Pharmacology Midterm

Question 1

A patient was overdosed with Atrophine Sulfate. Which of the following medications would the nurse anticipate to negate the effects of the drug?

Answer 1

Physostigmine
(Antidote)

Question 2

Which of the following medications is used for the DIAGNOSIS of Myasthenia Gravis? (Sever muscular weakness that goes through the lungs)

Answer 2

Edrophonium (Short acting)
Pyridostigmine (Treatment)

Question 3

A patient with glaucome was instructed to be given a miotic drug to decrease into-occular pressure. Which of th following pertains to the action of a miotic drug?

Answer 3

Pupil constriction

Question 4

Which of the following is NOT usefel in the treatment of hypertension?

Answer 4

Tamsulosin (Patient with benign prostatic hyperplasia)

Question 5

The 58 years old patient presents to the emergency department. He is highly agitative and combative. The health care provider has ordered Haloperidol 5mg IM. What should the nurse know about this medication?

Answer 5

It has sedative side effects

Question 6

Lorazepam (anxiolytic drug)

Answer 6

Muscle spasms
Alcohol withdrawal
Status epilepticus

Question 7

3mg how many mcg?

Answer 7

3000

Question 8

Drug for general tonic-clonic seizures?

Answer 8

Phenytoin

Question 9

Nursing intervation of nausea and vomiting?

Answer 9

Advise the patient to take drug with food

Question 10

Decrease in BP from supine to sitting position. What nursing intervention?

Answer 10

Let the patient rest at the side of the bed with feet dangled.

Question 11

How many gtt/min in microset?

Answer 11

60 gtt/min

Question 12

Travel from catanduanes to leyte. Scopolamine is administered. Which is relieved from this medication?

Answer 12

Motion sickness

Question 13

Patient is Pregnancy Category D. What nursing intervention about medication?

Answer 13

Withhold the medication until confirmation with the prescriber

Question 14

Patient is given Atropine Sulfate. Antagonistically with this medication?

Answer 14

Bethanecol (Antagonist)

Question 15

Injection of IM.

Answer 15

Upon (+) blood return, the nurse widthraws the syringe.

Question 16

LSD Lysergic Acid Diethylamide is classified as?

Answer 16

Schedule 1

Question 17

Paracetamol 500 mg/tab PRN for fever.

Answer 17

Administer Paracetamol when the temperature is above 37.5 C

Question 18

Nursing intervention for patient experiencing orthostatic hypotension.

Answer 18

Advise the patient to maintain sitting position for 5 mins while dangling legs to maintain equilibrium.

Question 19

Physician orders “Ciprofloxacin 250mg TID”

Answer 19

Administer the drug three times a day

Question 20

Rights of documentation when charting and writing the dosage of the medication administered?

Answer 20

Right documentation

Question 21

Patient has difficulty hearing. Which neuron is capable of sending to the central nervous system?

Answer 21

Afferent (Out to In)
Effferent (In to Out

Question 22

Burning building. Nervous system dominates signal to the body?

Answer 22

Sympathethic Nervous System

Question 23

Phenyleprine drug is administered to patient who has?

Answer 23

Nasal congestion

Question 24

Norephinephrine side effcects

Answer 24

Tissue necrosis

Question 25

Inhaler with patient who has asthma. Which statement proves that they understand the nurse teaching?

Answer 25

I should take this medication before my morning exercise to improve my respiration

Question 26

Patient has history of falls diagnosed with HYPERTENSION 2, Prazosin. What should the nurse watch out for?

Answer 26

Ortostatic Hypotension

Question 27

Patient was prescribed with prazosin was assessed by the nurse for his pulse rate. Which of the following statement would the nurse delay the administration?

Answer 27

50bpm (60-100 bpm normal range)

Question 28

A patient prescribed with an autonomic agonist. Which of the following activities should the healthcare team monitor to his response to the therapy?

Answer 28

Driving self to work (Driving heavy machinery can cause major accidents)

Question 29

After administration of edrophonium suddenly demonstrated bradycardia, constricted pupils, skin flushing, and EXTENSIVE MUSCLE WEAKNESS. Which of the following crisis constitutes these symptoms?

Answer 29

Cholnergic crisis. (Weakness, overdose) Myasthenic crisis (Gain strength)

Question 30

Receptors for symphathethic nervous system?

Answer 30

Alpha 1,2 Beta 1,2

Question 31

Bethanecol is a direct acting cholinergic drug. It is effective at relieving what patient's syndrome?

Answer 31

Urine output of 80/hr (BPH, having diffculty urinating)

Question 32

What drug is used to increase dopamine release from substancia nigra of the brain?

Answer 32

Levodopa Amantadine (Parkinson's Epinephrine (Cardiac arrest) Pancuronium (Intubation of patient)

Question 33

To prevent seizure recurrence, the nurse should:

Answer 33

Monitor patient for medication adherence (Medication negligience can trigger a seizure)

Question 34

A patient experiences cardiac arrest the physician deemed it necessary to place an endotracheal tube to maintain aiarway and respiration. Which drug can be use to assist with the placement of ET?

Answer 34

Levodopa Amantadine (Parkinson's Epinephrine (Cardiac arrest) Pancuronium (Intubation of patient)

Question 35

What is the normal value of Phenytoin levels in the blood? and give the value that should withheld the next dose.

Answer 35

12-20mg/dL - Normal 25 mg/dL - High value

Question 36

What food should be used with extreme caution with MAO - inhibitors?

Answer 36

Wine (High in thyramine)

Question 37

Which of the following drugs is most likely to be given in a patient with status epilepticus?

Answer 37

Clorazepam ( Diazepam, Chlonazepam) Bethanicol (BPH) Betahistine (Allergies) Aspirin (Pain, after stroke clientts)

Question 38

A patient is ordered 100 mg furosemide as a morning dose. You have at your disposal 20mg and 40mg strength of lasixTM. What would you administer?

Answer 38

2x40 mg tablets and 1x20 mg tablets (Total of 100, not too many drugs)

Question 39

The following are ways of terminate the synaptic transmission EXCEPT?

Answer 39

Enzyme reuptake

Question 40

Patient who began taking haloperidol (HALDOL). Which of the following findings is the highest priority to report to the provider?

Answer 40

Neck spasm (A,B,C) Side effects of haldol: Shuffling gait Drowsiness Impotense

Question 41

The patient has been started on an antipsyhcotic medication for treatment of schizophrenia. She asks the nurse when she will start to feel better. What is the nurse's best response?

Answer 41

Response vary, but it may be about 6 weeks ( 1 or 1 1/2 month)

Question 42

A nurse is providing teaching to a clieent who has a new prescription to start buspirone (BuSpar) in place of diazepam (Valum). The client has a history of panic disorder. The client asks why his provider is making the medication change. Which of the following statements is an appropriate response by the nurse?

Answer 42

Buspirone has less risk of dependency than other treatment options. (Not that addictive)

Question 43

What are the neurotransmitters are blocked by ANTI - DEPRESSANTS?

Answer 43

Serotonin Norepinephrine Dopamine PARKINSONS NEUROTRANSMITTERS Acetylcholine GABA

Question 44

Discharge teaching for a client taking fluoxeline (PROZAC) of Posttraumatic stress disorder (PTSD). Which of the following statements is appropriate for nurse to include in the teaching?

Answer 44

You may have a decreased desire for intimact while taking this medication

Question 45

A nurse is teaching a client who has schizophrenia strategies to cope with anticholinergic effects of fluphenazine. Which of the following should the nurse suggest to client to minimize anticholinergic effects?

Answer 45

Chew sugarless gum to moisten the mouth (anticholinergic drugs has effects of dryness of mouth)

Question 46

A nurse is preparing to perform a follow up assessent on a client who takes chlopromazine (Thorazine/ anti psychotic meds)

Answer 46

Disorganized speech Hallucinations Bizarre behavior

Question 47

What are the neurotransmitters are blocked by ANTI - DEPRESSANTS?

Answer 47

Serotonin Norepinephrine Dopamine PARKINSONS NEUROTRANSMITTERS Acetylcholine GAB