NURS 3365 CORE EXAM 2026 TEST QUESTIONS AND
ANSWERS RATED A+
✔✔What are the adverse effects of bethanechol? - ✔✔Syncope
Hypotension with reflex tachycardia
Headache
Seizure
GI upset
Asthmatic attacks
✔✔What are the contraindications of Bethanechol? - ✔✔Allergy
Hyperthyroidism
Peptic ulcer
Active bronchial asthma
Cardiac disease or coronary artery disease
Epilepsy
Parkinsonism
✔✔What is the most severe consequence of a cholinergic drug overdose? -
✔✔Cholinergic crisis
✔✔What are the symptoms of a cholinergic crisis? - ✔✔Circulatory collapse
Hypotension
Bloody diarrhea
Shock
Cardiac arrest
✔✔Cholinergic Agonists Drug Effects on the Skeletal Muscle (nicotinic) - ✔✔Increased
contractions
✔✔Cholinergic Agonists Drug Effects on the Glandular secretions (nicotinic) - ✔✔None
✔✔Cholinergic Agonists Drug Effects on the Glandular secretions (muscarinic) -
✔✔Increased intestinal, lacrimal, salivary, and sweat gland secretion
✔✔Cholinergic Agonists Drug Effects on the Genitourinary System (nicotinic) -
✔✔Tone: Increased
Motility: Increased
Sphincter: Relaxed
✔✔Cholinergic Agonists Drug Effects on the Genitourinary System (muscarinic) -
✔✔Tone: Increased
Motility: Increased
Sphincter: Relaxed
,✔✔Cholinergic Agonists Drug Effects on the Gastrointestinal System (nicotinic) -
✔✔Tone: Increased
Motility: Increased
Sphincters: None
✔✔Cholinergic Agonists Drug Effects on the Gastrointestinal System (muscarinic) -
✔✔Tone: Increased
Motility: Increased
Sphincters: Relaxed
✔✔Cholinergic Agonists Drug Effects on the Eyes (nicotinic) - ✔✔Pupil constriction
(miosis)
Decreased accommodation
✔✔Cholinergic Agonists Drug Effects on the Eyes (muscarinic) - ✔✔Pupil constriction
Decreased accommodation
✔✔Cholinergic Agonists Drug Effects on the Cardiovascular System (nicotinic) -
✔✔Blood vessels: Constriction
HR: Increased
BP: Increased
✔✔Cholinergic Agonists Drug Effects on the Cardiovascular System (muscarinic) -
✔✔Blood vessels: Dilation
HR: Slowed
BP: Decreased
✔✔Cholinergic Agonists Drug Effects on the Bronchi - ✔✔Muscarinic:
Increased secretions, constrictions
Nicotinic:
None
✔✔What receptor binds acetylcholine and mediates its action? - ✔✔Cholinergic
receptors
✔✔What neurotransmitter is responsible for the transmission of nerve impulses to
effector cells in the parasympathetic nervous system? - ✔✔Acetylcholine
✔✔Which condition will alert the nurse to a potential caution or contraindication
regarding the use of a dopaminergic drug for treatment of mild Parkinson's disease?
a Diarrhea
, b Tremors
c Angle-closure glaucoma
d Unstable gait - ✔✔Angle-closure glaucoma
✔✔A patient is taking entacapone (Comtan) as part of the therapy for Parkinson's
disease. Which intervention by the nurse is appropriate at this time?
a Notify the patient that this drug causes discoloration of
the urine.
b Limit the patient's intake of tyramine-containing foods.
c Monitor results of renal studies because this drug can
seriously affect renal function.
d Force fluids to prevent dehydration. - ✔✔Notify the patient that this drug causes
discoloration of the urine
✔✔During a patient teaching session about antiparkinson drugs, the nurse will include
which statement?
a "The drug will be stopped when tremors and weakness
are relieved."
b "If a dose is missed, take two doses to avoid significant
decreases in blood levels."
c "Be sure to notify your physician if your urine turns
brownish-orange in color."
d "Take care to change positions slowly to prevent falling
due to a drop in blood pressure." - ✔✔"Take care to change positions slowly to prevent
falling due to a drop in blood pressure."
✔✔A patient will be taking selegiline (Eldepryl), 10 mg daily, in
addition to dopamine replacement therapy for Parkinson's disease. The nurse will
implement which precautions regarding selegiline?
a Teach the patient to avoid foods containing tyramine.
b Monitor for dizziness.
c Inform the patient that this drug may cause urine
discoloration.
d Monitor for tachycardia and palpitations. - ✔✔Monitor for dizziness
✔✔A patient with Parkinson's disease will start taking enta- capone (Comtan) along with
the carbidopa-levodopa (Sinemet) he has been taking for a few years. The nurse
recognizes that the advantage of taking entacapone is that
a the entacapone can reduce on-off effects.
b the levodopa may be stopped in a few days.
c there is less GI upset with entacapone.
ANSWERS RATED A+
✔✔What are the adverse effects of bethanechol? - ✔✔Syncope
Hypotension with reflex tachycardia
Headache
Seizure
GI upset
Asthmatic attacks
✔✔What are the contraindications of Bethanechol? - ✔✔Allergy
Hyperthyroidism
Peptic ulcer
Active bronchial asthma
Cardiac disease or coronary artery disease
Epilepsy
Parkinsonism
✔✔What is the most severe consequence of a cholinergic drug overdose? -
✔✔Cholinergic crisis
✔✔What are the symptoms of a cholinergic crisis? - ✔✔Circulatory collapse
Hypotension
Bloody diarrhea
Shock
Cardiac arrest
✔✔Cholinergic Agonists Drug Effects on the Skeletal Muscle (nicotinic) - ✔✔Increased
contractions
✔✔Cholinergic Agonists Drug Effects on the Glandular secretions (nicotinic) - ✔✔None
✔✔Cholinergic Agonists Drug Effects on the Glandular secretions (muscarinic) -
✔✔Increased intestinal, lacrimal, salivary, and sweat gland secretion
✔✔Cholinergic Agonists Drug Effects on the Genitourinary System (nicotinic) -
✔✔Tone: Increased
Motility: Increased
Sphincter: Relaxed
✔✔Cholinergic Agonists Drug Effects on the Genitourinary System (muscarinic) -
✔✔Tone: Increased
Motility: Increased
Sphincter: Relaxed
,✔✔Cholinergic Agonists Drug Effects on the Gastrointestinal System (nicotinic) -
✔✔Tone: Increased
Motility: Increased
Sphincters: None
✔✔Cholinergic Agonists Drug Effects on the Gastrointestinal System (muscarinic) -
✔✔Tone: Increased
Motility: Increased
Sphincters: Relaxed
✔✔Cholinergic Agonists Drug Effects on the Eyes (nicotinic) - ✔✔Pupil constriction
(miosis)
Decreased accommodation
✔✔Cholinergic Agonists Drug Effects on the Eyes (muscarinic) - ✔✔Pupil constriction
Decreased accommodation
✔✔Cholinergic Agonists Drug Effects on the Cardiovascular System (nicotinic) -
✔✔Blood vessels: Constriction
HR: Increased
BP: Increased
✔✔Cholinergic Agonists Drug Effects on the Cardiovascular System (muscarinic) -
✔✔Blood vessels: Dilation
HR: Slowed
BP: Decreased
✔✔Cholinergic Agonists Drug Effects on the Bronchi - ✔✔Muscarinic:
Increased secretions, constrictions
Nicotinic:
None
✔✔What receptor binds acetylcholine and mediates its action? - ✔✔Cholinergic
receptors
✔✔What neurotransmitter is responsible for the transmission of nerve impulses to
effector cells in the parasympathetic nervous system? - ✔✔Acetylcholine
✔✔Which condition will alert the nurse to a potential caution or contraindication
regarding the use of a dopaminergic drug for treatment of mild Parkinson's disease?
a Diarrhea
, b Tremors
c Angle-closure glaucoma
d Unstable gait - ✔✔Angle-closure glaucoma
✔✔A patient is taking entacapone (Comtan) as part of the therapy for Parkinson's
disease. Which intervention by the nurse is appropriate at this time?
a Notify the patient that this drug causes discoloration of
the urine.
b Limit the patient's intake of tyramine-containing foods.
c Monitor results of renal studies because this drug can
seriously affect renal function.
d Force fluids to prevent dehydration. - ✔✔Notify the patient that this drug causes
discoloration of the urine
✔✔During a patient teaching session about antiparkinson drugs, the nurse will include
which statement?
a "The drug will be stopped when tremors and weakness
are relieved."
b "If a dose is missed, take two doses to avoid significant
decreases in blood levels."
c "Be sure to notify your physician if your urine turns
brownish-orange in color."
d "Take care to change positions slowly to prevent falling
due to a drop in blood pressure." - ✔✔"Take care to change positions slowly to prevent
falling due to a drop in blood pressure."
✔✔A patient will be taking selegiline (Eldepryl), 10 mg daily, in
addition to dopamine replacement therapy for Parkinson's disease. The nurse will
implement which precautions regarding selegiline?
a Teach the patient to avoid foods containing tyramine.
b Monitor for dizziness.
c Inform the patient that this drug may cause urine
discoloration.
d Monitor for tachycardia and palpitations. - ✔✔Monitor for dizziness
✔✔A patient with Parkinson's disease will start taking enta- capone (Comtan) along with
the carbidopa-levodopa (Sinemet) he has been taking for a few years. The nurse
recognizes that the advantage of taking entacapone is that
a the entacapone can reduce on-off effects.
b the levodopa may be stopped in a few days.
c there is less GI upset with entacapone.
