A patient is prescribed acetaminophen for pain relief. What is the maximum daily dose to avoid hepatotoxicity?
A. 2,000 mg
B. 3,000 mg
C. 4,000 mg
D. 5,000 mg
Correct Answer: C. 4,000 mg
Rationale: The maximum daily dose of acetaminophen for adults is typically 4,000 mg. Exceeding this amount...
A patient is prescribed acetaminophen for pain relief. What is the maximum daily dose to avoid
hepatotoxicity?
A. 2,000 mg
B. 3,000 mg
C. 4,000 mg
D. 5,000 mg
Correct Answer: C. 4,000 mg
Rationale: The maximum daily dose of acetaminophen for adults is typically 4,000 mg.
Exceeding this amount can lead to liver damage.
Question 2
Which of the following medications is considered a nonsteroidal anti-inflammatory drug
(NSAID)?
A. Morphine
B. Ibuprofen
C. Acetaminophen
D. Aspirin
Correct Answer: B. Ibuprofen
Rationale: Ibuprofen is classified as an NSAID, which reduces inflammation and pain.
Morphine is an opioid, acetaminophen is an analgesic, and aspirin is also an NSAID.
Question 3
A patient is receiving morphine sulfate for pain management. What is the most important
assessment to perform before administration?
A. Blood pressure
B. Respiratory rate
C. Heart rate
D. Temperature
,Correct Answer: B. Respiratory rate
Rationale: Morphine can cause respiratory depression, making it critical to assess the respiratory
rate prior to administration.
Question 4
Which of the following is a common side effect of opioids?
A. Diarrhea
B. Nausea and vomiting
C. Hypertension
D. Increased appetite
Correct Answer: B. Nausea and vomiting
Rationale: Opioids frequently cause nausea and vomiting as side effects. Diarrhea is more
common with laxative use, while opioids can cause constipation.
Question 5
A nurse is teaching a patient about the use of a transdermal fentanyl patch. Which statement
indicates that the patient understands the teaching?
A. "I can use this patch for short-term pain relief."
B. "I need to change the patch every 24 hours."
C. "I should apply heat to the patch to increase absorption."
D. "The patch will take several hours to start relieving my pain."
Correct Answer: D. "The patch will take several hours to start relieving my pain."
Rationale: Transdermal fentanyl patches take time to deliver analgesia. The patch is typically
changed every 72 hours, and heat should not be applied as it can increase drug absorption and
lead to overdose.
Question 6
Which of the following medications is a common adjunctive therapy for neuropathic pain?
A. Gabapentin
B. Acetaminophen
C. Aspirin
D. Ibuprofen
, Correct Answer: A. Gabapentin
Rationale: Gabapentin is often used to treat neuropathic pain. Acetaminophen, aspirin, and
ibuprofen are not specifically indicated for neuropathic pain.
Question 7
The nurse is caring for a patient who is scheduled for surgery and is prescribed preoperative
analgesics. Which medication is most appropriate for this purpose?
A. Oxycodone
B. Ketorolac
C. Acetaminophen
D. Aspirin
Correct Answer: B. Ketorolac
Rationale: Ketorolac is an NSAID used for short-term management of moderate to severe pain,
making it suitable for preoperative analgesia.
Question 8
Which of the following assessments is essential when a patient is receiving patient-controlled
analgesia (PCA)?
A. Assessing bowel sounds
B. Monitoring fluid intake
C. Checking the lockout interval
D. Evaluating skin integrity
Correct Answer: C. Checking the lockout interval
Rationale: Monitoring the lockout interval is essential to ensure the patient does not overdose.
Other assessments are important but do not directly relate to PCA safety.
Question 9
What is a primary goal of pharmacological pain management?
A. To eliminate pain completely
B. To reduce pain to a tolerable level
C. To avoid all medication side effects
D. To achieve patient independence from medication
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