1 :

Hint : Baclofen = brain and spine — think long-term spasticity.

Correct Answers:

  • Relief of spasticity related to cerebral palsy, spinal cord injury, and multiple sclerosis


Rationale :
♦️Baclofen is a centrally acting skeletal muscle relaxant used to treat muscle spasticity from conditions like MS, spinal cord injury, and cerebral palsy. ♦️It is not used for general muscle injury or for opioid overdose.

Distractor Analysis :

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2 :

Hint : Sumatriptan = Stop if chest pain starts.

Correct Answers:

  • Persistent chest pain


Rationale :
♦️Sumatriptan can cause coronary vasospasm, leading to chest pain or tightness, a potentially serious adverse effect. ♦️Clients should stop the drug and notify the provider immediately if chest pain occurs.

Distractor Analysis :

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3 :

Hint : Butorphanol = Both (agonist + antagonist)

Correct Answers:

  • Butorphanol Stado


Rationale :
♦️Butorphanol is a mixed opioid agonist-antagonist, acting as an agonist on kappa and antagonist on mu receptors. ♦️This provides pain relief with less risk of respiratory depression.

Distractor Analysis :

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4 :

Hint : Push morphine slowly — at least 4 minutes.

Correct Answers:

  • 4 to 5 minutes


Rationale :
♦️Morphine IV push should be administered over 4–5 minutes to reduce the risk of respiratory depression and hypotension. ♦️ Faster administration increases risk of adverse effects.

Distractor Analysis :

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5 :

Hint : Raloxifene = risk for clots, not liver damage.

Correct Answers:

  • Jaundice


Rationale :
♦️Raloxifene may cause thromboembolic events (leg redness, swelling, tenderness), but jaundice is not an expected effect. ♦️Liver injury is not a common complication of raloxifene.

Distractor Analysis :

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6 :

Hint : Tylenol + Alcohol = Liver danger

Correct Answers:

  • Alcohol use disorder


Rationale :
♦️Chronic alcohol use increases the risk of hepatotoxicity with acetaminophen. ♦️It should be avoided in clients with liver disease or alcohol dependence.

Distractor Analysis :

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7 :

Hint : Naltrexone = "Not today, opioids."

Correct Answers:

  • Naltrexone (Muition)


Rationale :
♦️Naltrexone is used to prevent relapse in clients who have completed opioid detox. ♦️It blocks the euphoric effects of opioids without producing dependence.

Distractor Analysis :

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8 :

Hint : Narcan doesn’t work well by mouth.

Correct Answers:

  • oral (PO)


Rationale :
♦️Naloxone has a high first-pass effect, making oral administration ineffective. ♦️ It should be given IV, IM, or SQ for rapid effect.

Distractor Analysis :

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9 :

Hint : Fosamax = sit up to protect your esophagus.

Correct Answers:

  • Dysphagia


Rationale :
♦️Alendronate can cause esophagitis or esophageal ulcers. ♦️Clients should report difficulty swallowing, as it could indicate serious GI complications.

Distractor Analysis :

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10 :

Hint : Flexeril = flexible muscles again

Correct Answers:

  • An absence of muscle rigidity and spasms with a good range of motion.


Rationale :
♦️Cyclobenzaprine is a muscle relaxant used to relieve acute muscle spasms. ♦️Effective therapy results in improved movement and reduced rigidity.

Distractor Analysis :

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Total Questions: 10

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