Chapter 10 Test bank for
Pharmacology and the Nursing
Process - Linda Lane Lilley
, Chapter 10: Analgesic Drugs
Lille
y: Pharmacology and the Nursing Process, 8th Edition
MULTIPLE CHOICE
1. A patient was diagnosed with pancreatic cancer last month, and has complained 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
ANS: B
Chronic pain is associated with cancer and is characterized by slow onset, long duration,
and dull, persistent aching. The patient’s symptoms are not characteristics of acute pain,
somatic pain, or neuropathic pain.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 145
TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
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 naloxone HCL (Narcan)
d. Nonopioid analgesic, such as indomethacin (Indocin)
ANS: D
Somatic pain, which originates from skeletal muscles, ligaments, and joints, usually responds
to nonopioid analgesics such as nonsteroidal anti-inflammatory drugs (NSAIDs). The other
options are not the best choices for somatic pain.
DIF: COGNITIVE LEVEL: Applying (Application) REF: pp. 145-146
TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
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
Pharmacology and the Nursing
Process - Linda Lane Lilley
, Chapter 10: Analgesic Drugs
Lille
y: Pharmacology and the Nursing Process, 8th Edition
MULTIPLE CHOICE
1. A patient was diagnosed with pancreatic cancer last month, and has complained 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
ANS: B
Chronic pain is associated with cancer and is characterized by slow onset, long duration,
and dull, persistent aching. The patient’s symptoms are not characteristics of acute pain,
somatic pain, or neuropathic pain.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 145
TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
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 naloxone HCL (Narcan)
d. Nonopioid analgesic, such as indomethacin (Indocin)
ANS: D
Somatic pain, which originates from skeletal muscles, ligaments, and joints, usually responds
to nonopioid analgesics such as nonsteroidal anti-inflammatory drugs (NSAIDs). The other
options are not the best choices for somatic pain.
DIF: COGNITIVE LEVEL: Applying (Application) REF: pp. 145-146
TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
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
