01
True or false
1 point
True or false: New or increasing sleepiness after an opioid dose can be a warning sign of respiratory depression, even if the patient seems comfortable.
Free Practice Quiz Question List
4 Opioid Safety Online Quiz Questions
Use this free practice quiz with 20 questions to review 4 Opioid Safety, test your knowledge, and prepare for your next test or exam.
20 questions
02
Fill in the blank
1 point
Document opioid administration and of the patient.
03
Written response
1 point
When appropriate, which oxygen-related assessment should be performed before and after opioid administration alongside respiratory rate and effort?
04
True or false
1 point
True or false: If a person wakes after naloxone, emergency medical assessment is no longer needed.
- A
True
- B
False
05
Fill in the blank
1 point
Closer observation is warranted when an opioid is started, increased, or given by a route.
06
Written response
1 point
What may naloxone trigger in a person who is physically dependent on opioids?
07
Choose one
1 point
A nurse preparing an opioid dose finds that the concentration on the package does not match the medication record. What is the safest action?
- A
Use the concentration from the medication record and estimate the volume.
- B
Use the package concentration because it is the product in hand.
- C
Stop and clarify the discrepancy before giving the dose.
- D
Ask the patient which volume they usually receive and proceed.
08
Choose all
1 point
A nurse is assessing patient-specific risks before giving a prescribed opioid. Select all the factors that should inform the assessment.
- A
The patient’s opioid tolerance and recent opioid doses
- B
The patient’s age and relevant health conditions
- C
Whether the patient prefers one brand of medication
- D
Concurrent alcohol, benzodiazepines, or gabapentinoids
- E
Whether the patient has sleep-disordered breathing
09
Choose one
1 point
A patient receiving PCA is asleep, and a family member offers to press the dose button because the patient seemed to be in pain earlier. What is the best response?
- A
Allow the family member to press once if the patient previously agreed.
- B
Ask the family member to press only when the patient reports pain.
- C
Explain that only the patient should press the button when able, then assess the patient and contact the care team as needed.
- D
Ask the family member to press while the nurse increases the lockout time.
10
Choose all
1 point
Which findings can indicate a possible opioid overdose? Select all that apply.
- A
The person cannot be awakened.
- B
Breathing is slow or shallow.
- C
Choking or gurgling sounds are present.
- D
The person reports mild nausea but is alert and breathing normally.
- E
The lips or fingertips appear blue or gray.
11
Choose one
1 point
A person is unresponsive and breathing very slowly, and naloxone is available. What should happen?
- A
Activate emergency help, support breathing, and administer naloxone as directed.
- B
Give naloxone and wait to see whether breathing improves before calling for help.
- C
Give naloxone and leave if the person begins to wake.
- D
Offer food or drink while waiting for naloxone to take effect.
12
Choose one
1 point
A patient reports inadequate pain relief after receiving a prescribed opioid dose. What is the safest next step?
- A
Increase the dose independently because the patient reports pain.
- B
Substitute another opioid that is available on the unit.
- C
Reassess the patient and promptly report inadequate pain relief to the care team.
- D
Repeat the dose early without checking the order or medication record.
13
Open ended
1 point
After naloxone, a person wakes and begins breathing more normally. Explain why care should continue and describe the next steps.
14
True or false
1 point
True or false: Only the patient should press the PCA button when able; a family member should not press it for a sleeping patient.
- A
True
- B
False
15
Written response
1 point
Name one substance or medicine class that can add to opioid-related sedation risk when used concurrently.
16
Written response
1 point
Which breathing measure counts the number of breaths over time and should be assessed before and after opioid administration?
17
Choose one
1 point
While preparing an opioid dose, you find that the package concentration does not match the medication record. What should you do?
- A
Use the package concentration and give the dose as planned.
- B
Estimate the volume from the patient's previous dose.
- C
Stop and clarify the discrepancy before administration.
- D
Ask the patient which volume they usually take.
18
Choose one
1 point
A patient with sleep-disordered breathing is starting an opioid. Which monitoring approach is most appropriate?
- A
Use routine observation because the opioid was prescribed.
- B
Arrange closer observation because the patient has a risk factor for opioid-related respiratory depression.
- C
Wait until the patient reports pain before assessing them.
- D
Assess only if the patient becomes difficult to awaken.
19
Choose one
1 point
A patient reports ongoing pain after an opioid dose. Which action follows safe opioid dosing principles?
- A
Increase the dose if the patient's pain remains after the first dose.
- B
Substitute a different opioid if its dose seems more familiar.
- C
Use a larger dose when the patient has taken opioids before.
- D
Use the lowest effective dose prescribed and clarify concerns with the appropriate clinician.
20
Choose one
1 point
Which combination of findings is most consistent with a possible opioid overdose?
- A
Inability to awaken, slow or shallow breathing, and blue or gray lips or fingertips
- B
Mild thirst with normal alertness and breathing
- C
Increased appetite and steady breathing
- D
Brief soreness at the site of a transdermal patch