Semisynthetic

Drug Classes

200

Hydromorphone belongs to which class?
A. NSAID
B. Opioid analgesic
C. Benzodiazepine
D. Antidepressant

NSAID

400

Oxycodone is best classified as a:
A. Synthetic opioid
B. Semisynthetic opioid
C. Non-opioid analgesic
D. Barbiturate

 Semisynthetic opioid

600

Which receptor do hydromorphone and oxycodone primarily act on?
A. Dopamine
B. Mu-opioid
C. Serotonin
D. GABA

Mu-opioid

800

These drugs are derived from:
A. Coca plant
B. Opium alkaloids
C. Synthetic chemicals only
D. Cannabis

Synthetic chemicals only

1000

Oxycodone combination products often include:
A. Aspirin or acetaminophen
B. Insulin
C. Warfarin
D. Lidocaine

Insulin

Uses/Indications

200

Hydromorphone is primarily used for:
A. Fever
B. Severe pain
C. Anxiety
D. Infection

Severe pain

400

Oxycodone is prescribed for:
A. Mild itching
B. Moderate to severe pain
C. Hypertension
D. Diabetes

Moderate to severe pain

600

Which patient is most appropriate for hydromorphone?
A. Mild headache
B. Post-surgical severe pain
C. Seasonal allergies
D. Insomnia

Post-surgical severe pain

800

Hydromorphone IV is often used for:
A. Emergency pain control
B. Long-term depression
C. Blood pressure control
D. Sedation only

Long-term depression

1000

Extended-release oxycodone is used for:
A. Breakthrough pain only
B. Around-the-clock pain
C. Fever reduction
D. Sleep disorders

Around-the-clock pain

Side Effects

200

Common side effect of hydromorphone:
A. Diarrhea
B. Constipation
C. Hypertension
D. Rash

Constipation

400

Which is most serious?
A. Nausea
B. Sedation
C. Respiratory depression
D. Dry mouth

Sedation

600

Early sign of overdose:
A. Tachycardia
B. Pinpoint pupils
C. Fever
D. Hypertension

Pinpoint pupils

800

Long-term use may lead to:
A. Immunity
B. Dependence
C. Resistance
D. Allergy

 Dependence

1000

Combining opioids with alcohol increases risk of:
 A. Hypertension
 B. Liver failure only
 C. Respiratory depression
 D. Rash

Liver failure only

Nursing Considerations

200

Before giving hydromorphone, assess:
A. Blood glucose
B. Pain level
C. Vision
D. Hearing

Pain level

400

Hold opioid if RR is:
A. 20
B. 16
C. 10
D. 24

16

600

Monitor for:
A. Hypertension
B. Respiratory depression
C. Hyperactivity
D. Fever

Respiratory depression

800

Priority assessment after administration:
A. Skin color
B. Respiratory status
C. Urine output
D. Appetite

Respiratory status

1000

For IV hydromorphone, nurse should:
A. Push rapidly
B. Dilute and give slowly
C. Mix with insulin
D. Give IM only

Dilute and give slowly

Patient Teaching

200

Take medication:
A. Only at bedtime
B. As prescribed
C. Double dose if pain
D. With alcohol

As prescribed

400

Risk of driving while on opioids:
A. Increased focus
B. Sedation
C. Weight gain
D. Hunger

Sedation

600

Store medication:
A. Open area
B. Locked place
C. Bathroom
D. Car

Bathroom

800

If a dose is missed (extended-release):
A. Double next dose
B. Take when remembered (if safe timing)
C. Stop medication
D. Take with alcohol

Stop medication

1000

To prevent overdose:
A. Share meds
B. Follow dosing schedule
C. Take extra doses
D. Skip instructions

Take extra doses