NUR 334 PHARM EXAM 1 - MODULE 1 & 2
1. The nurse has provided client education about the use of nonpharmacolog-
ical techniques for pain management. Which statements indicate the client
understands the information?
1. "Nonpharmacological techniques are a good adjunct to pharmacotherapy."
2. "Nonpharmacological techniques have not reached mainstream yet."
3. "Nonpharmacological techniques may be used in place of drugs."
4. "Nonpharmacological techniques include an aerobic exercise."
5. "Nonpharmacological techniques are not usually valued by nurses."- Answer -
1. "Non- pharmacological techniques are a good adjunct to pharmacotherapy."
3. "Nonpharmacological techniques may be used in place of drugs."
2. 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.- Answer - 4. Substance P
controls which pain signals reach the brain.
3. 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."- Answer - 2.
,"Methadone (Dolophine) does not cause euphoria like heroin does."
4. A nurse is preparing to provide education on the use of heroin. Which infor-
mation 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.- Answer - 1. Heroin is an opioid drug.
2. Heroin is a narcotic drug.
5. 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."- Answer - 3.
"Interacts with receptors in your body that produce analgesia."
6. 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-con-
trolled 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
consti- pation, of the opioid in the patient-controlled analgesia (PCA) pump."
4. "Naloxone (Narcan) will reverse the effects of the narcotic in the patient-con-
trolled analgesia (PCA) pump if an overdose occurs."- Answer - 4. "Naloxone (Narcan) will
reverse the ettects of the narcotic in the patient-controlled analgesia (PCA) pump if an overdose occurs."
7. 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?- Answer - 4. "Would you please
rate your pain on a scale of 1 to 10?
8. 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
1. The nurse has provided client education about the use of nonpharmacolog-
ical techniques for pain management. Which statements indicate the client
understands the information?
1. "Nonpharmacological techniques are a good adjunct to pharmacotherapy."
2. "Nonpharmacological techniques have not reached mainstream yet."
3. "Nonpharmacological techniques may be used in place of drugs."
4. "Nonpharmacological techniques include an aerobic exercise."
5. "Nonpharmacological techniques are not usually valued by nurses."- Answer -
1. "Non- pharmacological techniques are a good adjunct to pharmacotherapy."
3. "Nonpharmacological techniques may be used in place of drugs."
2. 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.- Answer - 4. Substance P
controls which pain signals reach the brain.
3. 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."- Answer - 2.
,"Methadone (Dolophine) does not cause euphoria like heroin does."
4. A nurse is preparing to provide education on the use of heroin. Which infor-
mation 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.- Answer - 1. Heroin is an opioid drug.
2. Heroin is a narcotic drug.
5. 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."- Answer - 3.
"Interacts with receptors in your body that produce analgesia."
6. 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-con-
trolled 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
consti- pation, of the opioid in the patient-controlled analgesia (PCA) pump."
4. "Naloxone (Narcan) will reverse the effects of the narcotic in the patient-con-
trolled analgesia (PCA) pump if an overdose occurs."- Answer - 4. "Naloxone (Narcan) will
reverse the ettects of the narcotic in the patient-controlled analgesia (PCA) pump if an overdose occurs."
7. 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?- Answer - 4. "Would you please
rate your pain on a scale of 1 to 10?
8. 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
