NR 567 FINAL
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? - ANS-Thiamine
Which of the following pharmaceutical agents is not recommended for treating methanol
poisoning? - ANS-Antabuse
Which of the following pharmaceutical agents is the preferred antiseizure medication for
a generalized seizure disorder in a 25-year -old pregnant female? - ANS-Levetiracetam
(Keppra)
Which of the following is the least preferable initial treatment of choice for status
epilepticus? - ANS-Propofol (Diprivan)
Which of the following statements is not true? - ANS-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
Your patient has been taking risperidone (Risperdal) but has developed
hyperprolactinemia. Which of the following may help manage hyperprolactinemia? -
ANS-Bromocriptine (Parlodel)
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? - ANS-Flumazenil (Romazicon)
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? - ANS-Olanzapine (Zyprexa)
Which of the following is a long-acting benzodiazepine that is used to treat anxiety? -
ANS-Diazepam (Valium)
Acute dystonia can develop after early initiation of which of the following? - ANS-halodol
Adding epinephrine to a local anesthetic, such as 1% lidocaine for local infiltration, has
which of the following benefits? - ANS-Extends the duration of the anesthesia block,
useful for longer procedures
, Your patient reports a history of anaphylaxis to an "ester-type" local anesthetic. Which
of the following, if given, would be most likely to provoke an allergic response in this
patient? - ANS-Tetracaine (Pontocaine)
An OR patient receives propofol for induction. What is the most likely adverse response
associated with the administration of this pharmaceutical agent? - ANS-Hypotension
and respiratory depression
Which of the following is the least appropriate medication for a patient with suspected
increased intracranial pressure? - ANS-Ketamine (Ketalar)
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? - ANS-Ketamine (Ketalar)
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? - ANS-
Succinylcholine chloride
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? - ANS-Pancuronium (Pavulon)
Your ICU patient is admitted following multisystem trauma secondary to a motor vehicle
collision. The patient is ventilated and will be maintained on a neuromuscular blocking
continuous agent to maintain neuromuscular blockage and deep sedation. Which of the
following is a true statement? - ANS-If dantrolene is needed postoperatively on the
NMBA, care should be taken to ensure muscle strength has returned prior to extubation
Which of the following best describes the rationale for long-term methadone therapy in
treating opioid addiction and abuse? - ANS-Methadone has greater oral bioavailability
than morphine
Which of the following is a pure opioid antagonist that binds competitively to opioid
receptors, does not produce analgesia or opioid side effects, and reverses the toxic
effects of agonist and agonist-antagonist opioids? - ANS-Naloxone (Narcan)
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 alpha- and beta-adrenergic receptors) with a single pharmaceutical
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? - ANS-Thiamine
Which of the following pharmaceutical agents is not recommended for treating methanol
poisoning? - ANS-Antabuse
Which of the following pharmaceutical agents is the preferred antiseizure medication for
a generalized seizure disorder in a 25-year -old pregnant female? - ANS-Levetiracetam
(Keppra)
Which of the following is the least preferable initial treatment of choice for status
epilepticus? - ANS-Propofol (Diprivan)
Which of the following statements is not true? - ANS-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
Your patient has been taking risperidone (Risperdal) but has developed
hyperprolactinemia. Which of the following may help manage hyperprolactinemia? -
ANS-Bromocriptine (Parlodel)
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? - ANS-Flumazenil (Romazicon)
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? - ANS-Olanzapine (Zyprexa)
Which of the following is a long-acting benzodiazepine that is used to treat anxiety? -
ANS-Diazepam (Valium)
Acute dystonia can develop after early initiation of which of the following? - ANS-halodol
Adding epinephrine to a local anesthetic, such as 1% lidocaine for local infiltration, has
which of the following benefits? - ANS-Extends the duration of the anesthesia block,
useful for longer procedures
, Your patient reports a history of anaphylaxis to an "ester-type" local anesthetic. Which
of the following, if given, would be most likely to provoke an allergic response in this
patient? - ANS-Tetracaine (Pontocaine)
An OR patient receives propofol for induction. What is the most likely adverse response
associated with the administration of this pharmaceutical agent? - ANS-Hypotension
and respiratory depression
Which of the following is the least appropriate medication for a patient with suspected
increased intracranial pressure? - ANS-Ketamine (Ketalar)
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? - ANS-Ketamine (Ketalar)
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? - ANS-
Succinylcholine chloride
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? - ANS-Pancuronium (Pavulon)
Your ICU patient is admitted following multisystem trauma secondary to a motor vehicle
collision. The patient is ventilated and will be maintained on a neuromuscular blocking
continuous agent to maintain neuromuscular blockage and deep sedation. Which of the
following is a true statement? - ANS-If dantrolene is needed postoperatively on the
NMBA, care should be taken to ensure muscle strength has returned prior to extubation
Which of the following best describes the rationale for long-term methadone therapy in
treating opioid addiction and abuse? - ANS-Methadone has greater oral bioavailability
than morphine
Which of the following is a pure opioid antagonist that binds competitively to opioid
receptors, does not produce analgesia or opioid side effects, and reverses the toxic
effects of agonist and agonist-antagonist opioids? - ANS-Naloxone (Narcan)
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 alpha- and beta-adrenergic receptors) with a single pharmaceutical
