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Examen

NUR 2092 Chapter 26 Pharmacology Exam – 100 Questions on Opioids, Antagonists & Migraine Therapy

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This exam document contains 100 clinically accurate questions and correct answers for Chapter 26: Narcotics, Narcotic Antagonists, and Antimigraine Agents, specifically aligned with the NUR 2092 Nursing Pharmacology course at Broward College for the 2025/2026 academic year. It is designed to support student preparation for pharmacology exams with an emphasis on safe administration, adverse effects, and therapeutic decision-making regarding drugs used in pain and migraine management. Key learning areas include: Opioid agonists (e.g., morphine, meperidine, codeine, fentanyl): dosage calculation, side effects, administration routes, contraindications Opioid antagonists (e.g., naloxone, naltrexone): emergency use, reversal of respiratory depression, withdrawal management Antimigraine agents: triptans (e.g., sumatriptan, almotriptan), ergot alkaloids (e.g., ergotamine), serotonin activity, vasoconstriction mechanisms Clinical safety: assessment of respiratory rate, monitoring LOC, evaluating pain scales, signs of opioid overdose Drug interactions and nursing responsibilities: response to MAOIs, patient teaching, proper technique for IM/IV/Sub-Q drug administration Special populations: geriatric considerations, renal impairment, addiction recovery, and post-operative care Migraine-related symptoms: aura, photophobia, GI side effects, menstrual migraines, lifestyle and dietary triggers This guide is structured in a Q&A format, including select-all-that-apply and scenario-based questions. Each answer is verified for accuracy and reflects best practice nursing standards. Recommended for: Students enrolled in NUR 2092 at Broward College Nursing students studying pharmacology, pain management, or neurologic nursing care Learners preparing for unit exams, NCLEX-RN, or ATI pharmacology assessments Health sciences students seeking practical knowledge on opioid safety and migraine interventions This document enhances critical thinking and clinical judgment for pharmacologic interventions in nursing. Keywords: NUR 2092, Chapter 26 pharmacology, opioid analgesics, narcotic antagonists, naloxone, morphine, migraine drugs, triptans, ergotamine, respiratory depression, pain management, sumatriptan, meperidine, dosage calculations, NCLEX pharmacology, drug side effects,

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NUR 2092 Pharm Ch 26 Drugs Exam
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A client has been prescribed morphine 4 - 6 mg IV q4h PRN. The client

reports pain rated at 8/10 and the nurse verifies on the MAR that the client

has most often required 6-mg doses. The nurse chooses to administer 6

mg. The drug is available in ampules containing 10mg/mL. How many mL

should the nurse withdraw and administer? - 🧠 ANSWER ✔✔0.6


A client is undergoing inpatient addiction rehabilitation following many

years or addiction to heroin. What medication would be the most useful

adjunct to treatment? - 🧠 ANSWER ✔✔Methadone


Naloxone (Narcan) will reverse the effects of which drug? - 🧠 ANSWER

✔✔Fentanyl (Duragesic)

,The nurse enters the client's room to see how the client's pain level is

because PRN Demerol can be given. The client is sitting up in bed laughing

and visiting with family. The client states that the pain is a "10" on a pain

scale of 0 to 10. What is the best response by the nurse? - 🧠 ANSWER

✔✔Administer the pain medication as ordered.


The nurse observes that a new client's medication regimen includes

sumatriptan. What assessment should the nurse prioritize? - 🧠 ANSWER

✔✔Assessing the client for migraine pain


The nurse works in a long-term care facility. When administering narcotics

to clients, the nurse must monitor for which side effect? - 🧠 ANSWER

✔✔Constipation


A client has been administered an opioid. For what effect should the nurse

regularly assess? - 🧠 ANSWER ✔✔Level of consciousness (LOC)


The nurse is reviewing the medication history of a client newly diagnosed

with cluster headaches. The client's concurrent use of what medication

would contraindicate treatment with frovatriptan? - 🧠 ANSWER

✔✔Fluoxetine

, A client is to receive a narcotic cough syrup. The nurse would expect this

preparation to contain: - 🧠 ANSWER ✔✔codeine.


A nurse is caring for a client diagnosed with a migraine. The client received

acetaminophen-aspirin-caffeine by mouth. Which method should be used

to assess for the therapeutic effects of the medication? - 🧠 ANSWER

✔✔Pain scale


The nurse is caring for a patient who is receiving an opioid analgesic. What

would be a priority assessment by the nurse? - 🧠 ANSWER ✔✔Level of

consciousness and respiratory rate

Larger doses of narcotic antagonists are needed to reverse the effects of

morphine than for pentazocine. - 🧠 ANSWER ✔✔False


The nurse is caring for a patient who is suffering from postoperative pain.

The physician orders 2.5 mg of morphine IV q2h. Morphine is supplied in

10 mg/mL vials. How many mL will the nurse administer in each dose? - 🧠

ANSWER ✔✔0.25 mL


A hospice client has been prescribed morphine 5 mg sub-Q every 2 hours.

The medication vial reads "10 mg/mL." How many milliliters will be

administered? - 🧠 ANSWER ✔✔0.5 mL

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