Lilley Pharmacology Chapters 1-23 Actual Exam Questions With Complete Correct Answers.
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Course
LILLEYS
Institution
LILLEYS
A patient needs to switch analgesic drugs secondary to an adverse reaction to the current treatment regimen. The patient is concerned that the new prescription will not provide optimal pain control. The nurse's response is based on knowledge that doses of analgesics are determined using an equianal...
A patient needs to switch analgesic drugs secondary to an adverse reaction to the current treatment
regimen. The patient is concerned that the new prescription will not provide optimal pain control. The
nurse's response is based on knowledge that doses of analgesics are determined using an equianalgesic
table with which drug prototype?
A. Meperidine
B. Fentanyl
C. Codeine
D. Morphine - correct answer D. Morphine
The nurse is caring for a patient with opioid addiction. The nurse anticipates that the patient will be
prescribed which medication?
A. Naloxone (Narcan)
B. Meperidine (Demerol)
C. Morphine (MS Contin)
D. Methadone (Dolophine) - correct answer D. Methadone (Dolophine)
While admitting a patient for treatment of an acetaminophen (Tylenol) overdose, the nurse prepares to
administer which medication to prevent toxicity?
A. Naloxone (Narcan)
B. Phytonadione (vitamin K)
C. Acetylcysteine (Mucomyst)
D. Methylprednisolone (Solu-Medrol) - correct answer C. Acetylcysteine
(Mucomyst)
A patient prescribed massage therapy for musculoskeletal pain asks the nurse, "How is rubbing my
muscles going to make the pain go away?" What is the nurse's best response?
A. "Massaging muscles helps relax the contracted fibers and decrease painful stimuli."
,B. "Massaging muscles decreases the inflammatory response that initiates the painful stimuli."
C. "Massaging muscles activates large sensory nerve fibers that send signals to the spinal cord to close
the gate, thus blocking painful stimuli from reaching the brain."
D. "Massaging muscles activates small sensory nerve fibers that send signals to the spinal cord to open
the gate and allow endorphins to reach the muscles and relieve the pain." - correct answer
D. "Massaging muscles activates large sensory nerve fibers that send signals to the spinal cord to close
the gate, thus blocking painful stimuli from reaching the brain."
When assessing for the MOST serious adverse effect to an opioid analgesic, what does the nurse
monitor for in this patient?
A. Heart rate
B. Mental status
C. Blood pressure
D. Respiratory rate - correct answer D. Respiratory rate
Which medication is used to treat a patient with severe adverse effects of a narcotic analgesic?
A. Naloxone (Narcan)
B. Acetylcysteine (Mucomyst)
C. Methylprednisolone (Solu-Medrol)
D. Flumazenil (Romazicon) - correct answer A. Naloxone (Narcan)
A patient with a diagnosis of pneumonia asks the nurse, "Why am I receiving codeine when I have no
pain?" The nurse's response is based on knowledge that codeine also has what effect?
A. Expectorant
B. Bronchodilation
C. Cough suppressant
D. Increases sputum production - correct answer C. Cough suppressant
,In monitoring a patient for adverse effects related to morphine sulfate (MS Contin), the nurse assesses
for stimulation of which area in the central nervous system (CNS)?
A. The cough reflex center
B. Sympathetic baroreceptors
C. The chemoreceptor trigger zone
D. Autonomic control over circulation - correct answer C. The chemoreceptor
trigger zone
The nurse is preparing to administer an intravenous injection of morphine to a patient. The nurse
assesses a respiratory rate of 10 breaths/min. Which action should the nurse perform?
A. Administer the next prescribed dose intramuscularly.
B. Administer a smaller dose and document in the patient's record.
C. Withhold the medication and notify the health care provider.
D. Check the pulse oximeter reading and reevaluate respiratory rate in 1 hour. - correct answer
C. Withhold the medication and notify the health care provider.
A patient receiving narcotic analgesics for chronic pain can minimize the GI side effects by:
A. taking Lomotil with each dose.
B. eating foods high in lactobacilli.
C. taking the medication on an empty stomach.
D. increasing fluid and fiber in the diet. - correct answer D. increasing fluid and fiber
in the diet.
A patient is prescribed an opioid analgesic for chronic pain. Which information should the nurse discuss
with the patient to minimize the GI adverse effects?
A. Avoid eating foods high in lactobacilli.
B. Increase fluid intake and fiber in the diet.
C. Take the medication on an empty stomach.
, D. Take diphenoxylate-atropine (Lomotil) with each dose. - correct answer B.
Increase fluid intake and fiber in the diet.
The nurse teaches a patient prescribed the fentanyl (Duragesic) transdermal delivery system to change
the patch at what interval?
A. Once a week
B. Every 24 hours
C. Every 72 hours
D. When pain recurs - correct answer C. Every 72 hours
The nurse plans pharmacologic management for a patient with pain. The nurse should administer the
pain medication based on what dosage schedule?
A. Pain relief is best obtained by administering analgesics around the clock.
B. Administer the analgesic when the pain level reaches a "6" on a scale of 1 to 10.
C. Opioid analgesics should not be used for more than 24 hours to prevent drug addiction.
D. Analgesics should be administered as needed (prn) to minimize adverse effects. - correct answer
A. Pain relief is best obtained by administering analgesics around the clock.
In developing a plan of care for a patient receiving morphine sulfate (MS Contin), which nursing
diagnosis has the highest priority?
Acute pain related to metastatic tumor cancer
Impaired gas exchange related to respiratory depression
Constipation related to decreased GI motility
Risk for injury related to CNS adverse effects - correct answer Impaired gas
exchange related to respiratory depression
When assessing a patient for adverse effects related to morphine sulfate (MS Contin), which clinical
findings is the nurse MOST likely to find? (Select all that apply.)
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