P2 PHARMACOLOGY - LONG QUIZ

Total points41/50

SESSION 9-16
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LAST NAME, GIVEN NAME *

paasa,speedhope ivan

ACTIVE MOBILE NUMBER *

09564529305

SECTION *
Option 1

MULTIPLE CHOICE
41 of 50 points
Select the best answer from the choices.

Which of the following drugs can increase the toxicity of

bromocriptine? *
1/1
OpioidsErythromycin

None of the above

Phenothiazine
Statins

What would be a priority nursing diagnosis for a patient receiving

anticholinergic (parasympatholytic) drugs? *
1/1
Urinary retention related to loss of bladder tone
Impaired gas exchange related to thickened respiratory secretions

Risk for injury related to excessive central nervous system stimulation

Deficient knowledge related to pharmacologic regimen

Parkinson’s disease reflects an imbalance between inhibitory and

stimulating activity of nerves in the *
1/1
Basal ganglia

Limbic system
Cerebellum
Reticular activating system

Antipsychotic drugs are basically *

1/1
Acetylcholine stimulators
Serotonin reuptake inhibitors
Dopamine receptor blockers

Norepinephrine blockers

Mental disorders are now thought to be caused by some inherent

dysfunction within the brain that leads to abnormal thought
processes and responses. They include *
0/1
Seizures
Depression
Anxiety
Schizophrenia

Correct answer
Seizures

The most dangerous period for many patients undergoing general

anesthesia is during *
1/1
Stage 3, when skeletal muscles relax.
Stage 2, when systemic stimulation occurs.
Stage 1, when communication becomes difficult.
There is no real danger during general anesthesia.

Drug that are used to alter a patient’s response to the environment

are called *
1/1
Antiepilectics
Hypnotics
Sedatives
Anxiolytics

A clinical instructor teaches a class for the public about diabetes

mellitus. Which individual does the nurse assess as being at highest
risk for developing diabetes? *
1/1
The 56-year-old client who drinks three glasses of wine each evening
The 42-year-old client who is 50 pounds overweight

The 50-year-old client who does not get any physical exercise
The 38-year-old client who smokes one pack of cigarettes per day

A patient is admitted with a dysrhythmia. The physician prescribes

Propranolol. Which statement by the patient requires the nurse to
hold the ordered dose and notify the physician for further orders? *
1/1
"I smoke 2 packs of cigarettes per day."
"My heart feels like it is racing, and I feel very weak."
"I use an inhaler at home for asthma."

"I had caffeine this morning with breakfast."

The nurse monitors a patient prescribed tolterodine (Detrol) for which

therapeutic effect? *
1/1
Reduction in gastrointestinal (GI) motility
Decrease in urinary frequency

Increase in heart rate

Absence of salivation

A patient on Dilantin began showing bruises and signs of active

infection. The nurse would be right to anticipate that these
manifestations give clue to ________________. *
1/1
Drug underdosage
Hypersensitivity reactions
Cellular toxicity

None of the above

The nurse is preparing a patient for a computed tomography scan

using iodine contrast media. Which medication should the nurse
question if prescribed one day before the scheduled procedure? *
1/1
Metformin (Glucophage)

Pioglitazone (Actos)
Repaglinide (Prandin)
Acarbose (Precose)

A patient tells the nurse that he stopped taking sertraline (Zoloft)

because the drug made him impotent. The nurse can be most helpful
by saying: *
1/1
"Your doctor wants you to continue taking your medication."
"Our priority is to treat your depression. Impotence can be addressed in a few weeks."
"Let's talk with your doctor. Changing your medication might be a possibility."

"Have you talked with your therapist regarding your feelings about sex?"

Generalized seizures could include all of the following except *

0/1
Grand mal seizures
Febrile seizures

Complex seizures
Petit mal seizures

Correct answer
Grand mal seizures

Nurse Andy has finished teaching a client with diabetes mellitus how
to administer insulin. He evaluates the learning has occurred when
the client makes which statement? *
1/1
“I should use the abdominal area only for insulin injections.”
“I should provide direct pressure over the site following the injection.”
“I should check my blood sugar immediately prior to the administration.”
“I should only use calibrated insulin syringe for the injections.”

Treatment with ADH preparations is associated with adverse effects,

including *
1/1
“hangover symptoms” like headache and sweating

nocturia and bedwetting

constipation and paralytic ileus
cholecystitis and bile obstruction

An agitated, confused female client arrives in the emergency

department. Her history includes type 1 diabetes mellitus,
hypertension, and angina pectoris. Assessment reveals pallor,
diaphoresis, headache, and intense hunger. A stat blood glucose
sample measures 42 mg/dl, and the client is treated for an acute
hypoglycemic reaction. After recovery, the nurse teaches the client
to treat hypoglycemia by ingesting: *
1/1
25 to 30 g of a simple carbohydrate
2 to 5 g of a simple carbohydrate.
18 to 20 g of a simple carbohydrate.
10 to 15 g of a simple carbohydrate.

At 10:00 your patient is scheduled to take a dose of Atenolol. What

finding below would require you to hold the scheduled dose and notify
the physician?3. *
1/1
The patient's blood pressure is 102/76.
The patient has swelling in lower extremities, dyspnea, and crackles in lung fields.

The patient's heart rate is 120 beats per minute.

Parkinson’s disease is progressive, chronic neurological disorder that

is usually *
1/1
Associated with old age.
Associated with chronic diseases.
Known to affect people of all ages with no known cause.

Associated with severe head injury.

The benzodiazepines are the most frequently used anxiolytic drugs

because *
1/1
They do not affect any neurotransmitters.
They are more likely to cause physical dependence than older anxiolytic drugs.
They are anxiolytic at doses much lower than those needed for sedation of hypnosis.

They can also be stimulating

Which antiseizure agents is used to treat absence seizures? *

1/1
Barbiturates
Hydantoins
Succinimides
Benzodiazepines

Opioid receptors are found throughout the body *

1/1
Only in people who have become addicted to opiates.
And incorporate pain perception and blocking.

In increasing numbers with chronic pain conditions.

And cause endorphin release.

Which long-acting insulin mimics natural, basal insulin with no peak

action and a duration of 24 hours? *
1/1
Insulin glulisine (Apidra)
Insulin isophane suspension (NPH)
Regular insulin (Humulin R)
Insulin glargine (Lantus)

A female adult client with a history of chronic hyperparathyroidism

admits to being non-compliant. Based on initial assessment findings,
the nurse formulates the nursing diagnosis of Risk for injury. To
complete the nursing diagnosis statement for this client, which
“related-to” phrase should the nurse add? *
1/1
Related to exhaustion secondary to an accelerated metabolic rate.
Related to bone demineralization resulting in pathologic fractures.

Related to edema and dry skin secondary to fluid infiltration into the interstitial spaces.
Related to tetany secondary to a decreased serum calcium level.

According to the gate control theory, pain *

1/1
Can be blocked or intensified by the opening of closing of gates in the CNS

Cannot be affected by learned experiences.

Is caused by gates in peripherals nerve sensors.
Is caused by gates in the CNS

Which of the following suggestions would the nurse make to help a

patient who is receiving an anticholinergic agent reduce the risks
associated with decreased sweating? *
1/1
Ensuring hydration and temperature control

Covering the head and using sunscreen

Changing position slowly and protecting from the sun
Monitoring for difficulty swallowing and breathing

Assuming the patient eats breakfast at 8:30 AM, lunch at noon, and
dinner at 6:00 PM, he or she is at highest risk of hypoglycemia after
an 8:00 AM dose of NPH insulin at what time? *
1/1
8:00 PM
10:00 AM
5:00 PM

2:00 PM

Nurse Jake was doing his usual morning routine care for his patient
receiving parenteral isoproterenol when he noticed a developing
extravasation in the site. Which is the best nursing action for this
situation? *
0/1
Explain to the client that it is an expected side effect of the drug.
Inject 10 mL of saline with 5 mg of phentolamine to save the area from necrosis.
Provide skin care and warm compress because it will subside in 1-2 hours.

Document and endorse to next nurse on duty because extravasation need long hours of
observation before an appropriate course of nursing actions can be determined.

Correct answer
Inject 10 mL of saline with 5 mg of phentolamine to save the area from necrosis.
A nurse is giving dietary instructions to a client receiving levodopa.
Which of the following food items should be avoided by the client? *
1/1
Whole grain cereal.

Goat yogurt.
Asparagus.
Apples

A muscle spasm often results from *

0/1
Damage to the basal ganglia
Chemical imbalance within the CNS

Central nervous system damage

Injury to the musculoskeletal system

Correct answer
Injury to the musculoskeletal system

The barbiturates cause liver enzyme induction, which could lead to *

1/1
Rapid metabolism and loss of effectiveness of other drugs metabolized by those enzymes.

The need to periodically lower the barbiturates dose to avoid toxicity.

Increased bile production
CNS depression

A patient prescribed fluoxetine (Prozac) is being changed to

tranylcypromine (Parnate). The nurse schedules a time lapse between
the last dose of fluoxetine and the first dose of tranylcypromine of at
least: *
1/1
6 weeks.

14 days.
7 days.
3 weeks.
Which of the following is an appropriate nursing intervention for
patients who are receiving CNS depressants? *
1/1
Prevent any activity within the hospital setting while on oral muscle relaxants
Make sure that the patient knows that sedation should be minimal with these agents.
Make sure the patient’s call light is close by in case of the need for assistance with activities.

Cardiovascular stimulation, a common side effect, would lead to hypertension

A patient is prescribed a beta blocker for a cardiac condition. You

know this medication blocks the beta receptors in the body so
____________ and __________ cannot bind to the receptor site and elicit a
_______ ________ _________ response. *
1/1
norepinephrine and epinephrine; sympathetic nervous system

dopamine and norepinephrine; parasympathetic nervous system

dopamine and acetylcholine; parasympathetic nervous system
angiotensin II and angiotensin I; sympathetic nervous system

A patient on neostigmine complained of frequent diarrhea and

salivation. Which is the best nursing action for this situation? *
1/1
Document patient response and endorse accordingly for bedside care.
Arrange for increasing the dose of the drug as it is not effective.
Educate client about drug therapy to alleviate anxiety as these are expected drug effects.
Withhold the dose of the drug and refer to physician.

Biperiden hydrochloride (Akineton) is added to a list of

antiparkinsonian medications that an elderly client is taking. Which of
the following instructions made by the nurse that needs further
learning? *
1/1
Walking in the morning to have a daily source of direct sunlight.
To use ice chips, candy or gum for dry mouth.
To avoid smoking, alcohol and caffeine.
Eating foods rich in fiber and increase fluid intake.

What facts can you gather about muscle spasticity? It is the result
of *
1/1
Direct damage to a muscle cell
Tearing of a ligament
Damage to neurons within the CNS

Overstretching of a muscle

All of the following are true about dopamine and dobutamine,

except: *
0/1
Administration of these drugs can put patients with peripheral cardiovascular disease into
exacerbation

They bind to both alpha- and beta-receptors

Dopamine is the sympathomimetic of choice for shock
They can increase heart rate and cause bronchoconstriction

Correct answer
They can increase heart rate and cause bronchoconstriction

Anticholinergic drugs are used *

0/1
To allow the sympathetic system to dominate
As the drugs of choice for treating ulcers
To stimulate GI activity
To block the parasympathetic system, which is commonly hyperactive

Correct answer
To allow the sympathetic system to dominate

Epilepsy is *
0/1
Only a genetic problem.
Always characterized by grand mal seizures.

The name given to one brain disorder.

The most prevalent neurological disorder.

Correct answer
The most prevalent neurological disorder.

Nurse Joey is assigned to care for a postoperative male client who

has diabetes mellitus. During the assessment interview, the client
reports that he’s impotent and says he’s concerned about its effect
on his marriage. In planning this client’s care, the most appropriate
intervention would be to: *
1/1
Suggest referral to a sex counselor or other appropriate professional.

Provide time for privacy.

Provide support for the spouse or significant other.
Encourage the client to ask questions about personal sexuality.

Recovery after a general anesthetic refers to the period of time *

1/1
From the discontinuation of the anesthetic until the patient has regained consciousness,
movement, and the ability to communicate.

From the beginning of the anesthesia until the patient is ready for surgery.
During the surgery when anesthesia is maintained at a certain level.
When the patient is in the most danger of CNS depression.

The biogenic amine theory of depression states that depression is a

result of *
1/1
Blockages within the limbic system, which controls emotions and affect.
Deficiency of NE, dopamine, of 5HT in the key areas of the brain.

GABA inhibition
An unpleasant childhood

Pediatric and geriatric patients often react with more sensitivity to

CNS depressants. This type of sensitivity manifests itself in the
development of which type of reaction? *
1/1
Teratogenic
Paradoxical

Idiopathic
Psychogenic

Which of the following is true regarding growth hormone (GH)

deficiencies? *
0/1
It is treated only in children because GH is usually produced only until puberty.
It always results in dwarfism.

It can occur in adults as well as children.

It occurs only in children.

Correct answer
It can occur in adults as well as children.

Ben injects his insulin as prescribed, but then gets busy and forgets
to eat. What will the best assessment of the nurse reveal? *
1/1
The client will need to urinate.
The client will have moist skin

The client will complain of nausea.

The client will be very thirsty.

A pregnant patient on 32 weeks age of gestation came rushing to the

emergency complex because of increased watery discharge and
frequent uterine contractions. Upon physical examination, patient
was confirmed to have ruptured of membranes and is in preterm
labor. Which of the additional PE findings will render beta-agonists
contraindicated as part of her management for uterine relaxation? *
1/1
HbA1c of 6
BUN: 10 mg/dL
Few to many pus cells in urinalysis
Blood pressure of 150/70 mmHg and +3 proteinuria

Genevieve has diabetes type 1 and receives insulin for glycemic

control. She tells the nurse that she likes to have a glass of wine with
dinner. What will the best plan of the nurse for client education
include? *
0/1
The alcohol could predispose you to hyperglycemia

The alcohol could cause pancreatic disease.

The alcohol could predispose you to hypoglycemia.
The alcohol could cause serious liver disease.

Correct answer
The alcohol could predispose you to hypoglycemia.

When teaching a patient receiving tricyclic antidepressants (TCAs), it

is important to remember that they are associated with many
anticholinergic adverse effects. Teaching about these drugs should
include anticipation of *
1/1
Increased libido and increased appetite.
Polyuria and polydipsia
Urinary retention, arrhythmias, and constipation.

Hearing changes, cataracts, and nightmares.

The nurse monitors a patient prescribed dicyclomine (Bentyl) for

which therapeutic effect? *
1/1
Reduction in urinary frequency
Decrease in sweating
Dilation of the pupils
Decrease in GI motility

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