AS
N316A – Autonomic Nervous System Quiz [2] A+
Graded End Term Exam with Verified Answers
Questions and Mark scheme
Version: Final 1.1
,A pt has been prescribed Midodrine 10 mg PO t.i.d. How should the nurse best assess for therapeutic effects?
A) Auscultate the pt's apical heart rate for 1 minute
B) Assess the pt's lying, sitting, and standing BP
C) Assess the patency of the pt's nasal passages
D) Assess the pt for SOB on exertion - ✔✔B) Assess the pt's lying, sitting, and standing BP
A pt receives a beta-specific agonist. What assessment findings would indicate to the nurse that the drug is effective?
A) Relief from shortness of breath
B) Resolution of glaucoma
C) Relief of pain
D) Increased level of consciousness - ✔✔A) Relief from shortness of breath
A pt is receiving Salmeterol. The nurse would expect this drug to be given by which route?
A) Intravenous
B) Intramuscular
C) Oral
D) Inhalation - ✔✔D) Inhalation
A pt in shock has been prescribed isoproterenol. When preparing to administer this the nurse should:
A) Establish reliable IV access
B) Ensure the pt is capable of using an inhaler
C) Educate the pt about expected adverse effects
D) Check the pt blood glucose level - ✔✔A) Establish reliable IV access
An instructor is preparing a teaching plan about adrenergic agonists for a group of students. What drug would the nurse
include as an alpha and beta adrenergic agonist?
A) Epinephrine
B) Phenylephrine
C) Albuterol
D) Terbutaline - ✔✔A) Epinephrine
,A pt has been taking Indacaterol once per day, as prescribed. What assessment would the nurse perform when
monitoring for therapeutic effects?
A) Assessing BP
B) Assessing for activity tolerance
C) Assessing orientation to person, place, and time
D) Assessing heart rate - ✔✔B) Assessing for activity tolerance
The home nurse arrives at the pt's home when the pt is eating lunch. What should prompt the nurse to address dietary
needs of the pt receiving home infusion of Dobutamine?
A) The pt's meal includes a tuna fish sandwich, carrot and celery strips, a glass of milk, and a slice of apple pie
B) The pt's meal includes homemade vegetable soup, salt-free crackers, a diet cola, chocolate cake, and coffee
C) The pt's meal includes an egg salad sandwich, fresh vegetables with ranch dressing, and lemonade
D) The pt's meal includes a chef's salad, rye crisps, and a glass of milk - ✔✔B) The pt's meal includes homemade
vegetable soup, salt-free crackers, a diet cola, chocolate cake, and coffee
All alpha and beta adrenergic agonists can be administered via what route?
A) Subcutaneous
B) IM
C) IV
D) PO - ✔✔C) IV
Select all that apply: When assessing a pt receiving a beta specific adrenergic agonist, the nurse would identify what
findings as adverse effects of the drug?
A) Bradycardia
B) Steatorrhea (fatty stools)
C) Restlessness
D) Headache
E) Pupil constriction - ✔✔C) Restlessness
D) Headache
SATA. Why would the nurse expect to see Dobutamine ordered for the pt in end-stage heart failure?
A) It increased myocardial contractility, thus increasing cardiac output without much change in heart rate
B) It is a naturally occurring catecholamine that the body normally produces in small amounts
, C) It does not increase the oxygen demand of the cardiac muscle the way other drugs in this class do
D) It has a slight preference for alpha-receptor sites
E) The drug is absorbed rapidly after injection and achieves a rapid onset of action - ✔✔A) It increased myocardial
contractility, thus increasing cardiac output without much change in heart rate
C) It does not increase the oxygen demand of the cardiac muscle the way other drugs in this class do
E) The drug is absorbed rapidly after injection and achieves a rapid onset of action
Select all that apply: The nurse is teaching the pt about phenylephrine who is in preparation for discharge. What are the
priority teaching points the nurse will include?
A) Importance of notifying the provider if sudden weight gain occurs
B) Potential for feelings of fear, anxiety, and restlessness
C) Procedure for injecting the med subcutaneously
D) Symptoms of hypotension to report to provider
E) Importance of avoiding OTC cough and cold meds - ✔✔A) Importance of notifying the provider if sudden weight gain
occurs
B) Potential for feelings of fear, anxiety, and restlessness
E) Importance of avoiding OTC cough and cold meds
The nurse receives a prescription to infuse Dopamine 5 mcg/kg/min IV. The drug is supplied as 1 mg/mL solution, and
the pt weighs 70 kg. How many milliliters per hour will the nurse set the pump to deliver? - ✔✔21 mL/hr
True or False: Beta specific adrenergic agonists are primarily used to treat obstructive pulmonary conditions. - ✔✔True
True or False: Phentolamine is the agent used to treat extravasation of Dobutamine. - ✔✔True
True or False: Pts who are receiving alpha specific adrenergic agents should not stop taking the drug abruptly. - ✔✔True
True or False: An increased dosage of Digoxin would be needed if the pt is also taking Midodrine. - ✔✔False
True or False: A pt with diabetes who receives an alpha specific adrenergic agonist is at risk for hypoglycemia. -
✔✔False; Can cause HYPERglycemia
N316A – Autonomic Nervous System Quiz [2] A+
Graded End Term Exam with Verified Answers
Questions and Mark scheme
Version: Final 1.1
,A pt has been prescribed Midodrine 10 mg PO t.i.d. How should the nurse best assess for therapeutic effects?
A) Auscultate the pt's apical heart rate for 1 minute
B) Assess the pt's lying, sitting, and standing BP
C) Assess the patency of the pt's nasal passages
D) Assess the pt for SOB on exertion - ✔✔B) Assess the pt's lying, sitting, and standing BP
A pt receives a beta-specific agonist. What assessment findings would indicate to the nurse that the drug is effective?
A) Relief from shortness of breath
B) Resolution of glaucoma
C) Relief of pain
D) Increased level of consciousness - ✔✔A) Relief from shortness of breath
A pt is receiving Salmeterol. The nurse would expect this drug to be given by which route?
A) Intravenous
B) Intramuscular
C) Oral
D) Inhalation - ✔✔D) Inhalation
A pt in shock has been prescribed isoproterenol. When preparing to administer this the nurse should:
A) Establish reliable IV access
B) Ensure the pt is capable of using an inhaler
C) Educate the pt about expected adverse effects
D) Check the pt blood glucose level - ✔✔A) Establish reliable IV access
An instructor is preparing a teaching plan about adrenergic agonists for a group of students. What drug would the nurse
include as an alpha and beta adrenergic agonist?
A) Epinephrine
B) Phenylephrine
C) Albuterol
D) Terbutaline - ✔✔A) Epinephrine
,A pt has been taking Indacaterol once per day, as prescribed. What assessment would the nurse perform when
monitoring for therapeutic effects?
A) Assessing BP
B) Assessing for activity tolerance
C) Assessing orientation to person, place, and time
D) Assessing heart rate - ✔✔B) Assessing for activity tolerance
The home nurse arrives at the pt's home when the pt is eating lunch. What should prompt the nurse to address dietary
needs of the pt receiving home infusion of Dobutamine?
A) The pt's meal includes a tuna fish sandwich, carrot and celery strips, a glass of milk, and a slice of apple pie
B) The pt's meal includes homemade vegetable soup, salt-free crackers, a diet cola, chocolate cake, and coffee
C) The pt's meal includes an egg salad sandwich, fresh vegetables with ranch dressing, and lemonade
D) The pt's meal includes a chef's salad, rye crisps, and a glass of milk - ✔✔B) The pt's meal includes homemade
vegetable soup, salt-free crackers, a diet cola, chocolate cake, and coffee
All alpha and beta adrenergic agonists can be administered via what route?
A) Subcutaneous
B) IM
C) IV
D) PO - ✔✔C) IV
Select all that apply: When assessing a pt receiving a beta specific adrenergic agonist, the nurse would identify what
findings as adverse effects of the drug?
A) Bradycardia
B) Steatorrhea (fatty stools)
C) Restlessness
D) Headache
E) Pupil constriction - ✔✔C) Restlessness
D) Headache
SATA. Why would the nurse expect to see Dobutamine ordered for the pt in end-stage heart failure?
A) It increased myocardial contractility, thus increasing cardiac output without much change in heart rate
B) It is a naturally occurring catecholamine that the body normally produces in small amounts
, C) It does not increase the oxygen demand of the cardiac muscle the way other drugs in this class do
D) It has a slight preference for alpha-receptor sites
E) The drug is absorbed rapidly after injection and achieves a rapid onset of action - ✔✔A) It increased myocardial
contractility, thus increasing cardiac output without much change in heart rate
C) It does not increase the oxygen demand of the cardiac muscle the way other drugs in this class do
E) The drug is absorbed rapidly after injection and achieves a rapid onset of action
Select all that apply: The nurse is teaching the pt about phenylephrine who is in preparation for discharge. What are the
priority teaching points the nurse will include?
A) Importance of notifying the provider if sudden weight gain occurs
B) Potential for feelings of fear, anxiety, and restlessness
C) Procedure for injecting the med subcutaneously
D) Symptoms of hypotension to report to provider
E) Importance of avoiding OTC cough and cold meds - ✔✔A) Importance of notifying the provider if sudden weight gain
occurs
B) Potential for feelings of fear, anxiety, and restlessness
E) Importance of avoiding OTC cough and cold meds
The nurse receives a prescription to infuse Dopamine 5 mcg/kg/min IV. The drug is supplied as 1 mg/mL solution, and
the pt weighs 70 kg. How many milliliters per hour will the nurse set the pump to deliver? - ✔✔21 mL/hr
True or False: Beta specific adrenergic agonists are primarily used to treat obstructive pulmonary conditions. - ✔✔True
True or False: Phentolamine is the agent used to treat extravasation of Dobutamine. - ✔✔True
True or False: Pts who are receiving alpha specific adrenergic agents should not stop taking the drug abruptly. - ✔✔True
True or False: An increased dosage of Digoxin would be needed if the pt is also taking Midodrine. - ✔✔False
True or False: A pt with diabetes who receives an alpha specific adrenergic agonist is at risk for hypoglycemia. -
✔✔False; Can cause HYPERglycemia
