Advanced Pharm NR 567 Final Exam
Questions and Guide Answers
100% Verified Graded A+
1. 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?
Answer: Folate (Folic acid)
Chlordiazepoxide (Librium)
Thiamine (Vitamin B1)
Lorazepam (Ativan)
2. Which of the following pharmaceutical agents is not recommended for
treating methanol poisoning?
Answer: Ethanol intravenously
Fomepizole (Antizole)
Sodium Bicarbonate
Disulfiram (Antabuse)
,3. Which of the following pharmaceutical agents is the preferred antiseizure
medication for a generalized seizure disorder in a 25-year -old pregnant
female?
Answer: Phenobarbital (Solfoton)
Valproate (Valproic acid) -This is known as a human teratogen. Exposure in first trimester isassociated with an
approximately threefold increased risk of major congenital malformations,most commonly spina bifida. There is
evidence that valproate exposure may be associated withan increased risk of autism spectrum disorder.
Levetiracetam (Keppra)
Topiramate (Topamax)
4. Which of the following is the least preferable initial treatment of choice for
status epilepticus?
Answer: Lorazepam (Ativan)
Diazepam (Valium)
Propofol (Diprivan)
Fosphenytoin (Cerebyx)
5. Which of the following statements is not true?
Answer: In patients with hypovolemic states,
heart failure, and other diseases that impair cardiovascular function, normal doses of sedative-hypnotics may cause
cardiovascular depression
,In patients with pulmonary disease, therapeutic doses of sedative-hypnotics can produce significant respiratory
depression.
Sedative hypnotics can be utilized as an anticonvulsant; zolpidem (Ambien) and lorazepam (Ativan) are excellent
options for managing seizures.
Benzodiazepines exert dose-dependent anterograde amnestic ettects.
6. Your patient has been taking risperidone (Risperdal) but has developed hy-
perprolactinemia. Which of the following may help manage hyperprolactine-
mia?
Answer: Bromocriptine (Parlodel)
b. Haloperidol (Haldol)
c. Promethazine (Phenergan)
d. Chlorpromazine (Thorazine)
7. 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 phar-
maceutical agents should the nurse practitioner order to treat her condition?-
Answer: Flumazenil
, (Romazicon) Naloxone
(Narcan)
Depakote (Divalproex sodium)
Midazolam (Versed)
8. 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?
Answer: - Haloperidol (Haldol)
Olanzapine (Zyprexa)
Aripiprazole (Abilify)
Naltrexone (Vivitrol, ReVia)
9. Which of the following is a long-acting benzodiazepine that is used to treat
anxiety?
Answer: Diazepam (Valium)
Alprazolam (Xanax)
Eszopiclone (Lunesta)
Zolpidem (Ambien)
10. Acute dystonia can develop after early initiation of which of the following?-
Questions and Guide Answers
100% Verified Graded A+
1. 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?
Answer: Folate (Folic acid)
Chlordiazepoxide (Librium)
Thiamine (Vitamin B1)
Lorazepam (Ativan)
2. Which of the following pharmaceutical agents is not recommended for
treating methanol poisoning?
Answer: Ethanol intravenously
Fomepizole (Antizole)
Sodium Bicarbonate
Disulfiram (Antabuse)
,3. Which of the following pharmaceutical agents is the preferred antiseizure
medication for a generalized seizure disorder in a 25-year -old pregnant
female?
Answer: Phenobarbital (Solfoton)
Valproate (Valproic acid) -This is known as a human teratogen. Exposure in first trimester isassociated with an
approximately threefold increased risk of major congenital malformations,most commonly spina bifida. There is
evidence that valproate exposure may be associated withan increased risk of autism spectrum disorder.
Levetiracetam (Keppra)
Topiramate (Topamax)
4. Which of the following is the least preferable initial treatment of choice for
status epilepticus?
Answer: Lorazepam (Ativan)
Diazepam (Valium)
Propofol (Diprivan)
Fosphenytoin (Cerebyx)
5. Which of the following statements is not true?
Answer: In patients with hypovolemic states,
heart failure, and other diseases that impair cardiovascular function, normal doses of sedative-hypnotics may cause
cardiovascular depression
,In patients with pulmonary disease, therapeutic doses of sedative-hypnotics can produce significant respiratory
depression.
Sedative hypnotics can be utilized as an anticonvulsant; zolpidem (Ambien) and lorazepam (Ativan) are excellent
options for managing seizures.
Benzodiazepines exert dose-dependent anterograde amnestic ettects.
6. Your patient has been taking risperidone (Risperdal) but has developed hy-
perprolactinemia. Which of the following may help manage hyperprolactine-
mia?
Answer: Bromocriptine (Parlodel)
b. Haloperidol (Haldol)
c. Promethazine (Phenergan)
d. Chlorpromazine (Thorazine)
7. 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 phar-
maceutical agents should the nurse practitioner order to treat her condition?-
Answer: Flumazenil
, (Romazicon) Naloxone
(Narcan)
Depakote (Divalproex sodium)
Midazolam (Versed)
8. 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?
Answer: - Haloperidol (Haldol)
Olanzapine (Zyprexa)
Aripiprazole (Abilify)
Naltrexone (Vivitrol, ReVia)
9. Which of the following is a long-acting benzodiazepine that is used to treat
anxiety?
Answer: Diazepam (Valium)
Alprazolam (Xanax)
Eszopiclone (Lunesta)
Zolpidem (Ambien)
10. Acute dystonia can develop after early initiation of which of the following?-
