Download 1) Which of the following is considered the gold standard in pain

1) Which of the following is considered the gold standard in pain
management?
A) Hyrdomorphone
B) Codeine
C) morphine sulfate
D) Oxymorphone
Answer: C
2) What are the assessment guidelines for assessing a clients
pain? Select all that apply.
A) Patients subjective description of pain
B) Patterns of coping
C) Effects of previous thearpy
D) Intensity, severity, and duration
E) Location of pain
F) Quality of pain
Answer: All are correct
3) Acetaminophen is used in the treatment of which of the
following?
A) treatment of mild to moderate pain
B) reducing elevated body temperature
C) relieving heartburn
D) managing pain and discomfort associated with arthritic
disorders.
Answer: A, B, D
4) What is a common drug interaction between NSAIDs and
anticoagulants?
A) Increase risk of renal impairment
B) Increase effectiveness of anticonvulsants
C) Increase risk of bleeding
D) Increased risk of blood clots
Answer: C
5) The nursing instructor informs the students that NSAIDs work
by blocking COX-1 and COX-2, which of the following effects will
be achieved?
A) Adverse reactions
B) Increased inflammation
C) Maintenance of the lining of the stomach
D) Pain relief
Answer: D
6) What lab results can tramadol effect?
A) may decrease HGB.
B) may increase WBC count
C) may lower K+ levels
D) may increase HCT in the blood
Answer: A
7) The nurse monitors for which of the common adverse
reactions when administering Naproxen to a patient?
A) headache, dyspepsia,
B) blurred vision
C) anorexia, tinnitus
D) stomatitias, confusion
Answer: A
8) Which order would you question?
A) Dilaudid 2-4mg PO
B) Demoral 500mg PO
C) Tylenol 325mg PO
D) Advil 400mg PO
Answer: B
9) Drugs that do not bind well to receptors are called agonist?
True or False
Answer: False
10) Where do you dispose of dirty needles?
A) trashcan
B) Mr. Unger’s Desk
C) laundry basket
D) sharps container
Answer: sharps container
11) Mr Martin, age 64, has been prescribed ibuprofen for
osteoarthritis. Which of the following symptoms would it be
important for the patient to report?
A) tarry stole
B) nausea
C) flatulence
D) head ache
Answer: A
12) Which of the following would a nurse expect to administer for
a migraine?
A) Pentazocine
B) Sumatriptan
C) Naloxone
D) Hydrocodone
Answer: B
13) A parent brings the child into the emergency room. The
parent states that they have been administering aspirin to their 8
year old daughter for a head ache. The child is presenting with
vomiting and lethargy. The nurse would recognize what as the
possible cause of these symptoms?
A) abstinence syndrome
B) Reyes Syndrome
C) Allergic reaction
D) Varicella
Answer: B
14) When administering opioid analgesics to an elderly patient,
the nurse monitors the patient closely for?
A) Increased heart rate
B) euphoria
C) confusion
D) a synergistic reaction
Answer: C
15) When administering a time released medication to a patient,
the nurse must be aware that?
A) it should not be crushed
B) the medication is stronger
C) serious cardiac arrhythmias
D) CNS stimulation
Answer: A
16) Pain is defined as which of the following?
A) Pain is whatever the patient is
B) Pain is an unpleasant sensation
C) Pain is related to tissue damage
D) Pain is an emotional perception
Answer: A
17) The nurse should notify the physician if a patients respiratory
rate falls below what rate when taking opioids?
A) 18 breaths/mins
B) 12 breaths/min
C) 25 breaths/min
D) 10 breaths/min
Answer: D
18) A patient as been advised to take acetaminophen for mild
lower back pain. The nurse will inform him that excessive intake
of acetaminophen may result it?
A) liver damage
B) acute renal failure
C) cognitive deficits
D) gastrointestinal deficits
19) NSAIDS have anti-inflammatory, anti-pyretic, and analgesic
properties?
True or false?
Answer: True
20) For which of the following patients are salicylates contraindicated? Select all
that apply.
a.
b.
c.
d.
e.
Patients with hypersensitivity to the drug
Patients with a history of heart failure
Patients with influenza or viral illness
Patients with bleeding disorders
Patients with hepatic disorders
Answer: a, c, d
21) Pain is classified into which of the following basic types? Select all that apply.
f.
g.
h.
i.
j.
Acute
Chronic
Postoperative
Neuropathic
Chronic
Answer: a, e
22) A nurse instructs the patient taking aspirin to avoid food containing salicylates
because this increases the risk of adverse reactions. Which foods should the patient
avoid?
k.
l.
m.
n.
Salt, soft drinks
Broccoli, Milk
Prunes, tea
Liver, pepper
Answer: C
23) Which of the following are not classified as acute pain? Select all that apply.
o.
p.
q.
r.
s.
Postoperative pain
Osteoarthritis pain
Procedural pain
Fibromyalgia pain
Diabetic neuropathic pain
Answer: b, d, e
24) Which of the following are examples of chronic pain? Select all that apply.
t.
u.
v.
w.
x.
Fibromyalgia pain
Postoperative pain
Traumatic pain
Rheumatoid arthritis pain
Osteoarthritis pain
Answer: a, d, e
25) What is the common use for antacid?
y.
z.
aa.
bb.
Blood thinner
Relieve of gastric upset, heartburn
Pain relief
Relieves Diarrhea
Answer: b