ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 10 Questions
Question 1 of 5
A patient was diagnosed with pancreatic cancer last month, and has complained of a dull ache in the abdomen for the past 4 months. This pain has been gradually increasing, and the pain relievers taken at home are no longer effective. What type of pain is the patient experiencing?
Correct Answer: B
Rationale: Chronic pain is associated with cancer and is characterized by slow onset, long duration, and dull, persistent aching. The patient's symptoms are not characteristics of acute pain, somatic pain, or neuropathic pain.
Question 2 of 5
A 16-year-old field hockey player fell and twisted her ankle during a game. The nurse will expect to administer which type of analgesic?
Correct Answer: D
Rationale: Somatic pain, which originates from skeletal muscles, ligaments, and joints, usually responds to nonopioid analgesics such as nonsteroidal anti-inflammatory drugs (NSAIDs). The other options are not the best choices for somatic pain.
Question 3 of 5
A patient had abdominal surgery this morning. The patient is groggy but complaining of severe pain around the incision. What is the most important assessment data to consider before the nurse administers a dose of morphine sulfate to the patient?
Correct Answer: B
Rationale: One of the most serious adverse effects of opioids is respiratory depression. The nurse must assess the patient's respiratory rate before administering an opioid. The other options are incorrect.
Question 4 of 5
A 78-year-old patient is in the recovery room after having a lengthy surgery on his hip. As he is gradually awakening, he requests pain medication. Within 10 minutes after receiving a dose of morphine sulfate, he is very lethargic and his respirations are shallow, with a rate of 7 breaths/minute. The nurse prepares for which priority action at this time?
Correct Answer: C
Rationale: Naloxone is an opioid antagonist used to reverse the effects of opioid overdose, such as respiratory depression. The patient's symptoms of lethargy and shallow respirations at 7 breaths/minute indicate a potential opioid overdose, making naloxone administration the priority action. The other options are not appropriate in this urgent situation.
Question 5 of 5
A patient with a history of chronic pain has been using an opioid analgesic for 4 months and reports that a larger dose of the pain medication is needed for the same pain relief. The nurse is aware that this patient is experiencing which of these?
Correct Answer: B
Rationale: Opioid tolerance is a common physiologic result of long-term opioid use. Patients with opioid tolerance require larger doses of the opioid agent to maintain the same level of analgesia. This situation does not describe toxicity (overdose), addiction, or abstinence syndrome (withdrawal).