NR 567 ADVANCED PHARM FINAL EXAM
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 Folate (Folic
acid)
Chlordiazepoxide (Librium)
Thiamine (Vitamin B1)
Lorazepam (Ativan)
Which of the following pharmaceutical agents is not recommended for treating
methanol poisoning? - ANSWER Ethanol intravenously
Fomepizole (Antizole)
Sodium Bicarbonate
Disulfiram (Antabuse)
Which of the following pharmaceutical agents is the preferred antiseizure medication
for a generalized seizure disorder in a 25-year -old pregnant female? - ANSWER
Phenobarbital (Solfoton)
Valproate (Valproic acid) -This is known as a human teratogen. Exposure in first
trimester isassociated with an approximately threefold increased risk of major
congenital malformations,most commonly spina bifida. There is evidence that
valproate exposure may be associated withan increased risk of autism spectrum
disorder.
Levetiracetam (Keppra)
Topiramate (Topamax)
Which of the following is the least preferable initial treatment of choice for status
epilepticus? - ANSWER Lorazepam (Ativan)
Diazepam (Valium)
Propofol (Diprivan)
Fosphenytoin (Cerebyx)
Which of the following statements is not true? - ANSWER In patients with
hypovolemic states, heart failure, and other diseases that impair cardiovascular
function, normal doses of sedative-hypnotics may cause cardiovascular depression
In patients with pulmonary disease, therapeutic doses of sedative-hypnotics can
produce significant respiratory depression.
Sedative hypnotics can be utilized as an anticonvulsant; zolpidem (Ambien) and
lorazepam (Ativan) are excellent options for managing seizures.
Benzodiazepines exert dose-dependent anterograde amnestic effects.
Your patient has been taking risperidone (Risperdal) but has developed
hyperprolactinemia. Which of the following may help manage hyperprolactinemia? -
ANSWER Bromocriptine (Parlodel)
b. Haloperidol (Haldol)
c. Promethazine (Phenergan)
d. Chlorpromazine (Thorazine)
, A 35-year-old female with a long history of anxiety treated with diazepam (Valium)
has increasingly become fearful and anxious about the Coronavirus pandemic and
triples her daily dose. She is found extremely lethargic and obtunded two days after
the increased dosing. Which of the following pharmaceutical agents should the nurse
practitioner order to treat her condition? - ANSWER Flumazenil (Romazicon)
Naloxone (Narcan)
Depakote (Divalproex sodium)
Midazolam (Versed)
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 Haloperidol (Haldol)
Olanzapine (Zyprexa)
Aripiprazole (Abilify)
Naltrexone (Vivitrol, ReVia)
Which of the following is a long-acting benzodiazepine that is used to treat anxiety? -
ANSWER Diazepam (Valium)
Alprazolam (Xanax)
Eszopiclone (Lunesta)
Zolpidem (Ambien)
Acute dystonia can develop after early initiation of which of the following? -
ANSWER Clozapine (Clozaril)
Haloperidol (Haldol)
Aripiprazole (Abilify)
Olanzapine (Zyprexa)
WEEK 2 - ANSWER ...
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
Can be used in a digital block for extensive finger or toe laceration repair
Shortens the duration of the anesthetic
Eliminates the concern of systemic toxicity of lidocaine, even with inadvertent
intravenous injection
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? - ANSWER Lidocaine (Xylocaine)
Tetracaine (Pontocaine)
Bupivacaine (Marcaine)
Ropivacaine (Naropin)
An OR patient receives propofol for induction. What is the most likely adverse
response associated with the administration of this pharmaceutical agent? -
ANSWER Laryngospasm
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 Folate (Folic
acid)
Chlordiazepoxide (Librium)
Thiamine (Vitamin B1)
Lorazepam (Ativan)
Which of the following pharmaceutical agents is not recommended for treating
methanol poisoning? - ANSWER Ethanol intravenously
Fomepizole (Antizole)
Sodium Bicarbonate
Disulfiram (Antabuse)
Which of the following pharmaceutical agents is the preferred antiseizure medication
for a generalized seizure disorder in a 25-year -old pregnant female? - ANSWER
Phenobarbital (Solfoton)
Valproate (Valproic acid) -This is known as a human teratogen. Exposure in first
trimester isassociated with an approximately threefold increased risk of major
congenital malformations,most commonly spina bifida. There is evidence that
valproate exposure may be associated withan increased risk of autism spectrum
disorder.
Levetiracetam (Keppra)
Topiramate (Topamax)
Which of the following is the least preferable initial treatment of choice for status
epilepticus? - ANSWER Lorazepam (Ativan)
Diazepam (Valium)
Propofol (Diprivan)
Fosphenytoin (Cerebyx)
Which of the following statements is not true? - ANSWER In patients with
hypovolemic states, heart failure, and other diseases that impair cardiovascular
function, normal doses of sedative-hypnotics may cause cardiovascular depression
In patients with pulmonary disease, therapeutic doses of sedative-hypnotics can
produce significant respiratory depression.
Sedative hypnotics can be utilized as an anticonvulsant; zolpidem (Ambien) and
lorazepam (Ativan) are excellent options for managing seizures.
Benzodiazepines exert dose-dependent anterograde amnestic effects.
Your patient has been taking risperidone (Risperdal) but has developed
hyperprolactinemia. Which of the following may help manage hyperprolactinemia? -
ANSWER Bromocriptine (Parlodel)
b. Haloperidol (Haldol)
c. Promethazine (Phenergan)
d. Chlorpromazine (Thorazine)
, A 35-year-old female with a long history of anxiety treated with diazepam (Valium)
has increasingly become fearful and anxious about the Coronavirus pandemic and
triples her daily dose. She is found extremely lethargic and obtunded two days after
the increased dosing. Which of the following pharmaceutical agents should the nurse
practitioner order to treat her condition? - ANSWER Flumazenil (Romazicon)
Naloxone (Narcan)
Depakote (Divalproex sodium)
Midazolam (Versed)
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 Haloperidol (Haldol)
Olanzapine (Zyprexa)
Aripiprazole (Abilify)
Naltrexone (Vivitrol, ReVia)
Which of the following is a long-acting benzodiazepine that is used to treat anxiety? -
ANSWER Diazepam (Valium)
Alprazolam (Xanax)
Eszopiclone (Lunesta)
Zolpidem (Ambien)
Acute dystonia can develop after early initiation of which of the following? -
ANSWER Clozapine (Clozaril)
Haloperidol (Haldol)
Aripiprazole (Abilify)
Olanzapine (Zyprexa)
WEEK 2 - ANSWER ...
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
Can be used in a digital block for extensive finger or toe laceration repair
Shortens the duration of the anesthetic
Eliminates the concern of systemic toxicity of lidocaine, even with inadvertent
intravenous injection
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? - ANSWER Lidocaine (Xylocaine)
Tetracaine (Pontocaine)
Bupivacaine (Marcaine)
Ropivacaine (Naropin)
An OR patient receives propofol for induction. What is the most likely adverse
response associated with the administration of this pharmaceutical agent? -
ANSWER Laryngospasm
