PHARMACOLOGY NURS 251 MODULE 6 FINAL
PAPER 2026 QUESTIONS WITH ANSWERS
GRADED A+
◉ 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
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)
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
PAPER 2026 QUESTIONS WITH ANSWERS
GRADED A+
◉ 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
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)
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