PHARMACOLOGY MADE EASY 5.0 PAIN AND INFLAMMATION
TEST| QUESTIONS AND ANSWERS 2025/2026
Click to highlight the findings that require immediate follow-up with the
provider. To deselect a finding, click on the finding again.
Nurses' Notes
1500:
Client transported to emergency department via ambulance. Client's partner is
present and reports that client became increasingly drowsy, confused, and
walking unsteadily over the past 24 hr.
History of heart failure and rheumatoid arthritis. Home medications: lisinopril
and aspirin.
Client reports headache, ringing in ears, and feeling dizzy. Client oriented to
person. Lethargic, diaphoretic, and vomiting.
1530:
Client is obtunded. Difficult to awake and client's speech is mumbled.
Vital Signs
1530:
Temperature 39.1° C (102.3° F)
Heart rate 116/min
, Respiratory rate 34/min
Blood pressure 100/60 mm Hg
Oxygen saturation 93% on room air -CORRECT ANSWER Aspirin, headache,
ringing in ears, feeling dizzy, diaphoretic, obtunded, temperature 39.1° C
(102.3° F), respiratory rate 34/min, and oxygen saturation of 93% on room air.
Rational:
These findings are associated with salicylism, which requires immediate
intervention and therefore are priority findings. Salicylism is a syndrome that
occurs when a client takes too much aspirin, either acutely (overdose) or with
chronic use. With elevated aspirin blood levels, a client can have manifestations
of tinnitus (ringing in ears), sweating, headache, and dizziness. If immediate
actions are not taken, acid-base imbalance occurs. Excess aspirin affects the
CNS and increases respiratory rate, leading to an increase loss in carbon dioxide
when exhaling faster. This in turn can produce respiratory alkalosis. The client
has manifestations of respiratory alkalosis which are increased heart rate, low
blood pressure, and increased respiratory rate.
A nurse is teaching a client who has a new prescription for tramadol. Which of
the following instructions should the nurse include? (Select all that apply.) -
CORRECT ANSWER Increase fiber and fluid intake
Take the drug with food
Change position gradually
Avoid driving after taking the medication
A nurse is reviewing the medical record of a client who has a new prescription
for tramadol. The nurse should identify that which of the following conditions is
a contraindication for tramadol? -CORRECT ANSWER Seizure disorder
Rational:
Tramadol, a nonopioid analgesic, can cause seizure activity. Clients who have
seizure disorders, head injuries, or increased intracranial pressure should not
take tramadol.
TEST| QUESTIONS AND ANSWERS 2025/2026
Click to highlight the findings that require immediate follow-up with the
provider. To deselect a finding, click on the finding again.
Nurses' Notes
1500:
Client transported to emergency department via ambulance. Client's partner is
present and reports that client became increasingly drowsy, confused, and
walking unsteadily over the past 24 hr.
History of heart failure and rheumatoid arthritis. Home medications: lisinopril
and aspirin.
Client reports headache, ringing in ears, and feeling dizzy. Client oriented to
person. Lethargic, diaphoretic, and vomiting.
1530:
Client is obtunded. Difficult to awake and client's speech is mumbled.
Vital Signs
1530:
Temperature 39.1° C (102.3° F)
Heart rate 116/min
, Respiratory rate 34/min
Blood pressure 100/60 mm Hg
Oxygen saturation 93% on room air -CORRECT ANSWER Aspirin, headache,
ringing in ears, feeling dizzy, diaphoretic, obtunded, temperature 39.1° C
(102.3° F), respiratory rate 34/min, and oxygen saturation of 93% on room air.
Rational:
These findings are associated with salicylism, which requires immediate
intervention and therefore are priority findings. Salicylism is a syndrome that
occurs when a client takes too much aspirin, either acutely (overdose) or with
chronic use. With elevated aspirin blood levels, a client can have manifestations
of tinnitus (ringing in ears), sweating, headache, and dizziness. If immediate
actions are not taken, acid-base imbalance occurs. Excess aspirin affects the
CNS and increases respiratory rate, leading to an increase loss in carbon dioxide
when exhaling faster. This in turn can produce respiratory alkalosis. The client
has manifestations of respiratory alkalosis which are increased heart rate, low
blood pressure, and increased respiratory rate.
A nurse is teaching a client who has a new prescription for tramadol. Which of
the following instructions should the nurse include? (Select all that apply.) -
CORRECT ANSWER Increase fiber and fluid intake
Take the drug with food
Change position gradually
Avoid driving after taking the medication
A nurse is reviewing the medical record of a client who has a new prescription
for tramadol. The nurse should identify that which of the following conditions is
a contraindication for tramadol? -CORRECT ANSWER Seizure disorder
Rational:
Tramadol, a nonopioid analgesic, can cause seizure activity. Clients who have
seizure disorders, head injuries, or increased intracranial pressure should not
take tramadol.
