1
NR567 Midterm
NR567 Midterm Spring Exam Study Guide Questions
with Correct Verified Answers (Latest 2026/2027)
1.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?: Ketamine (Ketalar)
2.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?: Succinylcholine
chloride
NR567 Midterm
, 2
NR567 Midterm
3.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?:
Pancuronium (Pavulon)
4.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?: If
dantrolene is needed postoperatively on the NMBA, care should be taken to
ensure muscle strength has returned prior to extubation
5.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 agent. Which of the following is most
likely to achieve this goal?: Labetalol (Trandate)
NR567 Midterm
, 3
NR567 Midterm
6.A nonselective beta-blocker was initiated for your patient. Which of the
following diagnoses warrants initiating this pharmaceutical agent?:
Hyperthyroid crisis
7.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?: Clopidogrel (Plavix)
8.Which of the following adverse effects is likely when an angiotensin-
converting enzyme inhibitor (ACEI) is used with spironolactone therapy?:
Hyperkalemia
9.All of the following are beneficial effects of beta-blocker therapy for use in
patients with cirrhosis except ___: Increased Cardiac Output
10. Reducing cardiovascular events in patients with moderate to severe
uncomplicated hypertension is an important consideration when choosing
initial therapy. Which of the following is not recommended as a first-line
treatment to reduce cardiovascular events?: Beta agonist receptor blockers
NR567 Midterm
NR567 Midterm
NR567 Midterm Spring Exam Study Guide Questions
with Correct Verified Answers (Latest 2026/2027)
1.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?: Ketamine (Ketalar)
2.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?: Succinylcholine
chloride
NR567 Midterm
, 2
NR567 Midterm
3.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?:
Pancuronium (Pavulon)
4.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?: If
dantrolene is needed postoperatively on the NMBA, care should be taken to
ensure muscle strength has returned prior to extubation
5.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 agent. Which of the following is most
likely to achieve this goal?: Labetalol (Trandate)
NR567 Midterm
, 3
NR567 Midterm
6.A nonselective beta-blocker was initiated for your patient. Which of the
following diagnoses warrants initiating this pharmaceutical agent?:
Hyperthyroid crisis
7.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?: Clopidogrel (Plavix)
8.Which of the following adverse effects is likely when an angiotensin-
converting enzyme inhibitor (ACEI) is used with spironolactone therapy?:
Hyperkalemia
9.All of the following are beneficial effects of beta-blocker therapy for use in
patients with cirrhosis except ___: Increased Cardiac Output
10. Reducing cardiovascular events in patients with moderate to severe
uncomplicated hypertension is an important consideration when choosing
initial therapy. Which of the following is not recommended as a first-line
treatment to reduce cardiovascular events?: Beta agonist receptor blockers
NR567 Midterm
