NSG3100 Exam 6, Units 12 and 13
When caring for a patient who is experiencing status epilepticus, which of the following
medications would the nurse expect to administer?
a. lorazepam (ativan)
b. propofol (diprivan)
c. morphine sulfate (astramorph)
d. meperidine (demerol) - ANS-a. Lorazepam (Ativan)
True or False:
Family members should be instructed on how to administer medication to a patient on a PCA
pump if they appear to be in pain? - ANS-False
Which of the following is the analgesic of choice for management of most types of acute and
severe chronic pain including pain from an MI?
a. Morphine sulfate (Astramorph)
b. Diazepam (Valium)
c. Fentanyl (Sublimaze)
d. Flumazenil (Romazicon) - ANS-a. Morphine sulfate (Astramorph)
A patient arrives to the ER for treatment of benzodiazepine overdose. Which medication would
the nurse expect to administer?
a. Naloxone (Narcan)
b. Dexrazoxane (Zinecard)
c. Flumazenil (Romazicon)
d. Filgrastim (Neupogen) - ANS-c. Flumazenil (Romazicon)
The patient's medication reconciliation reveals he has been on morphine sulfate (Roxanol) long
term for chronic pain. With this in mind, which medication would the nurse expect the surgeon to
order for post-op pain control?
a. Phenytoin (Dilantin)
b. Naloxone (Narcan)
c. Propofol (Diprivan)
d. Fentanyl (Sublimaze) - ANS-d. Fentanyl (Sublimaze)
True or False:
Meperidine (Demerol) is a first line choice for management of chronic pain. - ANS-False
The nurse administers naloxone to a post-op patient who is having respiratory depression after
a dose of morphine. Respiratory rate returns to normal. What other effects from naloxone
(Narcan) would the nurse expect to see?
,a. Increased sedation
b. Urinary frequency
c. Return of post op pain
d. Nausea and vomiting - ANS-c. Return of post op pain
When providing teaching to a patient who is to receive midazolam (versed) for a procedure,
which statement should the nurse include?
a. We are giving you this medicine to control your pain
b. This medication is so safe we don't need to monitor you during surgery.
c. This medication helps you relax, and you will not remember anything for a couple of hours.
d. You will not feel any pain, but you will be able to remember what happens during your
surgery. - ANS-c. This medicine helps you relax, and you will not remember anything for a
couple of hours.
What medication is second-line for pain control due to toxicity from metabolite? -
ANS-Meperidine (Demerol)
What medication is the most widely used IV anesthetic? - ANS-Propofol (Diprivan)
What medication occupies mu and kappa receptors in the brain and spinal cord, altering the
perception of and response to pain? - ANS-Morphine sulfate (Astramorph)
What medication is a GABA receptor agonist used primarily with anesthesia or procedures? -
ANS-Midazolam (Versed)
Morphine sulfate (astramorph), hydromorphone (dilaudid), fentanyl (sublimaze), and meperidine
(demerol) are all what type of drugs - ANS-Analgesics/opioid agonists
Naloxone (narcan) is what type of drug - ANS-Opioid antagonist
Flumazenil (Romazicon) is what type of drug - ANS-Benzodiazepine reversal
Diazepam (valium), lorazepam (ativan), and phenytoin (dilantin) are what type of drugs -
ANS-Antiepileptics
Midazolam (versed), and propofol (diprivan) are what kind of drugs - ANS-Anesthetics
Imipramine (tofranil), and Amitriptyline (elavil) are what kind of drugs - ANS-Tricyclic
antidepressants (TCAs)
- Fluoxetine (prozac)
- Citalopram (celexa)
- Escitalopram (lexapro)
- Paroxetine (Paxil)
, - Sertraline (zoloft)
are what kind of drugs - ANS-Selective serotonin reuptake inhibitors (SSRIs)
What category of drugs are atypical antidepressants? - ANS-- serotonin-norepinephrine
reuptake inhibitor (SNRI)
- Norepinephrine and dopamine reuptake inhibitor (NDRI)
- Venlafaxine (effexor)
- Duloxetine (cymbalta)
- Desvenlafaxine (pristiq)
are what kind of drugs - ANS-Serotonin-norepinephrine reuptake inhibitors (SNRIs)
- atypical antidepressants
Buproprion (wellbutrin) is what kind of drug - ANS-Norepinephrine and dopamine reuptake
inhibitors (NDRI)
Lithium carbonate (eskalith, lithobid) is what kind of drug - ANS-Alkali metal ion salt
Haloperidol (haldol) is what kind of drug - ANS-Nonphenothiazine, dopamine antagonist
Risperidone (risperdal) and Quetiapine (Seroquel) are what kind of drugs - ANS-Dopamine
antagonists
Aripiprazole (abilify) is what kind of drug - ANS-Dopamine system stabilizer
How do we treat opioid addiction? - ANS-Methadone and Buprenorphine with or without
naloxone
Name the mood disorder:
sad or despondent mood out of proportion to actual life events - ANS-major depressive disorder
(depression)
Name the mood disorder:
mild chronic depression that persists for at least 2 years - ANS-Dysthymic disorder
Name the mood disorder:
alternates between intense excitement and major depressive disorder - ANS-Bipolar disorder
Name the mood disorder:
mania symptoms that last for at least 1 week and significantly impact social functioning.
Hypomania is less intense and lasts only 4 days - ANS-Manic and hypomanic episodes
Name the mood disorder:
When caring for a patient who is experiencing status epilepticus, which of the following
medications would the nurse expect to administer?
a. lorazepam (ativan)
b. propofol (diprivan)
c. morphine sulfate (astramorph)
d. meperidine (demerol) - ANS-a. Lorazepam (Ativan)
True or False:
Family members should be instructed on how to administer medication to a patient on a PCA
pump if they appear to be in pain? - ANS-False
Which of the following is the analgesic of choice for management of most types of acute and
severe chronic pain including pain from an MI?
a. Morphine sulfate (Astramorph)
b. Diazepam (Valium)
c. Fentanyl (Sublimaze)
d. Flumazenil (Romazicon) - ANS-a. Morphine sulfate (Astramorph)
A patient arrives to the ER for treatment of benzodiazepine overdose. Which medication would
the nurse expect to administer?
a. Naloxone (Narcan)
b. Dexrazoxane (Zinecard)
c. Flumazenil (Romazicon)
d. Filgrastim (Neupogen) - ANS-c. Flumazenil (Romazicon)
The patient's medication reconciliation reveals he has been on morphine sulfate (Roxanol) long
term for chronic pain. With this in mind, which medication would the nurse expect the surgeon to
order for post-op pain control?
a. Phenytoin (Dilantin)
b. Naloxone (Narcan)
c. Propofol (Diprivan)
d. Fentanyl (Sublimaze) - ANS-d. Fentanyl (Sublimaze)
True or False:
Meperidine (Demerol) is a first line choice for management of chronic pain. - ANS-False
The nurse administers naloxone to a post-op patient who is having respiratory depression after
a dose of morphine. Respiratory rate returns to normal. What other effects from naloxone
(Narcan) would the nurse expect to see?
,a. Increased sedation
b. Urinary frequency
c. Return of post op pain
d. Nausea and vomiting - ANS-c. Return of post op pain
When providing teaching to a patient who is to receive midazolam (versed) for a procedure,
which statement should the nurse include?
a. We are giving you this medicine to control your pain
b. This medication is so safe we don't need to monitor you during surgery.
c. This medication helps you relax, and you will not remember anything for a couple of hours.
d. You will not feel any pain, but you will be able to remember what happens during your
surgery. - ANS-c. This medicine helps you relax, and you will not remember anything for a
couple of hours.
What medication is second-line for pain control due to toxicity from metabolite? -
ANS-Meperidine (Demerol)
What medication is the most widely used IV anesthetic? - ANS-Propofol (Diprivan)
What medication occupies mu and kappa receptors in the brain and spinal cord, altering the
perception of and response to pain? - ANS-Morphine sulfate (Astramorph)
What medication is a GABA receptor agonist used primarily with anesthesia or procedures? -
ANS-Midazolam (Versed)
Morphine sulfate (astramorph), hydromorphone (dilaudid), fentanyl (sublimaze), and meperidine
(demerol) are all what type of drugs - ANS-Analgesics/opioid agonists
Naloxone (narcan) is what type of drug - ANS-Opioid antagonist
Flumazenil (Romazicon) is what type of drug - ANS-Benzodiazepine reversal
Diazepam (valium), lorazepam (ativan), and phenytoin (dilantin) are what type of drugs -
ANS-Antiepileptics
Midazolam (versed), and propofol (diprivan) are what kind of drugs - ANS-Anesthetics
Imipramine (tofranil), and Amitriptyline (elavil) are what kind of drugs - ANS-Tricyclic
antidepressants (TCAs)
- Fluoxetine (prozac)
- Citalopram (celexa)
- Escitalopram (lexapro)
- Paroxetine (Paxil)
, - Sertraline (zoloft)
are what kind of drugs - ANS-Selective serotonin reuptake inhibitors (SSRIs)
What category of drugs are atypical antidepressants? - ANS-- serotonin-norepinephrine
reuptake inhibitor (SNRI)
- Norepinephrine and dopamine reuptake inhibitor (NDRI)
- Venlafaxine (effexor)
- Duloxetine (cymbalta)
- Desvenlafaxine (pristiq)
are what kind of drugs - ANS-Serotonin-norepinephrine reuptake inhibitors (SNRIs)
- atypical antidepressants
Buproprion (wellbutrin) is what kind of drug - ANS-Norepinephrine and dopamine reuptake
inhibitors (NDRI)
Lithium carbonate (eskalith, lithobid) is what kind of drug - ANS-Alkali metal ion salt
Haloperidol (haldol) is what kind of drug - ANS-Nonphenothiazine, dopamine antagonist
Risperidone (risperdal) and Quetiapine (Seroquel) are what kind of drugs - ANS-Dopamine
antagonists
Aripiprazole (abilify) is what kind of drug - ANS-Dopamine system stabilizer
How do we treat opioid addiction? - ANS-Methadone and Buprenorphine with or without
naloxone
Name the mood disorder:
sad or despondent mood out of proportion to actual life events - ANS-major depressive disorder
(depression)
Name the mood disorder:
mild chronic depression that persists for at least 2 years - ANS-Dysthymic disorder
Name the mood disorder:
alternates between intense excitement and major depressive disorder - ANS-Bipolar disorder
Name the mood disorder:
mania symptoms that last for at least 1 week and significantly impact social functioning.
Hypomania is less intense and lasts only 4 days - ANS-Manic and hypomanic episodes
Name the mood disorder:
