PHARMACOLOGY EXAM 2 2025
QUESTIONS AND ANSWERS
Epinephrine, as an adrenergic (sympathomimetic) drug, produces which therapeutic effect?
a. Urinary retention
b.Bronchial constriction
c.Increased heart rate and contractility
d. Decreased intestinal motility - ANSWER✔✔-c.Increased heart rate and contractility
The physician has ordered dopamine to treat the patient's hypovolemic shock secondary to severe
blood loss. For the medication to be effective, the physician must also order
A. fluid replacement.
B. beta-stimulating drugs.
C. antibodies.
D.fluid restriction. - ANSWER✔✔-A. fluid replacment
Your patient is to receive dopamine 5 mcg/kg/min. He weighs 176 lb. You have dopamine 400 mg
in 500 mL D5W. You will infuse this at which rate?
A. 20 mL/hr
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
,B. 30 mL/hr
C. 35 mL/hr
D. 50 mL/hr - ANSWER✔✔-B. 30 mL/hr
When assessing for cardiovascular effects of an adrenergic (sympathomimetic) drug, the nurse
understands that these drugs produce
A.a positive inotropic, positive chronotropic, and positive dromotropic effect.
B. a positive inotropic, negative chronotropic, and negative dromotropic effect.
C. a negative inotropic, positive chronotropic, and positive dromotropic effect.
D. a negative inotropic, negative chronotropic, and negative dromotropic effect. - ANSWER✔✔-A.
a positive inotropic, positive chronotropic, and positive dromotropic effect.
A hypertensive crisis may occur if adrenergic (sympathomimetic) drugs are given along with
A.beta blockers.
B. diuretics.
C. alpha1 blockers.
D. monoamine oxidase (MAO) inhibitors. - ANSWER✔✔-D. monoamine oxidase (MAO)
inhibitors
The nurse assesses the intravenous infusion site of a patient receiving dopamine and finds it is
infiltrated. The nurse will prepare which medication to treat this infiltration?
A. lidocaine (Xylocaine)
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
, B. phentolamine (Regitine)
C. nitroprusside (Nipride)
D. naloxone (Narcan) - ANSWER✔✔-B.phentolamine (Regitine)
A patient using Afrin nasal spray complains of worsening cold symptoms and tells the nurse, "I
don't understand why this is not working. I am using it almost every 3 hours!" The nurse's response
is based on knowledge that
A. Afrin nasal spray is not an effective nasal decongestant.
B. the medication needs to be used every 30 minutes for maximum effectiveness.
C. the patient is suffering from rebound congestion related to excessive use of the Afrin nasal spray.
D. adrenergic decongestants should only be used prophylactically, not to treat acute congestion. -
ANSWER✔✔-C. the patient is suffering from rebound congestion related to excessive use of the
Afrin nasal spray.
our patient is receiving dobutamine as a continuous infusion. Titration of this medication is based
upon which factors? (Select all that apply.)
A tHeart rate
B Blood pressure
C Urine output
D Liver enzymes
E Respiratory rate - ANSWER✔✔-A,B,C
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 3
QUESTIONS AND ANSWERS
Epinephrine, as an adrenergic (sympathomimetic) drug, produces which therapeutic effect?
a. Urinary retention
b.Bronchial constriction
c.Increased heart rate and contractility
d. Decreased intestinal motility - ANSWER✔✔-c.Increased heart rate and contractility
The physician has ordered dopamine to treat the patient's hypovolemic shock secondary to severe
blood loss. For the medication to be effective, the physician must also order
A. fluid replacement.
B. beta-stimulating drugs.
C. antibodies.
D.fluid restriction. - ANSWER✔✔-A. fluid replacment
Your patient is to receive dopamine 5 mcg/kg/min. He weighs 176 lb. You have dopamine 400 mg
in 500 mL D5W. You will infuse this at which rate?
A. 20 mL/hr
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
,B. 30 mL/hr
C. 35 mL/hr
D. 50 mL/hr - ANSWER✔✔-B. 30 mL/hr
When assessing for cardiovascular effects of an adrenergic (sympathomimetic) drug, the nurse
understands that these drugs produce
A.a positive inotropic, positive chronotropic, and positive dromotropic effect.
B. a positive inotropic, negative chronotropic, and negative dromotropic effect.
C. a negative inotropic, positive chronotropic, and positive dromotropic effect.
D. a negative inotropic, negative chronotropic, and negative dromotropic effect. - ANSWER✔✔-A.
a positive inotropic, positive chronotropic, and positive dromotropic effect.
A hypertensive crisis may occur if adrenergic (sympathomimetic) drugs are given along with
A.beta blockers.
B. diuretics.
C. alpha1 blockers.
D. monoamine oxidase (MAO) inhibitors. - ANSWER✔✔-D. monoamine oxidase (MAO)
inhibitors
The nurse assesses the intravenous infusion site of a patient receiving dopamine and finds it is
infiltrated. The nurse will prepare which medication to treat this infiltration?
A. lidocaine (Xylocaine)
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
, B. phentolamine (Regitine)
C. nitroprusside (Nipride)
D. naloxone (Narcan) - ANSWER✔✔-B.phentolamine (Regitine)
A patient using Afrin nasal spray complains of worsening cold symptoms and tells the nurse, "I
don't understand why this is not working. I am using it almost every 3 hours!" The nurse's response
is based on knowledge that
A. Afrin nasal spray is not an effective nasal decongestant.
B. the medication needs to be used every 30 minutes for maximum effectiveness.
C. the patient is suffering from rebound congestion related to excessive use of the Afrin nasal spray.
D. adrenergic decongestants should only be used prophylactically, not to treat acute congestion. -
ANSWER✔✔-C. the patient is suffering from rebound congestion related to excessive use of the
Afrin nasal spray.
our patient is receiving dobutamine as a continuous infusion. Titration of this medication is based
upon which factors? (Select all that apply.)
A tHeart rate
B Blood pressure
C Urine output
D Liver enzymes
E Respiratory rate - ANSWER✔✔-A,B,C
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 3
