Nursing Pharmacology Chapters 1-9
Practice Questions
A client has been taken to the emergency department because of a suspected overdose of
morphine tablets. The nurse prepares to administer which drug?
a. Atropine
b. Naloxone
c. Methadone
d. Flumazenil - ANS b. Naloxone
When evaluating a client's drug history, the nurse notes the client is taking an opioid twice a day
for pain. Which additional drug, taken concurrently, would concern the nurse the most?
a. A calcium channel blocker
b. A nonsteroidal anti inflammatory drug (NSAID)
c. An antihistamine
d. An antipyretic - ANS c. An antihistamine
A basketball player fell and twisted his ankle during a game. The nurse will expect to administer
which type of analgesic?
a. Synthetic period opioid, such as meperidine (Dermol)
b. Nonopioid analgesic, such as acetaminophen (Tylenol)
c. Opioid antagonists, such as naloxone HCL (Narcan)
d. Opium alkaloid, such as morphine sulfate - ANS b. Nonopioid analgesic, such as
acetaminophen (Tylenol)
A client has been treated for lung cancer for 3 years, Over the past few months, the client has
noticed that the opioid analgesic is not helping as much as it had previously and more
medication is needed for the same pain relief. The nurse is aware that this client is experiencing
which of these?
a. Opioid tolerance
b. Opioid abstinence syndrome
c. Opioid addiction
d. Opioid toxicity - ANS a. Opioid tolerance
A client has been using a transdermal opioid analgesic as part of the management of pain,
Lately, breakthrough pain has occurred. The nurse expects this type of pain to be managed by
which of these interventions?
a. Making no changes to the current therapy
b. Administering NSAIDS
c. Administering an immediate-release opioid
, d. Changing the current opioid route to the intravenous route - ANS c. Administering an
immediate-release opioid
To decrease the possibility of a headache after spinal anesthesia, the nurse will provide which
instruction to the patient?
a. Sit in high Fowler's position
b. Maintain strict bedrest
c. Limit fluids
d. Ambulate in the hall several times a day - ANS b. Maintain strict bedrest
A client who has just returned from surgery has suddenly developed a temperature of 103
degrees F. The nurse recognizes that this change may indicate which condition?
a. Malignant hyperthermia
b. Malignant hypertension
c. Infection
d. Malignant hypertension - ANS a. Malignant hyperthermia
The nurse anesthetist explains that a client will be awake during the procedure but probably will
not remember it. What type of anesthetic technique is used in this situation?
a. Moderate sedation
b. Local anesthesia
c. Spinal anesthesia
d. Topical anesthesia - ANS a. Moderate sedation
During the immediate postoperative period, the nurse is assessing a client who had hip surgery.
The client is experiencing tachycardia, tachypnea, and muscle rigidty, and a temperature of 103
F (39.4 C). The nurse will prepare for what immediate treatment?
a. An anticholinesterase drug, such as neostigimine
b. Naloxone (Narcan) injection, an opioid reversal drug
c. Cardiopulmonary resuscitation (CPR) and intubation
d. Dantrolene (Dantrium) injection, a skeletal muscle relaxant - ANS d. Dantrolene (Dantrium)
injection, a skeletal muscle relaxant
A client taking phenobarbital for 1 week is found very lethargic and unable to walk after eating
out for dinner. There are no other prescriptions and the correct number of pills in the bottle. The
nurse suspects that which of these may have happened?
a. The client took medication for indigestion.
b. The client took a dose of aspirin
c. The client drank a glass of wine
d. The client developed an allergy to the group - ANS c. The client drank a glass of wine
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