FNP 593 FINAL Review exam fully solved &
updated 2025-2026(latest version verified for
accuracy)
Which of the following statements is true regarding pain?
a. If a patient complains of pain but has no physical signs, he or she is
most likely
exhibiting drug-seeking behaviors.
b. Acute pain is more intense and severe than chronic pain.
c. Pain is a subjective experience related to actual or potential tissue
damage.
d. All of the above - answer--c. Pain is a subjective experience related to
actual or potential tissue damage.
Which of the following would be a cause of visceral pain?
a. Bone metastases
b. Intra-abdominal metastases
c. Musculoskeletal inflammation
d. Postsurgical incisional pain - answer--b. Intra-abdominal metastases
According to the World Health Organization's analgesic ladder, which
drug combination would be
,most appropriate in an opiate-naïve patient who presents with
moderate pain?
a. Ibuprofen/imipramine
b. Naproxen/morphine
c. Aspirin/fentanyl
d. Indomethacin/hydrocodone - answer--d. Indomethacin/hydrocodone
A 75-year-old man is being treated as an outpatient for metastatic
prostate cancer. Which of the
following statements is true regarding the management of pain with
opioids in the elderly?
a. Opioids with a long half-life, such as methadone, are a good choice,
because they
stay in the system longer, and patients do not have to remember to take
multiple
pills.
b. Serum creatinine is the best measurement of renal function in the
elderly and
should be done prior to the initiation of treatment with opioids.
c. Renal clearance of medications is faster in the elderly, so higher
dosages of
medications are needed to adequately control pain.
d. None of the above - answer--d. None of the above
,A patient had a transdermal fentanyl patch placed 2 hours ago and is
not getting any pain relief.
What would be the most appropriate intervention?
a. Remove the current patch and replace with a new fentanyl patch at a
higher dose.
b. Prescribe a short-acting opioid for breakthrough pain.
c. Remove the patch and switch to a different intravenous opioid.
d. Tell the patient not to worry, as it takes about 12 hours for the patch's
effects to be
felt, and he will have relief at that time. - answer--b. Prescribe a short-
acting opioid for breakthrough pain.
A patient is preparing to be discharged to home with hospice. She is on
a morphine patientcontrolled
analgesia (PCA) in the hospital. She is concerned as to whether she can
stay on her
morphine PCA at home even when she is not able to give herself
boluses. What would be an
appropriate response from the clinician?
a. "We are unable to prescribe a PCA for use at home. If you are
comfortable on the
PCA, you should remain in the hospital."
, b. "It would be possible for your nurse or another trained family
member to activate
the dosing button when you are unable to do so."
c. "A PCA is not an appropriate method of pain medication delivery
once you are
unable to use the dosing button. I will switch you to another form of
pain control."
d. "You should not be concerned about your pain management at
home. It will be
taken care of for you." - answer--b. "It would be possible for your nurse
or another trained family member to activate
the dosing button when you are unable to do so."
A patient taking PO hydromorphone for pain control has developed
dysphagia. The clinician decides
to switch the patient to IV hydromorphone. What ratio of IV:PO
hydromorphone does the clinician
need to know to calculate the proper dose?
a. 1:1
b. 1:2
c. 1:5
d. 1:7 - answer--c. 1:5
updated 2025-2026(latest version verified for
accuracy)
Which of the following statements is true regarding pain?
a. If a patient complains of pain but has no physical signs, he or she is
most likely
exhibiting drug-seeking behaviors.
b. Acute pain is more intense and severe than chronic pain.
c. Pain is a subjective experience related to actual or potential tissue
damage.
d. All of the above - answer--c. Pain is a subjective experience related to
actual or potential tissue damage.
Which of the following would be a cause of visceral pain?
a. Bone metastases
b. Intra-abdominal metastases
c. Musculoskeletal inflammation
d. Postsurgical incisional pain - answer--b. Intra-abdominal metastases
According to the World Health Organization's analgesic ladder, which
drug combination would be
,most appropriate in an opiate-naïve patient who presents with
moderate pain?
a. Ibuprofen/imipramine
b. Naproxen/morphine
c. Aspirin/fentanyl
d. Indomethacin/hydrocodone - answer--d. Indomethacin/hydrocodone
A 75-year-old man is being treated as an outpatient for metastatic
prostate cancer. Which of the
following statements is true regarding the management of pain with
opioids in the elderly?
a. Opioids with a long half-life, such as methadone, are a good choice,
because they
stay in the system longer, and patients do not have to remember to take
multiple
pills.
b. Serum creatinine is the best measurement of renal function in the
elderly and
should be done prior to the initiation of treatment with opioids.
c. Renal clearance of medications is faster in the elderly, so higher
dosages of
medications are needed to adequately control pain.
d. None of the above - answer--d. None of the above
,A patient had a transdermal fentanyl patch placed 2 hours ago and is
not getting any pain relief.
What would be the most appropriate intervention?
a. Remove the current patch and replace with a new fentanyl patch at a
higher dose.
b. Prescribe a short-acting opioid for breakthrough pain.
c. Remove the patch and switch to a different intravenous opioid.
d. Tell the patient not to worry, as it takes about 12 hours for the patch's
effects to be
felt, and he will have relief at that time. - answer--b. Prescribe a short-
acting opioid for breakthrough pain.
A patient is preparing to be discharged to home with hospice. She is on
a morphine patientcontrolled
analgesia (PCA) in the hospital. She is concerned as to whether she can
stay on her
morphine PCA at home even when she is not able to give herself
boluses. What would be an
appropriate response from the clinician?
a. "We are unable to prescribe a PCA for use at home. If you are
comfortable on the
PCA, you should remain in the hospital."
, b. "It would be possible for your nurse or another trained family
member to activate
the dosing button when you are unable to do so."
c. "A PCA is not an appropriate method of pain medication delivery
once you are
unable to use the dosing button. I will switch you to another form of
pain control."
d. "You should not be concerned about your pain management at
home. It will be
taken care of for you." - answer--b. "It would be possible for your nurse
or another trained family member to activate
the dosing button when you are unable to do so."
A patient taking PO hydromorphone for pain control has developed
dysphagia. The clinician decides
to switch the patient to IV hydromorphone. What ratio of IV:PO
hydromorphone does the clinician
need to know to calculate the proper dose?
a. 1:1
b. 1:2
c. 1:5
d. 1:7 - answer--c. 1:5
