Lilley: Pharmacology Chapter 10 and 11 Test Bank
Study online at https://quizlet.com/_ifomav
1. A patient was diagnosed with pancreatic cancer last month, and has com-
plained of a dull ache in the abdomen for the past 4 months. This pain has
been gradually increasing, and the pain relievers taken at home are no longer
effective. What type of pain is the patient experiencing?
A. Acute pain
B. Chronic pain
C. Somatic pain
D. Neuropathic pain: B. Chronic Pain
2. An 18-year-old basketball player fell and twisted his ankle during a game. The
nurse will expect to administer which type of analgesic
A. Synthetic opioid, such as meperidine (Demerol)
B. Opium alkaloid, such as morphine sulfate
C. Opioid antagonist, such as halo one HCL (Narcan)
D. Nonopioid analgesic , such as indomethacin (Indocin): D. Nonopioid analgesic, such as
indomethacin (Indocin)
3. A patient is recovering from abdominal surgery, which he had this morning.
He is groggy but complaining of severe pain around his incision. What is the
most important assessment data to consider before the nurse administers a
dose of morphine sulfate to the patient?
A. His pulse rate
B. His respiratory rate
C. The appearance of the incision
D. The date of his last bowel movement: B. His respiratory rate
4. A 78-year-old patient is in the recovery room after having a lengthy surgery
on his hip. As he is gradually awakening, he requests pain medication. Within
10 minutes after receiving a dose of morphine sulfate, he is very lethargic and
his respirations are shallow, with a rate of 7 per minute. The nurse prepares for
which priority action at this time?
A. Assessment of the patient's pain level
B. Immediate intubation and artificial ventilation
C. Administration of naloxone (Narcan)
D. Close observation of signs of opioid tolerance: C. Administration of naloxone (Narcan)
1/7
, Lilley: Pharmacology Chapter 10 and 11 Test Bank
Study online at https://quizlet.com/_ifomav
5. A patient will be discharged with a 1-week supply of an opioid analgesic
for pain management after abdominal surgery. The nurse will include which
information in the teaching plan?
A. How to prevent dehydration due to diarrhea
B. The importance of taking the drug only when the pain becomes severe
C. How to prevent constipation
D. The importance of taking the drug on an empty stomach: C. How to prevent
constipation
6. A patient has been treated for lung cancer for 3 years. Over the past few
months, the patient has noticed that the opioid analgesic is not helping as
much as it had previously and more medication is needed for he same pain
relief. The nurse is aware that this patient is experience which of these?
A. Opioid addiction
B. Opioid tolerance
C. Opioid toxicity
D. Opioid abstinence syndrome: B. Opioid tolerance
7. A 38-year-old man has come into the urgent care center with severe hip pain
after falling from a ladder at work. He says he has taken several pain pills over
the past few hours but cannot remember how many he has taken. He hands the
nurse an empty bottle of acetaminophen (Tylenol). The nurse is aware that the
most serious toxic effect of acute acetaminophen overdose is which condition?
A. Tachycardia
B. Central nervous system depression
C. Hepatic necrosis
D. Nephropathy: C. Hepatic necrosis
8. A 57-year-old woman being treated for end-stage breast cancer has been
using a transdermal opioid analgesic as part of the management of pain. Lately,
she has been experiencing breakthrough pain. The nurse expects this type of
pain to be managed by which of these interventions?
A. Administering NSAIDs
B. Administering an immediate-release opioid
2/7
Study online at https://quizlet.com/_ifomav
1. A patient was diagnosed with pancreatic cancer last month, and has com-
plained of a dull ache in the abdomen for the past 4 months. This pain has
been gradually increasing, and the pain relievers taken at home are no longer
effective. What type of pain is the patient experiencing?
A. Acute pain
B. Chronic pain
C. Somatic pain
D. Neuropathic pain: B. Chronic Pain
2. An 18-year-old basketball player fell and twisted his ankle during a game. The
nurse will expect to administer which type of analgesic
A. Synthetic opioid, such as meperidine (Demerol)
B. Opium alkaloid, such as morphine sulfate
C. Opioid antagonist, such as halo one HCL (Narcan)
D. Nonopioid analgesic , such as indomethacin (Indocin): D. Nonopioid analgesic, such as
indomethacin (Indocin)
3. A patient is recovering from abdominal surgery, which he had this morning.
He is groggy but complaining of severe pain around his incision. What is the
most important assessment data to consider before the nurse administers a
dose of morphine sulfate to the patient?
A. His pulse rate
B. His respiratory rate
C. The appearance of the incision
D. The date of his last bowel movement: B. His respiratory rate
4. A 78-year-old patient is in the recovery room after having a lengthy surgery
on his hip. As he is gradually awakening, he requests pain medication. Within
10 minutes after receiving a dose of morphine sulfate, he is very lethargic and
his respirations are shallow, with a rate of 7 per minute. The nurse prepares for
which priority action at this time?
A. Assessment of the patient's pain level
B. Immediate intubation and artificial ventilation
C. Administration of naloxone (Narcan)
D. Close observation of signs of opioid tolerance: C. Administration of naloxone (Narcan)
1/7
, Lilley: Pharmacology Chapter 10 and 11 Test Bank
Study online at https://quizlet.com/_ifomav
5. A patient will be discharged with a 1-week supply of an opioid analgesic
for pain management after abdominal surgery. The nurse will include which
information in the teaching plan?
A. How to prevent dehydration due to diarrhea
B. The importance of taking the drug only when the pain becomes severe
C. How to prevent constipation
D. The importance of taking the drug on an empty stomach: C. How to prevent
constipation
6. A patient has been treated for lung cancer for 3 years. Over the past few
months, the patient has noticed that the opioid analgesic is not helping as
much as it had previously and more medication is needed for he same pain
relief. The nurse is aware that this patient is experience which of these?
A. Opioid addiction
B. Opioid tolerance
C. Opioid toxicity
D. Opioid abstinence syndrome: B. Opioid tolerance
7. A 38-year-old man has come into the urgent care center with severe hip pain
after falling from a ladder at work. He says he has taken several pain pills over
the past few hours but cannot remember how many he has taken. He hands the
nurse an empty bottle of acetaminophen (Tylenol). The nurse is aware that the
most serious toxic effect of acute acetaminophen overdose is which condition?
A. Tachycardia
B. Central nervous system depression
C. Hepatic necrosis
D. Nephropathy: C. Hepatic necrosis
8. A 57-year-old woman being treated for end-stage breast cancer has been
using a transdermal opioid analgesic as part of the management of pain. Lately,
she has been experiencing breakthrough pain. The nurse expects this type of
pain to be managed by which of these interventions?
A. Administering NSAIDs
B. Administering an immediate-release opioid
2/7
