Free PMGT-BC Practice Test Questions

A patient newly starting methadone hydrochloride (Dolophine) reports insomnia during the first week and asks about using alcohol or a sedative at bedtime. Which instruction is the priority?

A patient has headache and nausea with documented cerebral edema secondary to brain tumor. Which adjuvant medication class is used to decrease inflammation contributing to this condition?

When an RN maintains a continuous subcutaneous opioid infusion, which maximum infusion rate (ml/hr) is recommended to reduce subcutaneous tissue trauma and irritation?

A pain management RN evaluates a quantitative study plan in which the researcher changes the independent variable, maintains strict control of the experimental situation, and uses randomization of subjects to study conditions. Which quantitative research design does this describe?

A patient is undergoing radiofrequency ablation for lumbar facet joint pain with mild sedation. In addition to maintaining continuous intravenous access, continuously monitoring cardiac and oxygen saturation, and checking blood pressure and pulse every 5 minutes, what additional intra-procedure responsibility should the RN perform?

A hospitalized older adult patient is nonverbal after surgery and has cognitive impairment, limiting self-report of pain. Which RN approach best supports accurate pain assessment and reassessment to promote safe pain management?

During a follow-up visit, a patient with persistent pain asks what a realistic treatment goal is when using multimodal pharmacological and nonpharmacological strategies. Which goal is most appropriate?

A postoperative patient reports uncontrolled pain despite around-the-clock analgesic agents. Heart rate (HR) 118/min, temperature 38.3°C (100.9°F), glucose 210 mg/dL. The patient had a preoperative glucose within the expected range and has no other findings suggesting infection. Which endocrine response best accounts for these findings?

A patient with chronic pain reports decreased sleep and difficulty completing hygiene when environmental noise increases. Using Roy’s adaptation conceptual system, which assessment is the priority?

After IV naloxone is given for opioid-induced respiratory depression, the patient is now responsive but has rapid, shallow respirations while the plethysmographic apnea monitor displays a normal ventilation rate. Which action is indicated?

A school-age patient with CRPS-I has periodic flare episodes. The caregiver(s) ask for home-bound tutoring so the patient can avoid pain during physical therapy. Which plan should the RN reinforce to best support functional restoration?

After major peripheral vascular surgery, what reductions in ICU stay and total hospital stay occur with general anesthesia combined with epidural anesthesia and analgesia versus postoperative parenteral, oral, or both types of opioids?

A patient reports abdominal pain that is diffuse, poorly localized, gnawing, and intermittently cramping. Which nociceptive pain subtype best fits this description?

A patient reports poorly localized pain. Which ascending pathway reaches the medial thalamus and also sends projections to the reticular formation, pons, midbrain, periaqueductal gray, and hypothalamus?

A patient with postoperative tissue inflammation asks how celecoxib (Celebrex) differs from ibuprofen (Motrin) in reducing swelling. Which explanation by the nurse best describes celecoxib’s mechanism?