NR567 NR 567 Midterm Spring 25, Relias-Lancesoft Corrections RN
LPN-v1 Actual Questions and Correct Answers
Q1
Which of the following statements is not true?
Answer: Sedative hypnotics can be utilized as an anticonvulsant; zolpidem (Ambien) and
lorazepam (Ativan) are
excellent options for managing seizures.- Zolpidem is not used as an anti-seizure
Q2
Adding epinephrine to a local anesthetic, such as 1% lidocaine for local infiltration, has which of the
following benefits?
Answer: Extends the duration of the anesthesia block, useful for longer procedures
Q3
Which of the following is the least appropriate medication for a patient with suspected increased
intracranial pressure?
Answer: Ketamine (Ketalar)
Q4
It is noted that a trauma ICU patient is receiving adequate pain relief during painful procedures, but has
increased skeletal muscle tone, an elevation in HR and BP, and post-procedure hallucinations and
agitation as the drug wears off. Which of the following pharmaceutical agents is likely to create these
effects?
Answer: Ketamine (Ketalar)
Q5
You are managing a patient who presented to the emergency department with a severe headache
Shortly upon arrival, the patient's neurological status rapidly deteriorates requiring airway
management. Rapid sequence intubation is performed, and the patient suddenly develops a fever,
hypertension, tachycardia, metabolic acidosis, hyperkalemia, and muscle rigidity. Which induction
agent was most likely used?
Answer: Succinylcholine chloride
Q6
You are selecting a neuromuscular blocking agent with the least cardiovascular side effect profile for an
elderly patient with coronary artery disease. Which of the following medications should be avoided?
Answer: Pancuronium (Pavulon)
, Q7
is a true statement?
Answer: If dantrolene is needed postoperatively on the NMBA, care should be taken to ensure
muscle strength
has returned prior to extubation
Q8
Your patient presents with essential hypertension, and in reviewing lab results, you note that the
circulating plasma renin and catecholamine levels are high. You decide to lower blood pressure by
reducing both cardiac output and systemic vascular resistance (blocking both alphaand
beta-adrenergic receptors) with a single pharmaceutical agent. Which of the following is most likely to
achieve this goal?
Answer: Labetalol (Trandate)
Q9
A nonselective beta-blocker was initiated for your patient. Which of the following diagnoses warrants
initiating this pharmaceutical agent?
Answer: Hyperthyroid crisis
Q10
You are managing a patient with a history of coronary artery disease and transient ischemic attacks
Low-dose aspirin treatment is considered, but the patient has a reported history of aspirin allergy
Which of the following is the best alternative?
Answer: Clopidogrel (Plavix)
Q11
Which of the following adverse effects is likely when an angiotensin-converting enzyme inhibitor (ACEI)
is used with spironolactone therapy?
Answer: Hyperkalemia
Q12
All of the following are beneficial effects of beta-blocker therapy for use in patients with cirrhosis
except
Answer: Increased Cardiac Output
LPN-v1 Actual Questions and Correct Answers
Q1
Which of the following statements is not true?
Answer: Sedative hypnotics can be utilized as an anticonvulsant; zolpidem (Ambien) and
lorazepam (Ativan) are
excellent options for managing seizures.- Zolpidem is not used as an anti-seizure
Q2
Adding epinephrine to a local anesthetic, such as 1% lidocaine for local infiltration, has which of the
following benefits?
Answer: Extends the duration of the anesthesia block, useful for longer procedures
Q3
Which of the following is the least appropriate medication for a patient with suspected increased
intracranial pressure?
Answer: Ketamine (Ketalar)
Q4
It is noted that a trauma ICU patient is receiving adequate pain relief during painful procedures, but has
increased skeletal muscle tone, an elevation in HR and BP, and post-procedure hallucinations and
agitation as the drug wears off. Which of the following pharmaceutical agents is likely to create these
effects?
Answer: Ketamine (Ketalar)
Q5
You are managing a patient who presented to the emergency department with a severe headache
Shortly upon arrival, the patient's neurological status rapidly deteriorates requiring airway
management. Rapid sequence intubation is performed, and the patient suddenly develops a fever,
hypertension, tachycardia, metabolic acidosis, hyperkalemia, and muscle rigidity. Which induction
agent was most likely used?
Answer: Succinylcholine chloride
Q6
You are selecting a neuromuscular blocking agent with the least cardiovascular side effect profile for an
elderly patient with coronary artery disease. Which of the following medications should be avoided?
Answer: Pancuronium (Pavulon)
, Q7
is a true statement?
Answer: If dantrolene is needed postoperatively on the NMBA, care should be taken to ensure
muscle strength
has returned prior to extubation
Q8
Your patient presents with essential hypertension, and in reviewing lab results, you note that the
circulating plasma renin and catecholamine levels are high. You decide to lower blood pressure by
reducing both cardiac output and systemic vascular resistance (blocking both alphaand
beta-adrenergic receptors) with a single pharmaceutical agent. Which of the following is most likely to
achieve this goal?
Answer: Labetalol (Trandate)
Q9
A nonselective beta-blocker was initiated for your patient. Which of the following diagnoses warrants
initiating this pharmaceutical agent?
Answer: Hyperthyroid crisis
Q10
You are managing a patient with a history of coronary artery disease and transient ischemic attacks
Low-dose aspirin treatment is considered, but the patient has a reported history of aspirin allergy
Which of the following is the best alternative?
Answer: Clopidogrel (Plavix)
Q11
Which of the following adverse effects is likely when an angiotensin-converting enzyme inhibitor (ACEI)
is used with spironolactone therapy?
Answer: Hyperkalemia
Q12
All of the following are beneficial effects of beta-blocker therapy for use in patients with cirrhosis
except
Answer: Increased Cardiac Output
