1.Which effects of opioids are considered beneficial?

Constipation and orthostatic hypotension

Respiratory depression and urinary retention
Pain relief and cough suppression
Emesis and miosis
2.The most dangerous metabolic side effect of general anesthesia that can occur
during surgery is:
Hyperglycemia
Hyperthermia
Hypoglycemia
Hypothermia
3.Which of the following is true regarding the effect of narcotics and
sympathomimetics on pupil size?
Narcotics and sympathomimetics can cause either a pupil dilation or a pupil constriction
Narcotics can cause pupil constriction, and sympathomimetics can cause pupil dilation.
Narcotics can cause pupil dilation, and sympathomimetics can cause pupil constriction.
Narcotics and sympathomimetics should have no effect on pupil dilation.
4.Which administration route for fentanyl has the longest lasting effect?
• Transmucosal
• Intranasal
• Transdermal
• IV
5.What type of pharmacological intervention diminishes pain?
Sedatives
Anesthesia
Inhaled analgesia
Analgesics
6.What is the main nursing consideration when administering sustained-release
opioids?
The pills should not be crushed or dissolved.
No other opioids should be administered.
The onset of these medications is 12 to 24 hours.
 They should only be given for acute pain relief.
7.If one tablet of acetaminophen is 500mg, how many tablets will a client take in
a day when prescribed 750mg three times a day?
(1 Point)
5
4.5
3.5
2
8.A postoperative patient is receiving patient-controlled analgesia (PCA) with
morphine. The patient verbalizes, "I am pushing the button but I'm still having a
lot of pain." What is the priority nursing action?
Administer a bolus dose.
Push the button one more time.
Perform a thorough pain assessment.
Notify the physician.
9.The postoperative client on hydropmorphone becomes hypoxic and naloxone is
administered per protocol. What is the most important for the nurse to consider
in the follow-up care of this client?
Client's respiratory status 60 minutes later.
Documenting the client's hypoxic event.
Obtaining an order for a different analgesic.
Stopping the medication for presence of rashes.
10.A preoperative patient receives atropine before induction of anesthesia. The
nurse caring for this patient understands that this agent is used to prevent:
tachycardia
bradycardia
dry mouth
hypertension
elevated temperature
11.During a routine check-up, the nurse documents the list of current
medications of a client with a history of hypertension. Which statement by the
client would cause the most concern?
"I periodically take decussate sodium for constipation."
"I regularly take ibuprofen for chronic low back pain."
"I take hydrochlorothiazide to prevent swelling around my ankles."
"I take omeprazole daily to prevent heartburn."
12.What cough suppressant is derived from opioids but is sold over-the-counter?
Guaifenesin
Hydrocodone
Codeine
Dextromethorphan
13.Which symptoms define the opioid overdose triad?
Anxiety, muscle aches, and pinpoint pupils
Coma, respiratory depression, and pinpoint pupils
Anxiety, respiratory depression, and dilated pupils
Coma, respiratory depression, and dilated pupils
14.A client with cancer pain is prescribed oxycodone. Which teaching is most
essential to help prevent long-term complications?
Teach the client how to obtain blood pressure daily.
Teach the client how to prevent constipation.
Teach the client how to prevent cough.
Teach the client how to prevent nausea.
15.When a nurse gives a client opioids and monitors for their effects, which effect
of opioids should be the priority?
Constipation
Respiratory depression
Anxiety
Seizures
16.A client is admitted for an overdose of acetaminophen. The nurse recognizes
liver function labs are ordered for what reason?
The liver can be damaged by the inability to metabolize large amounts of acetaminophen.
Liver function labs are standard for every client with a drug overdose.
The liver can be damaged by the body's inability to excrete drugs in the urine.
Acetaminophen overdoses can cause decreased liver enzymes.
17.A client is taking morphine sulfate for acute pain. The client stands, is
immediately "lightheaded", and calls for the nurse. What is the nursing priority
action?
Assist the client to a sitting position.
Prepare to administer naloxone.
Activate rapid response team.
Notify the physician.
18.The nurse understands that which drug cannot be used alone for surgical
anesthesia?
Enflurane
Sevoflurane
Isoflurane
Nitrous oxide
19.The client asks the nurse to explain the action of infiltration anesthesia. The
nurse’s response is based on the knowledge that infiltration anesthesia:
Is applied only to mucous membranes to provide local anesthesia.
Blocks a specific group of nerves in tissues close to the operative area.
Blocks sensation to an entire limb, or a large area of the face.
Produces numbing to large, regional areas such as the lower abdomen and legs.
20.A 30-year-old client with depression has attempted suicide by overdosing on
acetaminophen (Tylenol). The nurse in the emergency department will anticipate
that the client’s treatment will consist of:
An intravenous infusion with normal saline to infuse at 1,000 mL per hour.
The administration of acetylcysteine (Acetadote) by intravenous infusion.
Preparation for cardioversion due to the impending arrhythmia.
The assessment of liver enzymes to determine hepatotoxicity