Advanced Pharm NR 567 Final Exam
Questions And 100% Correct Answers.
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
Seizure
Excessively prolonged skeletal muscle paralysis
Questions And 100% Correct Answers.
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
Seizure
Excessively prolonged skeletal muscle paralysis
