PCCN Pharmacology & Pain Management

Question 1

A patient receiving morphine sulfate IV begins to experience respiratory depression. What is the most appropriate immediate intervention?

Accepted Answer

Administer naloxone

Answer

Place in Trendelenburg position

Answer

Increase IV fluid rate

Answer

Reposition the patient and observe

Question 2

Which of the following medications is classified as a beta-1 selective blocker and commonly used in heart failure management?

Accepted Answer

Metoprolol

Answer

Propranolol

Answer

Carvedilol

Answer

Labetalol

Question 3

What is the primary concern when administering IV potassium chloride to a patient?

Accepted Answer

Arrhythmias

Answer

Nausea and vomiting

Answer

Renal insufficiency

Answer

Hypotension

Question 4

A patient is prescribed a fentanyl patch for chronic pain. Which of the following instructions is most important?

Accepted Answer

Avoid exposing the patch to heat

Answer

Change the patch every 12 hours

Answer

Apply only to the upper chest

Answer

Apply over broken skin for better absorption

Question 5

Which drug is commonly used for sedation in mechanically ventilated patients and has both anxiolytic and amnestic effects?

Accepted Answer

Midazolam

Answer

Dexmedetomidine

Answer

Lorazepam

Answer

Propofol

Question 6

Which medication is used to reverse the anticoagulant effects of warfarin in case of major bleeding?

Accepted Answer

Vitamin K

Answer

Vitamin D

Answer

Protamine sulfate

Answer

Idarucizumab

Question 7

Which of the following pain scales is most appropriate for use with a nonverbal, intubated patient?

Accepted Answer

Behavioral Pain Scale (BPS)

Answer

Numeric Rating Scale (NRS)

Answer

Wong-Baker FACES scale

Answer

Visual Analog Scale (VAS)

Question 8

A patient receiving IV heparin has an aPTT that is significantly above the therapeutic range. What is the appropriate reversal agent?

Accepted Answer

Protamine sulfate

Answer

Desmopressin

Answer

Vitamin K

Answer

Fresh frozen plasma

Question 9

Which of the following best describes the mechanism of action of ACE inhibitors?

Accepted Answer

Inhibits conversion of angiotensin I to angiotensin II

Answer

Inhibits beta-adrenergic receptors

Answer

Blocks calcium channels in myocardial cells

Answer

Promotes reabsorption of sodium in renal tubules