Unformatted text preview: l he
have? Example Test
Questions An analgesic is given to:
A. Produce sleep
B. Relieve nausea
C. Relieve pain
D. Reduce anxiety It may be necessary to repeat doses of naloxone
(Narcan) to a client who has too much morphine
because the opioid antagonist:
A. Has less strength in each dose than do
individual doses of morphine.
B. Has a shorter half-life than does morphine.
C. Combined with morphine, increases the
physiological action of morphine.
D. Causes the respiratory rate to decrease. Before administrating an opioid
analgesic, the initial action of the nurse
would be to :
A. Check the radial pulse and check it with
the radial pulse.
B. Check the blood pressure
C. Check the temperature.
D. Check the rate, depth, and rhythm of
respirations. A common side effect of an
opioid analgesic is:
Fine hand tremors Your patient has a history of migraine headaches. She
has just been given a prescription for sumatriptan
(Imitrex). Which symptoms would you tell her to
report to her health care provider immediately? A.
D. Decreased appetite
Fatigue You have just administered an IM injection of
morphine to your client. The most important
nursing measure you should perform before
leaving the room should be to:
A. Close the draperies.
B. Make sure the side rails are up and the bed
is in the low position.
C. Ask all the visitors to leave the room.
D. Offer your client something to drink. Which client should have cautious
use of naloxone hydrochloride
D. Brittle diabetic
Postoperative radical neck
Meperidine (Demerol) addict Which is the priority of care in the
patient with moderate to
severe pain from cancer?
A. Prevention of addiction and physical dependence
B. Adequate pain relief with opioid medications
C. Avoiding constipation by increasing dietary fiber
D. Using transcutaneous electrical nerve stimulation
(TENS) or massage to treat cancer pain After surgery, a patient has morphine
prescribed for postoperative
pain. Which is the priority assessment in this
A. Respiratory rate
B. Heart rate
C. Pain level
D. Constipation A postoperative patient who has an intravenous infusion of
morphine has a respiratory rate of 8 breaths per minute and is
lethargic. Which as needed (PRN) medication should the nurse
administer to the patient?
D. Methadone (Dolophine)
Naloxone (Narcan) Which assessment would best determine
the effectiveness of
Sumatriptan? A. Decreased frequency of migraine
B. Prevention of migraine headaches
C. Termination of the migraine headache
D. Decreased nausea associated with a
migraine headache A neonate is born to a known heroin addict. The
infant is exhibiting symptoms of opioid withdrawal.
Which of these nursing issues is of the highest
priority as the nurse cares for the neonate in the
nursery? A. Altered nutrition
D.Parenting The nurse is ambulating a postoperative
patient in the hall who is receiving an opioid
analgesic for pain when the patient complains
of severe nausea. What should the nurse do
first if all options are possible?
A. Administer the prescribed antiemetic
B.Assist the patient to sit down
C.Get an emesis basin
D.Walk the patient back to his room A patient is admitted to the ED after a
traumatic injury and is in server pain from
compound fractures. It is most critical that
the nurse carefully assess the patient before
administering an opioid for evidence of
C. Head injury
D. Hypertension Migraine headaches (Select all that
A. Always start with an abnormal sensation (aura).
B. Cannot be treated effectively after the pain starts
C. Involve inflammation of the intracranial blood
D. Involve vasoconstriction of intracranial blood
E. Therapy includes drugs and nonpharmocologic
measures to prevent attacks
F. Therapy should start at the earliest sign of attack Which of these patient assessment finding would b
most sifnificant if the nurse was preparing to
administer ergotamine to a patient who is
experiencing the start of a migraine headache? A. ALT 30 international units/L
B. Blood pressure 90/58 mmHg
C. Capillary refill 8 seconds
D. Flashes of light in visual fiels The nurse would consult the prescriber before
administering ergotamine or triptan drugs for
migraine headache to a patient with (Select all that
F. Cardiovascular disease
Peptic ulcer disease
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This document was uploaded on 03/25/2014.
- Spring '14