NR 567 FINAL Actual Questions and Correct Answers
Q1
Which of the following medications should be given to patients presenting to the emergency
department (ED) with an altered level of consciousness, seizures, or both, if a concern of
Wernicke-Korsakoff syndrome exists?
Answer: Thiamine
Q2
Which of the following pharmaceutical agents is not recommended for treating methanol poisoning?
Answer: Antabuse
Q3
Which of the following pharmaceutical agents is the preferred antiseizure medication for a generalized
seizure disorder in a 25-year -old pregnant female?
Answer: Levetiracetam (Keppra)
Q4
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
Q5
Your patient has been taking risperidone (Risperdal) but has developed hyperprolactinemia. Which of
the following may help manage hyperprolactinemia?
Answer: Bromocriptine (Parlodel)
Q6
A 25-year-old male with a history of bipolar disease presents to the emergency department (ED) with
acute agitation characteristic of mania. Non-pharmacological methods of de-escalation have been
attempted without success. Which of the following is not recommended to treat this patient?
Answer: Olanzapine (Zyprexa)
Q7
Acute dystonia can develop after early initiation of which of the following?
Answer: halodol
, Q8
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
Q9
Which of the following is the least appropriate medication for a patient with suspected increased
intracranial pressure?
Answer: Ketamine (Ketalar)
Q10
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)
Q11
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?
Answer: Succinylcholine chloride
Q12
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?
Answer: Pancuronium (Pavulon)
Q13
Which of the following best describes the rationale for long-term methadone therapy in treating opioid
addiction and abuse?
Answer: Methadone has greater oral bioavailability than morphine
Q1
Which of the following medications should be given to patients presenting to the emergency
department (ED) with an altered level of consciousness, seizures, or both, if a concern of
Wernicke-Korsakoff syndrome exists?
Answer: Thiamine
Q2
Which of the following pharmaceutical agents is not recommended for treating methanol poisoning?
Answer: Antabuse
Q3
Which of the following pharmaceutical agents is the preferred antiseizure medication for a generalized
seizure disorder in a 25-year -old pregnant female?
Answer: Levetiracetam (Keppra)
Q4
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
Q5
Your patient has been taking risperidone (Risperdal) but has developed hyperprolactinemia. Which of
the following may help manage hyperprolactinemia?
Answer: Bromocriptine (Parlodel)
Q6
A 25-year-old male with a history of bipolar disease presents to the emergency department (ED) with
acute agitation characteristic of mania. Non-pharmacological methods of de-escalation have been
attempted without success. Which of the following is not recommended to treat this patient?
Answer: Olanzapine (Zyprexa)
Q7
Acute dystonia can develop after early initiation of which of the following?
Answer: halodol
, Q8
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
Q9
Which of the following is the least appropriate medication for a patient with suspected increased
intracranial pressure?
Answer: Ketamine (Ketalar)
Q10
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)
Q11
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?
Answer: Succinylcholine chloride
Q12
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?
Answer: Pancuronium (Pavulon)
Q13
Which of the following best describes the rationale for long-term methadone therapy in treating opioid
addiction and abuse?
Answer: Methadone has greater oral bioavailability than morphine
