of
the following is the nurse's priority action? - ANS Wake the client and asses vital signs: AIMS
2
Page
A=ABC
@COPYRIGHT FYNDLAY 2025/2026
OR WGU D441 EXAM 2025 QUESTIONS
AND ANSWERS
A client is Experiencing toxicity to Acetaminophen. Which of the following antidotes must be
given to the client to counteract the toxicity of the analgesic drug? - ANS Acetylcysteine
A client presents with mild joint pain and has been taking over-the-counter acetaminophen for
the treatment of his symptoms. The client has a history of alcohol abuse. Based on the current
medication and social history of the client, which of the following is the client at risk for
developing? - ANS Hepatotoxicity
Which of the following analgesics is a preferred choice for breastfeeding woman? -
ANS Acetaminophen
A client is receiving patient-controlled analgesia (PCA). When is it appropriate to notify the
healthcare provider (HCP) for an increase in dosage? - ANS When the client attempts are two
times the dose of medication given.
During an overdose of acetaminophen, which of the following labs must the nurse monitor? -
ANS AST and ALT as they are Liver Labs and Acetaminophen causes liver toxicity
A client with colorectal cancer undergoes bowel resection surgery. Which of the following
medications is recommended the treat the client's postoperative pain? - ANS Morphine is
1Page
recommended for sever, acute pain and Postoperatively
@COPYRIGHT FYNDLAY 2025/2026
, What is the priority action of the nurse caring for a client receiving opioid analgesic medication
via patient-controlled analgesic (PCA) pump? - ANS AIR Acronym for the Nursing Process=
Assessment, then Intervention, Then Reassessment
Answer is Pain Assesment
A nurse is caring for a 5-year-old client with influenza. The client has symptoms of a fever and
muscle aches. Which of the following pharmacological agents is recommended for this client? -
ANS Acetaminophen is an antipyretic and an analgesic used with children with fevers/Viruses
Which of the following pharmacological agents decreases prostaglandins response to reduce
pain and inflammation? - ANS Ascetylsalicylic Acid (Aspirin)
Which of the following clients have an increased risk for death, in relation to opioid use? -
ANS A 70-year-old patient with hip surgery. Older patients and then patients with respiratory
problems like COPD, Asthma
A client presents with muscle aches and is prescribed a topical analgesic with capsaicin. Which
of the following statements from the client ensures the proper understanding of the use of the
medication? - ANS The medication will cause local irritation which is normal
Which of the following is indicated for clients as pain management after surgery or long-term
recovery? - ANS Patient controlled analgesia (PCA) pump
Which of the following is indicative of use of Fentanyl Patch? - ANS Chronic Pain/Persistent
Pain, Not Acute Pain; It does not provide immediate pain relief and is not used Post-operatively
A client is receiving patient-controlled analgesia (PCA) postoperatively. After three hours the
nurse finds the client is having trouble breathing and is feeling dizzy and lightheaded. Which of
the following is the nurse's priority action? - ANS Wake the client and asses vital signs: AIMS
2
Page
A=ABC
@COPYRIGHT FYNDLAY 2025/2026
