NR 567 / NR567 Midterm Exam Questions &
Verified Answers (Latest Update 2026/2027)
Advanced Pharmacology for the AGACNP |
Graded A+ - Chamberlain
Which of the following is the least preferable initial treatment of choice for status epilepticus?
Propofol (Diprivan)
Which of the following statements is not true?
Sedative hypnotics can be utilized as an anticonvulsant; zolpidem (Ambien) and lorazepam
(Ativan) are excellent options for managing seizures.- Zolpidem is not used as an anti-seizure
Adding epinephrine to a local anesthetic, such as 1% lidocaine for local infiltration, has which of
the following benefits?
Extends the duration of the anesthesia block, useful for longer procedures
Your patient reports a history of anaphylaxis to an "ester-type" local anesthetic. Which of the
following, if given, would be most likely to provoke an allergic response in this patient?
Tetracaine (Pontocaine)
,An OR patient receives propofol for induction. What is the most likely adverse response
associated with the administration of this pharmaceutical agent?
Hypotension and respiratory depression
Which of the following is the least appropriate medication for a patient with suspected increased
intracranial pressure?
Ketamine (Ketalar)
You are selecting a neuromuscular blocking agent with the least cardiovascular side effect profile
for an elderly patient with coronary artery disease. Which of the following medications should be
avoided?
Pancuronium (Pavulon)
Your ICU patient is admitted following multisystem trauma secondary to a motor vehicle
collision. The patient is ventilated and will be maintained on a neuromuscular blocking
continuous agent to maintain neuromuscular blockage and deep sedation. Which of the following
is a true statement?
If dantrolene is needed postoperatively on the NMBA, care should be taken to ensure muscle
strength has returned prior to extubation
, Your patient presents with essential hypertension, and in reviewing lab results, you note that the
circulating plasma renin and catecholamine levels are high. You decide to lower blood pressure
by reducing both cardiac output and systemic vascular resistance (blocking both alpha- and
betaadrenergic receptors) with a single pharmaceutical agent. Which of the following is most
likely to achieve this goal?
Labetalol (Trandate)
It is noted that a trauma ICU patient is receiving adequate pain relief during painful procedures,
but has increased skeletal muscle tone, an elevation in HR and BP, and post-procedure
hallucinations and agitation as the drug wears off. Which of the following pharmaceutical agents
is likely to create these effects?
Ketamine (Ketalar)
You are managing a patient who presented to the emergency department with a severe headache.
Shortly upon arrival, the patient's neurological status rapidly deteriorates requiring airway
management. Rapid sequence intubation is performed, and the patient suddenly develops a fever,
hypertension, tachycardia, metabolic acidosis, hyperkalemia, and muscle rigidity. Which
induction agent was most likely used?
Succinylcholine chloride
A nonselective beta-blocker was initiated for your patient. Which of the following diagnoses
warrants initiating this pharmaceutical agent?
Hyperthyroid crisis
Verified Answers (Latest Update 2026/2027)
Advanced Pharmacology for the AGACNP |
Graded A+ - Chamberlain
Which of the following is the least preferable initial treatment of choice for status epilepticus?
Propofol (Diprivan)
Which of the following statements is not true?
Sedative hypnotics can be utilized as an anticonvulsant; zolpidem (Ambien) and lorazepam
(Ativan) are excellent options for managing seizures.- Zolpidem is not used as an anti-seizure
Adding epinephrine to a local anesthetic, such as 1% lidocaine for local infiltration, has which of
the following benefits?
Extends the duration of the anesthesia block, useful for longer procedures
Your patient reports a history of anaphylaxis to an "ester-type" local anesthetic. Which of the
following, if given, would be most likely to provoke an allergic response in this patient?
Tetracaine (Pontocaine)
,An OR patient receives propofol for induction. What is the most likely adverse response
associated with the administration of this pharmaceutical agent?
Hypotension and respiratory depression
Which of the following is the least appropriate medication for a patient with suspected increased
intracranial pressure?
Ketamine (Ketalar)
You are selecting a neuromuscular blocking agent with the least cardiovascular side effect profile
for an elderly patient with coronary artery disease. Which of the following medications should be
avoided?
Pancuronium (Pavulon)
Your ICU patient is admitted following multisystem trauma secondary to a motor vehicle
collision. The patient is ventilated and will be maintained on a neuromuscular blocking
continuous agent to maintain neuromuscular blockage and deep sedation. Which of the following
is a true statement?
If dantrolene is needed postoperatively on the NMBA, care should be taken to ensure muscle
strength has returned prior to extubation
, Your patient presents with essential hypertension, and in reviewing lab results, you note that the
circulating plasma renin and catecholamine levels are high. You decide to lower blood pressure
by reducing both cardiac output and systemic vascular resistance (blocking both alpha- and
betaadrenergic receptors) with a single pharmaceutical agent. Which of the following is most
likely to achieve this goal?
Labetalol (Trandate)
It is noted that a trauma ICU patient is receiving adequate pain relief during painful procedures,
but has increased skeletal muscle tone, an elevation in HR and BP, and post-procedure
hallucinations and agitation as the drug wears off. Which of the following pharmaceutical agents
is likely to create these effects?
Ketamine (Ketalar)
You are managing a patient who presented to the emergency department with a severe headache.
Shortly upon arrival, the patient's neurological status rapidly deteriorates requiring airway
management. Rapid sequence intubation is performed, and the patient suddenly develops a fever,
hypertension, tachycardia, metabolic acidosis, hyperkalemia, and muscle rigidity. Which
induction agent was most likely used?
Succinylcholine chloride
A nonselective beta-blocker was initiated for your patient. Which of the following diagnoses
warrants initiating this pharmaceutical agent?
Hyperthyroid crisis
