NR 567 Midterm Spring 25
Questions and Guide Answers
100% Verified Graded A+
1. Which of the following is the least preferable initial treatment of choice for
status epilepticus?
Answer: Propofol (Diprivan)
2. Which of the following statements is not true?
Answer: 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
3. Adding epinephrine to a local anesthetic, such as 1% lidocaine for local
infiltration, has which of the following benefits?
Answer: Extends the duration of the anesthesia block, useful for longer procedures
4. Your patient reports a history of anaphylaxis to an "ester-type" local anes-
thetic. Which of the following, if given, would be most likely to provoke an
,allergic response in this patient?
Answer: Tetracaine (Pontocaine)
5. An OR patient receives propofol for induction. What is the most likely ad-
verse response associated with the administration of this pharmaceutical
agent?
Answer: Hypotension and respiratory depression
6. Which of the following is the least appropriate medication for a patient with
suspected increased intracranial pressure?
Answer: Ketamine (Ketalar)
7. 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?
Answer: Ketamine (Ketalar)
8. 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 intuba-
tion is performed, and the patient suddenly develops a fever, hypertension,
tachycardia, metabolic acidosis, hyperkalemia, and muscle rigidity. Which
, induction agent was most likely used?
Answer: Succinylcholine chloride
9. You are selecting a neuromuscular blocking agent with the least cardiovas-
cular side effect profile for an elderly patient with coronary artery disease.
Which of the following medications should be avoided?
Answer: Pancuronium (Pavulon)
10. 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?
Answer: If dantrolene is needed postoperatively on the NMBA, care should be taken to ensure muscle strength
has returned prior to extubation
11. 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 beta-adrenergic
receptors) with a single pharmaceutical agent. Which of the following is most
likely to achieve this goal?
Answer: Labetalol (Trandate)
Questions and Guide Answers
100% Verified Graded A+
1. Which of the following is the least preferable initial treatment of choice for
status epilepticus?
Answer: Propofol (Diprivan)
2. Which of the following statements is not true?
Answer: 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
3. Adding epinephrine to a local anesthetic, such as 1% lidocaine for local
infiltration, has which of the following benefits?
Answer: Extends the duration of the anesthesia block, useful for longer procedures
4. Your patient reports a history of anaphylaxis to an "ester-type" local anes-
thetic. Which of the following, if given, would be most likely to provoke an
,allergic response in this patient?
Answer: Tetracaine (Pontocaine)
5. An OR patient receives propofol for induction. What is the most likely ad-
verse response associated with the administration of this pharmaceutical
agent?
Answer: Hypotension and respiratory depression
6. Which of the following is the least appropriate medication for a patient with
suspected increased intracranial pressure?
Answer: Ketamine (Ketalar)
7. 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?
Answer: Ketamine (Ketalar)
8. 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 intuba-
tion is performed, and the patient suddenly develops a fever, hypertension,
tachycardia, metabolic acidosis, hyperkalemia, and muscle rigidity. Which
, induction agent was most likely used?
Answer: Succinylcholine chloride
9. You are selecting a neuromuscular blocking agent with the least cardiovas-
cular side effect profile for an elderly patient with coronary artery disease.
Which of the following medications should be avoided?
Answer: Pancuronium (Pavulon)
10. 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?
Answer: If dantrolene is needed postoperatively on the NMBA, care should be taken to ensure muscle strength
has returned prior to extubation
11. 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 beta-adrenergic
receptors) with a single pharmaceutical agent. Which of the following is most
likely to achieve this goal?
Answer: Labetalol (Trandate)
