Advanced Pharm NR 567 Final Exam Questions
With 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? |
Folate (Folic acid)
| |
Chlordiazepoxide (Librium) |
Thiamine (Vitamin B1)
| |
Lorazepam (Ativan) |
Which of the following pharmaceutical agents is not recommended for
| | | | | | | | | |
treating methanol poisoning?
| |
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?
| |
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?
| |
Lorazepam (Ativan) |
Diazepam (Valium) |
Propofol (Diprivan) |
Fosphenytoin (Cerebyx) |
Which of the following statements is not true?
| | | | | | |
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?
, 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? | | | | |
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?
| | | |
Haloperidol (Haldol) |
Olanzapine (Zyprexa) |
Aripiprazole (Abilify) |
Naltrexone (Vivitrol, ReVia) | |
With 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? |
Folate (Folic acid)
| |
Chlordiazepoxide (Librium) |
Thiamine (Vitamin B1)
| |
Lorazepam (Ativan) |
Which of the following pharmaceutical agents is not recommended for
| | | | | | | | | |
treating methanol poisoning?
| |
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?
| |
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?
| |
Lorazepam (Ativan) |
Diazepam (Valium) |
Propofol (Diprivan) |
Fosphenytoin (Cerebyx) |
Which of the following statements is not true?
| | | | | | |
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?
, 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? | | | | |
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?
| | | |
Haloperidol (Haldol) |
Olanzapine (Zyprexa) |
Aripiprazole (Abilify) |
Naltrexone (Vivitrol, ReVia) | |
